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Evidence-Based Medicine: Flexor Tendon Repair

Neumeister, Michael W. M.D.; Amalfi, Ashley M.D.; Neumeister, Evyn B.A.

Plastic and Reconstructive Surgery: May 2014 - Volume 133 - Issue 5 - p 1222–1233
doi: 10.1097/PRS.0000000000000090
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Learning Objectives: After studying this article, the participant should be able to: 1. Describe and apply the current evidence-based treatment of acute flexor tendon injuries. 2. Compare and contrast the current postoperative therapy regimens following repair of flexor tendons. 3. Apply an evidence-based decision-making process for suture techniques of flexor tendon injuries.

Summary: Flexor tendon repair remains a challenge for hand surgeons to reliably obtain excellent results. Surgical decisions should rely on the surgeon’s experience, outcome studies, and direct evidence. This review is a compilation of the evidence from the literature on optimizing outcomes for flexor tendon repair.

Supplemental Digital Content is available in the text.

Springfield, Ill.

From the Institute of Plastic Surgery, Southern Illinois University School of Medicine.

Received for publication April 26, 2013; accepted June 5, 2013.

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

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s Web site (

Michael W. Neumeister, M.D., Institute of Plastic Surgery, Southern Illinois University School of Medicine, 747 North Rutledge Street, P.O. Box 19653, Springfield, Ill. 62702

©2014American Society of Plastic Surgeons