Abstract
Tendon has excellent sliding mechanism and functions as the transmission for the hand joint movement. Tendon injury will cause severe hand movement dysfunction. In order to restore the functions of limbs and fingers, ruptured or deficient tendons must be repaired in time. Commonly used tendon repair methods include modified Kessler stitching, Bunnell stitching, Tsuge loop stitching, etc. After tendon repair, the major issue is to prevent either tendon adhesion or tendon re-rupture. Therefore, tendon surgery should achieve non-invasive suturing repair. The suturing material should cause less damage to the tendon tissue, and have good tensile strength, so that it could meet the requirements of postoperative rehabilitation training for patients, so as to reduce tendon adhesion and re-rupture. In early postoperative rehabilitation, it is advisable for patients to do active-passive combined exercise or active exercise as primary and passive as supplement, so as to maximize the restoration of the function of each hand joint.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Newmeyer WL 3rd. Sterling Bunnell, MD: the founding father. J Hand Surg Am. 2003;28(1):161–4.
Verdan CE. Primary repair of flexor tendons. J Bone Joint Surg Am. 1960;42A:647–57.
Kleinert HE, Sister SA. Emergency hand operations. AORN J. 1965;3(5):53–66.
Belusa M, Schmickaly J. Primary flexor tendon suture in the “no man’s land” of the hand. Zentralbl Chir. 1984;109(22):1441–50. German
Savage R. Strength of various suture techniques. J Hand Surg Br. 1992;17(6):705.
Silfverskiöld KL, May EJ. Flexor tendon repair in zone II with a new suture technique and an early mobilization program combining passive and active flexion. J Hand Surg Am. 1994;19(1):53–60.
Silfverskiöld KL, May EJ. Early active mobilization after tendon transfers using mesh reinforced suture techniques. Hand Surg Br. 1995;20(3):291–300.
Tang JB, Shi D. Subdivisions of “no man’s land” of the digital flexor tendons and different management of tendon injuries in subdivisions. Chin J Surg. 1991;29(10):608–11.
Tang JB, Shi D, Gu YQ, Chen JC, Zhou B. Double and multiple looped suture tendon repair. J Hand Surg Br. 1994;19(6):699–703.
Elliot D, Barbieri CH, Evans RB, Mass D, Tang JB. IFSSH flexor tendon committee report 2007. J Hand Surg Eur Vol. 2007;32(3):346–56.
Verdan CE. Primary repair of flexor tendons. J Bone Joint Surg Am. 1960;42:647–57.
Verdan C. Basic principles in surgery of the hand. Surg Clin North Am. 1967;47(2):355–77.
Matthews P, Richards H. The repair potential of digital flexor tendons. An experimental study. J Bone Joint Surg Br. 1974;56(4):618–25.
From Dr. Sterling Bunnell, Secaucus, New Jersey. Cal State J Med. 1918;16(4):218–9.
Wang B, Tang JB. Increased suture embedment in tendons: an effective method to improve repair strength. J Hand Surg Br. 2002;27(4):333–6.
Cao Y, Xie RG, Tang JB. Dorsal-enhanced sutures improve tension resistance of tendon repair. J Hand Surg Br. 2002;27(2):161–4.
Tang JB, Chang J, Elliot D, Lalonde DH, Sandow M, Vögelin E. IFSSH flexor tendon committee report 2014: from the IFSSH flexor tendon committee. J Hand Surg Eur. 2014;39(1):107–15.
Wu YF, Tang JB. Recent developments in flexor tendon repair techniques and factors influencing strength of the tendon repair. J Hand Surg Eur. 2014;39(1):6–19.
Tang JB. Flexor tendon injuries. Clin Plast Surg. 2019;46(3):295–306.
Mehling IM, Arsalan-Werner A, Sauerbier M. Evidence-based flexor tendon repair. Clin Plast Surg. 2014;41(3):513–23.
Hundozi H, Murtezani A, Hysenaj V, Hysenaj V, Mustafa A. Rehabilitation after surgery repair of flexor tendon injuries of the hand with Kleinert early passive mobilization protocol. Med Arch. 2013;67(2):115–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Gu, L., Wang, H., Qi, J. (2021). Hand Surgery Tendon Suture Techniques. In: Tang, P., Wu, K., Fu, Z., Chen, H., Zhang, Y. (eds) Tutorials in Suturing Techniques for Orthopedics. Springer, Singapore. https://doi.org/10.1007/978-981-33-6330-4_7
Download citation
DOI: https://doi.org/10.1007/978-981-33-6330-4_7
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-33-6329-8
Online ISBN: 978-981-33-6330-4
eBook Packages: MedicineMedicine (R0)