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

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

  • Giesen T Plastic Surgery and Hand Surgery Division, University Hospital Zurich, Raemistrasse 100, Zurich 8091, Switzerland. Electronic address: Thomas.giesen@usz.ch.
  • Calcagni M Plastic Surgery and Hand Surgery Division, University Hospital Zurich, Raemistrasse 100, Zurich 8091, Switzerland.
  • Elliot D St. Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Court Road, Broomfield CM1, UK.
  • 2017-07-05
Published in:
  • Hand clinics. - 2017
Early active motion
FDS resection
No circumferential suture
Primary flexor tendon repair
Pulley management
Europe
Fingers
Humans
Movement
Muscle, Skeletal
Suture Techniques
Tendons
English 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.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/47613
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