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Principles of tendon repair |
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| Institution: | 1. School of Information Science and Engineering, Huaqiao University, Xiamen, China;2. School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore;1. Natural Resources Institute Finland (Luke), Koetilantie 5, 00790 Helsinki, Finland;2. Natural Resources Institute Finland (Luke), Tietotie, 31600 Jokioinen, Finland;3. Biotaito, Killintie 14, 31300 Tammela, Finland;2. Service de chirurgieorthopédique, Hôpital Cochin, Assistance PubliqueHôpitaux de Paris, Université Paris Descartes, Paris, France;1. Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany;2. Department of Cardiovascular Surgery, Heart Center Freiburg University, University of Freiburg, Faculty of Medicine, Freiburg, Germany |
| Abstract: | Tendon injuries in the hand are common; they are usually open injuries requiring surgical intervention. In this article we discuss tendon injuries in terms of approach to repair beginning at the time of diagnosis through to the rehabilitation programmes and outcome measures commonly used in the UK. In general tendon injuries should be considered using Verdan's zones for both extensor and flexor injuries. Flexor tendons require a high strength repair and usually warrant a core suture with epitendinous reinforcement bearing in mind the importance of not disrupting glide with unnecessary suture bulk. Extensor tendons more proximally can be treated in the same way but distally require only a running suture in the flattened tendon ends. All tendon injuries require a period of protected mobilization with splinting aiming to protect the repair but reduce stiffness in other joints. |
| Keywords: | Core extensor flexor hand repair tendon |
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