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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...

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Related Experiment Video

Updated: Jul 7, 2026

Murine Flexor Tendon Injury and Repair Surgery
07:32

Murine Flexor Tendon Injury and Repair Surgery

Published on: September 19, 2016

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Principles for Achieving Predictable Outcomes in Flexor Tendon Repair.

Erin A Miller1, Lindsey Teal1

  • 1Division of Plastic Surgery, Department of Surgery, University of Washington Medical Center, 325 9th Avenue, Seattle, WA 98104, USA.

Clinics in Plastic Surgery
|August 31, 2024
PubMed
Summary
This summary is machine-generated.

Surgical repair of flexor tendon injuries, especially in Zone II, demands precise techniques like 4-strand core repair and early active motion. Optimal outcomes for flexor tendon repair rely on advanced surgical methods and prompt rehabilitation.

Keywords:
Core strand repairEarly active mobilizationEpitendinous repairFlexor tendon injuryFlexor tendon lacerationPulley ventingZone II

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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
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Using Q Suture to Enhance Resistance to Gap Formation and Tensile Strength of Repaired Flexor Tendons
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Using Q Suture to Enhance Resistance to Gap Formation and Tensile Strength of Repaired Flexor Tendons
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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Traumatology

Background:

  • Flexor tendon injuries necessitate surgical intervention for optimal functional recovery.
  • Zone II injuries present unique challenges, demanding specialized repair techniques.
  • Delayed presentations may require staged surgical approaches.

Purpose of the Study:

  • To review current principles and techniques for flexor tendon repair.
  • To emphasize optimal surgical strategies for Zone II injuries.
  • To highlight the importance of early postoperative rehabilitation.

Main Methods:

  • Review of evolved surgical techniques for flexor tendon repair.
  • Discussion of essential repair principles: 4-strand core repair, epitendinous suturing, and pulley venting.
  • Emphasis on the critical timing for initiating active range of motion.

Main Results:

  • Modern flexor tendon repair involves multi-strand core sutures and epitendinous reinforcement.
  • Pulley venting is a key technique to enhance gliding post-repair.
  • Early active range of motion (3-5 days post-op) is crucial for successful outcomes.

Conclusions:

  • Effective flexor tendon repair integrates advanced surgical techniques with meticulous postoperative care.
  • Zone II flexor tendon injuries require specific attention to achieve favorable results.
  • Early mobilization post-surgery is paramount for restoring function and preventing adhesions.