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Flexor Tendon Reconstruction

Samora, Julie Balch MD, PhD; Klinefelter, Ryan D. MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: January 2016 - Volume 24 - Issue 1 - p 28–36
doi: 10.5435/JAAOS-D-14-00195
Review Article

Improved methods of primary flexor tendon repair have diminished the need for tendon reconstruction. Nonetheless, reconstruction remains an option for neglected digital flexor tendon lacerations and for failed flexor tendon repair in patients who have a supple, sensate finger and who are able to comply with an extensive rehabilitation program. Preoperative and intraoperative findings dictate whether a one-stage or two-stage procedure is appropriate. The first stage of a two-stage procedure involves insertion of a silicone rod-and-pulley reconstruction; at the second stage, the rod is replaced with a tendon graft. Some improvements have been made in surgical techniques as well as rehabilitation protocols. Future techniques, such as tissue engineering, may provide better functional results.

From the Department of Orthopaedics, Nationwide Children’s Hospital (Dr. Samora) and OrthoNeuro (Dr. Klinefelter), Columbus, OH.

Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Samora and Dr. Klinefelter.

Received June 12, 2014

Accepted February 19, 2015

© 2016 by American Academy of Orthopaedic Surgeons
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