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Related Experiment Video

Updated: Jul 9, 2026

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

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

Published on: December 10, 2021

Advances and Challenges in Zone 2 Flexor Tendon Repairs.

Mae Wimbiscus¹, Lauren Sullivan¹, Justin Lee¹

¹From the Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.

Annals of Plastic Surgery

|November 11, 2024

Summary

Flexor tendon repair in "no man's land" (zone 2) is challenging. Advances in surgical techniques and rehabilitation have significantly improved outcomes for zone 2 flexor tendon injuries.

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Last Updated: Jul 9, 2026

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

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Published on: December 10, 2021

Using Q Suture to Enhance Resistance to Gap Formation and Tensile Strength of Repaired Flexor Tendons

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Published on: June 3, 2020

Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery

Polytetrafluoroethylene PTFE as a Suture Material in Tendon Surgery

Published on: October 6, 2022

Area of Science:

Orthopedic surgery
Hand surgery
Tendon repair

Background:

Flexor zone 2, or "no man's land," presents significant challenges for primary tendon repair.
Historically, high complication rates including adhesions, contractures, and rupture were common after zone 2 flexor tendon surgery.

Purpose of the Study:

To review current methodologies for flexor tendon repair in zone 2.
To discuss postoperative considerations for optimizing outcomes in zone 2 flexor tendon injuries.

Main Methods:

Literature review of current surgical techniques for zone 2 flexor tendon repair.
Examination of advancements in suture materials and operative approaches.
Analysis of rehabilitation protocols and pulley management strategies.

Main Results:

Improved understanding of tendon healing biology.
Development of stronger suture materials and innovative surgical techniques.
Emphasis on judicious pulley venting and early active rehabilitation.

Conclusions:

Outcomes for zone 2 flexor tendon repair have improved due to multidisciplinary advancements.
Current methodologies and postoperative care are crucial for successful flexor tendon reconstruction in this critical zone.