Hand SurgeryRupture Rates Between 2-Strand and 4-Strand Flexor Tendon Repairs Is Less More?Shaharan, Shazrinizam MD∗; Bage, Timothy BMedSc†; Ibrahim, Nada MRCS∗; Diamantopoulos, Antonios MD∗; Doswell, Kirsty MSc∗; Dheansa, Baljit FRCS∗Author Information From the ∗Plastic Surgery Department, Queen Victoria Hospital, East Grinstead, West Sussex †Faculty of Medicine, University of Southampton, Southampton, United Kingdom. Received February 15, 2019, and accepted for publication, after revision June 17, 2019. Conflicts of interest and sources of funding: none declared. Reprints: Shazrinizam Shaharan, MD, Department of Plastic and Reconstructive Surgery, Queen Victoria Hospital, Holtye Rd, East Grinstead, West Sussex RH19 3DZ, United Kingdom. E-mail: [email protected]. Annals of Plastic Surgery: January 2020 - Volume 84 - Issue 1 - p 43-46 doi: 10.1097/SAP.0000000000002113 Buy Metrics Abstract The purpose of this study was to explore the difference in clinical outcome of 2-strand and 4-strand flexor tendon repairs in a single unit in adult population. A total of 109 complete divisions of a single flexor tendon were analyzed from 2016 to 2018 retrospectively. Thirty flexor tendons were repaired with 2-strand and 79 tendons were repaired with 4-strand technique. There was no significant difference in the complication rate including rupture, infection, and adhesions. These results support that 4-strand is not superior than 2-strand and that lower volume type of repair would be preferable. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.