Two-stage reconstruction with the modified Paneva-Holevich technique

Hand Clin. 2013 May;29(2):223-33. doi: 10.1016/j.hcl.2013.02.011. Epub 2013 Apr 6.


Flexor tendon reconstruction poses both a technical challenge to the hand surgeon and a rehabilitative challenge to the patient and therapist. The modified Paneva-Holevich technique, using a pedicled intra-synovial graft, is a safe and reliable means of staged flexor tendon reconstruction, offering a number of theoretical advantages over classic free-tendon grafting techniques. Clinical outcomes are at the least comparable, if not superior, to those achieved following free-tendon techniques with most authors reporting a low requirement for third stage tenolysis.

Publication types

  • Review

MeSH terms

  • Anastomosis, Surgical
  • Finger Injuries / rehabilitation
  • Finger Injuries / surgery
  • Hand Injuries / rehabilitation
  • Hand Injuries / surgery*
  • Humans
  • Plastic Surgery Procedures / methods*
  • Postoperative Complications
  • Prostheses and Implants
  • Splints
  • Suture Techniques
  • Tendon Injuries / rehabilitation
  • Tendon Injuries / surgery*