The goal of flexor tendon repair is to achieve normal range of motion of the finger or thumb. The surgical approach depends on the level of injury. Multistrand core suture repairs are recommended for primary flexor tendon repair. It is evident that at least 4 strands are required to an initiate and active range of motion protocol. The epitendinous suture can also increase the strength of the repair. Careful attention to the post-operative therapy regiment is critical to a successful repair.
Key points
- •
Primary or delayed flexor tendon repair in the hand has become standard.
- •
Multistrand core suture repair is recommended primary flexor tendon repair in zone 2. Any suture techniques with 4 or more core suture strands can be applied and proceed to an active range of motion therapy regime.
- •
Suture anchors show similar good results as the pullout button method in zone 1 flexor tendon injuries.
- •
The incidence of tendon rupture is reported between 3% and 9% and occurs from a few days to as late as 8 weeks post-operatively.
- •
Combined active-passive motion regimes have become standard of post-operative care in many units. Controlled early active finger motion regimes showed better results compared with a controlled passive regime.
Related posts:
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
