Primary flexor tendon surgery: the search for a perfect result

Hand Clin. 2013 May;29(2):191-206. doi: 10.1016/j.hcl.2013.03.001.


Repair of the divided flexor tendon to achieve normal, or near normal, function is an unsolved problem, with each result still uncertain. The authors believe the way forward in primary flexor tendon surgery clinically is by use of strengthened but simpler sutures, appropriate venting of the pulley system, and maintaining early rehabilitation. However, there needs also be consideration of patient factors and other aspects. Research needs to continue more widely, in both the laboratory and the clinical environment, to find ways of better modifying adhesions after surgical repair of the tendon.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Fibrin Tissue Adhesive / therapeutic use
  • Hand / physiopathology
  • Hand / surgery*
  • Humans
  • Patient Compliance
  • Recovery of Function
  • Rupture
  • Splints
  • Suture Techniques
  • Sutures
  • Tendon Injuries / physiopathology
  • Tendon Injuries / surgery*
  • Tendons / physiopathology
  • Tendons / surgery*
  • Tissue Adhesions / physiopathology
  • Tissue Adhesions / prevention & control
  • Wound Healing / physiology


  • Fibrin Tissue Adhesive