Evidence-based flexor tendon repair

Isabella M Mehling; Annika Arsalan-Werner; Michael Sauerbier

doi:10.1016/j.cps.2014.03.009

Evidence-based flexor tendon repair

Clin Plast Surg. 2014 Jul;41(3):513-23. doi: 10.1016/j.cps.2014.03.009.

Authors

Isabella M Mehling¹, Annika Arsalan-Werner¹, Michael Sauerbier²

Affiliations

¹ Department of Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, Frankfurt am Main 60389, Germany.
² Department of Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, Frankfurt am Main 60389, Germany. Electronic address: Michael.Sauerbier@bgu-frankfurt.de.

PMID: 24996468
DOI: 10.1016/j.cps.2014.03.009

Abstract

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.

Keywords: Flexor tendon repair; Functional tendon restoration; Post-operative care; Tendon reconstruction.

Publication types

Review

MeSH terms

Evidence-Based Medicine / methods*
Finger Injuries / physiopathology
Finger Injuries / surgery*
Humans
Orthopedic Procedures / methods*
Range of Motion, Articular
Suture Techniques*
Tendon Injuries / surgery*