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Updated: Jan 2, 2026

Using Q Suture to Enhance Resistance to Gap Formation and Tensile Strength of Repaired Flexor Tendons
Published on: June 3, 2020
Rupture Rates Between 2-Strand and 4-Strand Flexor Tendon Repairs: Is Less More?
Shazrinizam Shaharan1, Timothy Bage2, Nada Ibrahim1
1From the Plastic Surgery Department, Queen Victoria Hospital, East Grinstead, West Sussex.
Abstract:
The purpose of this study was to explore the difference in clinical outcome of 2-strand and 4-strand flexor tendon repairs in a single unit in adult population. A total of 109 complete divisions of a single flexor tendon were analyzed from 2016 to 2018 retrospectively. Thirty flexor tendons were repaired with 2-strand and 79 tendons were repaired with 4-strand technique. There was no significant difference in the complication rate including rupture, infection, and adhesions. These results support that 4-strand is not superior than 2-strand and that lower volume type of repair would be preferable.
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