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Primary flexor tendon suture in the "no man's land" of the hand
Authors:M Belusa  J Schmickaly
Abstract:If the conditions of the wound are favourable, flexor tendon divisions in zone 2 should be sutured and functionally treated early according to Kleinert's method. Different modifications of the Kirchmayr-suture can be used. Out of 24 primarily and delayed primarily repaired flexor tendon divisions 22 showed very good results. When applying this method for the early secondary treatment of flexor tendon divisions 8 cases out of 14 showed very good results. The flexor tendon repair in the region of the tendon sheath of the fingers is difficult and can therefore only be performed by a skilled hand surgeon. Success depends on the quality of postoperative supervision and physiotherapy practised.
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