The reversed Esmarch tourniquet technique for the retrieval of cut flexor tendons

The problem of retrieving a retracted proximal end in a zone II flexor tendon injury in the hand is a common one. We describe our experience of applying an Esmarch tourniquet from the elbow distally to retrieve the proximal end of the cut tendon. Our technique succeeded in presenting the proximal end through the wound in eight out of thirteen patients. This technique does not compromise the tendon, flexor sheath, the vinculae or the blood supply. It obviated the need for further incisions while keeping open other options for tendon retrieval.