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Flexor tendon injuries. Part 2. Flexor tendon repair.

J W Strickland1

  • 1Indiana University School of Medicine, Indianapolis.

Orthopaedic Review
|November 1, 1986
PubMed
Summary

Atraumatic flexor tendon repair is crucial for both profundus and superficialis tendons. Early motion programs can aid recovery, but patient motivation is key for restoring digit function after flexor tendon injuries.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal System

Background:

  • Flexor tendon injuries require precise surgical techniques for optimal outcomes.
  • Understanding the zones of flexor tendon interruption is critical for effective repair.
  • The integrity of the flexor tendon sheath plays a role in healing and function.

Purpose of the Study:

  • To review the principles of atraumatic flexor tendon repair.
  • To emphasize the importance of primary or delayed primary repair in all flexor tendon injury zones.
  • To discuss the role of flexor tendon sheath repair and early motion protocols.

Main Methods:

  • Review of existing literature on atraumatic flexor tendon repair techniques.
  • Analysis of repair strategies across different zones of flexor tendon injury.
  • Evaluation of the benefits of flexor tendon sheath repair.
  • Discussion of early motion protocols and their impact on functional recovery.

Main Results:

  • Atraumatic repair should be performed on profundus and superficialis tendons in all injury zones.
  • Repair of the flexor tendon sheath is recommended when feasible.
  • Supervised early motion programs can be beneficial for functional restoration.

Conclusions:

  • Timely and atraumatic flexor tendon repair, including sheath repair, is essential.
  • Early motion protocols, coupled with high patient motivation, are vital for successful digit function restoration.
  • Restoration of function following flexor tendon repair can be a lengthy process.

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