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Related Experiment Videos

Flexor tendon repair.

J W Strickland

    Hand Clinics
    |February 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Flexor tendon repair has advanced, focusing on atraumatic technique, primary repair, and early motion. While adhesions remain a challenge, improved understanding and surgical methods enhance functional recovery after tendon injuries.

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    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Regenerative Medicine

    Background:

    • Adhesions following flexor tendon repair are a consequence of the physiological healing process, historically considered unavoidable.
    • Despite advancements, achieving perfect tendon healing without adhesions remains a significant surgical challenge.

    Purpose of the Study:

    • To review current understanding and techniques in flexor tendon repair.
    • To emphasize a systematic approach for managing flexor tendon injuries.
    • To highlight the importance of patient education and motivation in postoperative recovery.

    Main Methods:

    • Review of principles of atraumatic technique and current surgical repair methods.
    • Discussion of primary or delayed primary repair for profundus and superficialis tendons.

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  • Emphasis on the use of nonabsorbable sutures (e.g., modified Kessler or Tajima core suture) and flexor tendon sheath repair.
  • Integration of early active or passive motion programs.

    • Main Results:

    • Current techniques, including atraumatic handling and appropriate suture methods, are effective in flexor tendon repair.
    • Early motion programs, when supervised, contribute to better functional outcomes.
    • Successful flexor tendon repair requires a multidisciplinary approach involving surgeon, therapist, and patient.

    Conclusions:

    • Advances in understanding tendon healing, pulley systems, and repair techniques are improving outcomes for flexor tendon injuries.
    • A rational, systematic surgical approach combined with early rehabilitation is crucial for restoring function.
    • Future developments are expected to further refine techniques and enhance functional recovery, aiming for near-complete restoration of digit function.