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Related Experiment Video

Updated: Oct 9, 2025

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Secondary Procedures following Flexor Tendon Reconstruction.

Kitty Yuechuan Wu1, Joshua A Gillis1, Steven L Moran1

  • 1From the Division of Plastic and Reconstructive Surgery, Roth|McFarlane Hand and Upper Limb Center; and Division of Plastic and Reconstructive Surgery, Mayo Clinic.

Plastic and Reconstructive Surgery
|December 22, 2021
PubMed
Summary

This article reviews surgical options for secondary flexor tendon reconstruction, including tenolysis, tendon grafting, and tendon transfers, to manage complications after initial flexor tendon repair.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Flexor tendon repair complications can necessitate secondary reconstruction.
  • Management of these complications requires a nuanced understanding of available surgical techniques.

Purpose of the Study:

  • To outline indications and management options for secondary flexor tendon reconstruction.
  • To discuss reconstructive strategies for pulley injuries.
  • To review treatment for isolated flexor digitorum profundus injuries.

Main Methods:

  • Review of current literature on secondary flexor tendon reconstruction.
  • Discussion of tenolysis, tendon grafting (one- and two-stage), and tendon transfers.
  • Analysis of pulley reconstruction and isolated flexor digitorum profundus injury management.

Main Results:

  • A spectrum of treatment options exists for secondary flexor tendon reconstruction.
  • Pulley reconstruction and management of isolated flexor digitorum profundus injuries are critical components.
  • A management algorithm is proposed to guide clinical decision-making.

Conclusions:

  • Despite advances, flexor tendon repair complications are possible.
  • Comprehensive surgical strategies are available for secondary reconstruction.
  • The provided algorithm aids in managing complex flexor tendon injuries.