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Related Experiment Video

Updated: Jan 13, 2026

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

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Bone-Anchored Tendon Autograft for Sutureless Digital Extensor Tendon Stabilization After Sagittal Band Injury.

Damini Tandon1, Joseph G Ribaudo1, Neil S Tarabadkar2

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery.

Techniques in Hand & Upper Extremity Surgery
|January 8, 2026
PubMed
Summary

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Digital extensor tendon instability, often caused by sagittal band injury, can be treated with a new surgical technique. This sutureless method using a tendon graft and anchor provides a low-profile, robust repair for painful tendon subluxation.

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Sports medicine

Background:

  • Digital extensor tendon instability results from sagittal band injury, causing subluxation over the metacarpal head.
  • This condition leads to painful snapping and difficulty with active extension.
  • Current surgical methods often involve bulky repairs and require postoperative immobilization.

Purpose of the Study:

  • To describe a novel, sutureless surgical technique for extensor tendon stabilization.
  • To evaluate the safety and efficacy of this technique using a free tendon graft and anchor system.

Main Methods:

  • A new technique utilizing a free tendon graft secured with an Arthrex SwiveLock Anchor was developed.
  • This sutureless, low-profile method aims for robust stabilization allowing immediate active motion.
Keywords:
extensor tendon instabilityextensor tendon stabilizationrheumatoid arthritissagittal band rupturetendon graft

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  • The technique was applied to 8 patients by 3 surgeons.

    • Main Results:

    • The novel extensor stabilization technique was successfully utilized in 8 patients.
    • All patients experienced resolution of extensor tendon instability.
    • No recurrence of subluxation was observed postoperatively.

    Conclusions:

    • This sutureless technique offers a simple, repeatable, and effective solution for digital extensor tendon instability.
    • The use of a free tendon graft and anchor provides a robust, low-profile repair.
    • Immediate active motion is feasible, potentially improving patient outcomes and reducing recovery time.