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Primary Flexor Tendon Repair with Early Active Motion: Experience in Europe


Giesen, Thomas; Calcagni, Maurizio; Elliot, David (2017). Primary Flexor Tendon Repair with Early Active Motion: Experience in Europe. Hand Clinics, 33(3):465-472.

Abstract

The protocol for primary flexor tendon repair in zones 1 and 2 of the hand is changing. This article discusses recent changes. Immediate repair within 48 hours is performed whenever possible. A 6-strand core suture is performed using the M modification of Tang's technique. The pulleys are divided to allow free excursion of the repaired tendon within the tendon sheath. To avoid repaired structures within the sheath being too bulky, the authors generally repair only half of the flexor digitorum superficialis. In some cases, the flexor digitorum superficialis is excised completely. Rehabilitation remains based on controlled active motion.

Abstract

The protocol for primary flexor tendon repair in zones 1 and 2 of the hand is changing. This article discusses recent changes. Immediate repair within 48 hours is performed whenever possible. A 6-strand core suture is performed using the M modification of Tang's technique. The pulleys are divided to allow free excursion of the repaired tendon within the tendon sheath. To avoid repaired structures within the sheath being too bulky, the authors generally repair only half of the flexor digitorum superficialis. In some cases, the flexor digitorum superficialis is excised completely. Rehabilitation remains based on controlled active motion.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:August 2017
Deposited On:27 Oct 2017 08:24
Last Modified:19 Feb 2018 09:01
Publisher:Elsevier
ISSN:0749-0712
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.hcl.2017.03.001
PubMed ID:28673623

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