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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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 procedure...
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...

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Related Experiment Video

Updated: Jun 15, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
06:36

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

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Flexor Tendon Zone II Repair.

Daniel Y Hong1, Robert J Strauch1

  • 1Columbia University Medical Center, New York, NY.

JBJS Essential Surgical Techniques
|February 15, 2024
PubMed
Summary
This summary is machine-generated.

The Strickland repair with a simple running epitendinous stitch offers strong flexor tendon repair, enabling early active motion to minimize adhesions and stiffness. This technique balances repair strength with complication rates for optimal outcomes.

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Area of Science:

  • Orthopaedic Surgery
  • Hand Surgery
  • Tendon Repair Biomechanics

Background:

  • Flexor tendon injuries present a significant challenge in orthopaedic surgery.
  • Achieving a balance between repair strength and minimizing complications like adhesions is crucial.
  • Various suture techniques exist, but a definitive gold standard remains elusive.

Purpose of the Study:

  • To highlight the Strickland repair technique with a simple running epitendinous stitch for flexor tendon repair.
  • To discuss relevant anatomy, indications, operative technique, and postoperative management.
  • To present a preferred method for achieving strong and functional tendon healing.

Main Methods:

  • Utilizing a 4-core strand repair with 3-0 braided nylon in the Strickland fashion.
  • Employing a 5-0 polypropylene suture for a simple running epitendinous stitch.
  • Assessing neurovascular structures and pulleys, followed by tendon preparation and repair.

Main Results:

  • The 4-core strand configuration enhances repair strength compared to 2-core methods.
  • This technique allows for early active range of motion, crucial for preventing adhesions and stiffness.
  • Primary repair performed soon after injury yields excellent outcomes.

Conclusions:

  • The Strickland repair with a simple running epitendinous stitch provides robust flexor tendon repair.
  • Early active rehabilitation following repair is vital for optimal functional recovery.
  • This method balances repair integrity with functional recovery, reducing common complications.