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Flexor Tendon Repair, Rehabilitation, and Reconstruction

Sandvall, Brinkley K. M.D.; Kuhlman-Wood, Kate M.D.; Recor, Carol O.T.R./L., C.H.T.; Friedrich, Jeffrey B. M.D.

Plastic and Reconstructive Surgery: December 2013 - Volume 132 - Issue 6 - p 1493–1503
doi: 10.1097/01.prs.0000434411.78335.63
Hand/Peripheral Nerve: Original Articles
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Background: Flexor tendon injury is a common problem that plastic surgeons are called on to treat. Despite their common nature, they present a challenge, not necessarily in the surgical treatment per se but in the ability to achieve a “normal” finger as the end result. Because of the difficulty in attaining good outcomes, much continues to be studied and written about flexor tendon injury.

Methods: The current literature on flexor tendon repair, rehabilitation, and reconstruction is reviewed.

Results: Aspects reviewed include type of anesthesia, suture material and configuration, repairs in the different flexor tendon zones, types of tendon rehabilitation, complications of flexor tendon surgery, and flexor tendon reconstruction.

Conclusion: This review provides an update on the current standards in the treatment of flexor tendon injury.

Seattle, Wash.

From the Division of Plastic Surgery and the University of Washington Medicine Hand Center, University of Washington.

Received for publication February 1, 2013; accepted August 18, 2013.

Disclosure: None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this article.

Jeffrey B. Friedrich, M.D., 325 9th Avenue, Box 359796, Seattle, Wash. 98104,

©2013American Society of Plastic Surgeons