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[Primary flexor tendon suture].

P Reill

    Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
    |January 1, 1982
    PubMed
    Summary
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    Primary flexor tendon repair with immediate dynamic splinting offers superior functional outcomes and economic benefits. Secondary repair for fresh flexor tendon divisions is no longer recommended.

    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Sports Medicine

    Context:

    • Debate on primary vs. secondary repair for divided flexor tendons, especially in the critical 'no-man's land'.
    • Advancements in understanding tendon healing physiology.
    • Evolution of surgical techniques and post-operative care.

    Purpose:

    • To resolve the controversy regarding the optimal timing for flexor tendon repair.
    • To describe refined techniques for primary flexor tendon repair and post-operative management.
    • To advocate for immediate primary repair over secondary repair.

    Summary:

    • Primary flexor tendon suture combined with immediate dynamic splinting yields significantly improved results.
    • Current refined techniques focus on precise repair and meticulous post-operative supervision.

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  • The Kleinert dynamic splinting method demonstrates advantages in function, reduced operative time, and quicker return to work.

    • Impact:

    • Establishes primary tendon repair as the preferred method, enhancing patient function and reducing recovery time.
    • Highlights the economic advantages of immediate repair, justifying patient referrals for specialized care.
    • Discourages secondary repair for acute flexor tendon injuries, optimizing treatment protocols.