Flexor Tendon Injuries

Overview

Journal J Clin Orthop Trauma

Specialty Orthopedics

Date 2019 Sep 19

PMID 31528057

Citations 14

Authors

Hari Venkatramani

Vigneswaran Varadharajan

Praveen Bhardwaj

Aashish Vallurupalli

S Raja Sabapathy

Affiliations

Soon will be listed here.

Abstract

Flexor tendon injuries have constituted a large portion of the literature in hand surgery over many years. Yet many controversies remain and the techniques of surgery and therapy are still evolving. The anatomical and finer technical considerations involved in treating these injuries have been put forth and discussed in detail including the rehabilitation following the flexor tendon repair. The authors consider, recognition and mastery of these facts form the foundation for a successful flexor tendon repair. The trend is now towards multiple strand core sutures followed by early active mobilization. However, the rehabilitation process appears to be one of the major determinant of the success following a flexor tendon repair. Early mobilization is essential for all the flexor tendon repairs as it is proved to improve the quality of the repaired tendon. The art of achieving the harmony between a stronger repair and unhindered gliding of the repair site through the narrow flexor tendon sheath simultaneously can be mastered with practice added to the knowledge of the basic principles.

Citing Articles

An unusual late complication of mitek suture anchor use 10 years after primary repair of a flexor digitorum profundus tendon laceration: a case report and literature review.

Mortada H, Albrahim R, Almughamsi R, Alotaibi H, Alrobaiea S, Alalola R Case Reports Plast Surg Hand Surg. 2025; 12(1):2473373.

PMID: 40065778 PMC: 11892040. DOI: 10.1080/23320885.2025.2473373.

WALANT vs standard anaesthesia in the management of flexor tendon injuries: A systematic review and meta-analysis.

Farooq R, Raufi M, Soe B, Suleman A, Seraj S, Arif A J Hand Microsurg. 2024; 16(5):100157.

PMID: 39669734 PMC: 11632802. DOI: 10.1016/j.jham.2024.100157.

Biomechanical Comparison of Three Modified Kessler Techniques for Flexor Tendon Repair: Implications in Surgical Practice and Early Active Mobilization.

Schellnegger M, Lin A, Holzer-Geissler J, Haenel A, Pirrung F, Hecker A J Clin Med. 2024; 13(19).

PMID: 39407826 PMC: 11477230. DOI: 10.3390/jcm13195766.

A human acellular dermal matrix coated with zinc oxide nanoparticles accelerates tendon repair in patients with hand flexor tendon injuries in zone 5 of the hand.

Hashemi S, Pirmoradi M, Rafati A, Kian M, Mohammadi A, Hoghoughi M Bioimpacts. 2024; 14(5):27748.

PMID: 39296797 PMC: 11406428. DOI: 10.34172/bi.2024.27748.

Mesenchymal Stromal Cells for the Enhancement of Surgical Flexor Tendon Repair in Animal Models: A Systematic Review and Meta-Analysis.

Epanomeritakis I, Eleftheriou A, Economou A, Lu V, Khan W Bioengineering (Basel). 2024; 11(7).

PMID: 39061739 PMC: 11274147. DOI: 10.3390/bioengineering11070656.

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