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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Flexor tendon repair: recent changes and current methods.

Jin Bo Tang1, Donald Lalonde2, Leila Harhaus3

  • 1Department of Hand Surgery Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.

The Journal of Hand Surgery, European Volume
|November 5, 2021
PubMed
Summary
This summary is machine-generated.

Modern flexor tendon repair techniques, including strong multi-strand core sutures and early motion, yield over 80% excellent outcomes in Zone 2 repairs. These advancements improve functional recovery and reduce complications like rupture.

Keywords:
Flexor tendonoutcomespulleysrehabilitationsurgical techniques

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Area of Science:

  • Hand Surgery
  • Orthopedic Surgery
  • Musculoskeletal Research

Background:

  • Flexor tendon repair methods have evolved significantly over the past two decades.
  • Current techniques differ substantially from those used 20 years ago.

Purpose of the Study:

  • To review current clinical methods for flexor tendon repair.
  • To present the experience and status of six international hand surgery units.
  • To highlight advancements in flexor tendon repair and rehabilitation.

Main Methods:

  • Review of contemporary flexor tendon repair techniques.
  • Analysis of data and practices from six global hand surgery centers.
  • Focus on multi-strand core suture methods and peripheral repair techniques.
  • Evaluation of early motion protocols post-repair.

Main Results:

  • Many centers are adopting strong, multi-strand core sutures with simpler peripheral repairs.
  • Venting of critical pulleys (less than 2 cm) is safe and promotes functional recovery.
  • Combined repair and early motion protocols achieve over 80% good to excellent outcomes in Zone 2 repairs consistently.
  • Low incidence of rupture and infrequent need for tenolysis are reported.

Conclusions:

  • Current flexor tendon repair strategies, emphasizing strong core sutures and early motion, lead to reliable outcomes.
  • Zone 2 flexor tendon repairs show outcomes comparable to other zones, with minimal rupture rates.
  • Adherence to general principles in repair and rehabilitation is crucial for success.