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The Hand
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Articles

Primary Repair of Flexor Tendons in the Hand without Immobilisation – Preliminary Report

HILTON BECKER

Johannesburg, South Africa

A new approach to the problem of flexor tendon repair within the fibro-osseous canal is presented.

Using a technique of bevelling the tendon ends and suturing with a fine suture material, under magnification, a sufficiently strong junction is obtained, which enables immediate active mobilisation without strangulation of the blood supply. The junction can resist gap formation up to tensions of 4 Kg.

It is postulated that under these conditions tendon nutrition is minimally interfered with, adhesions do not form, and the tendon heals by its own intrinsic healing ability.

The Hand, Original Series, Volume 10, No. 1, 37-47 (1978)
DOI: 10.1016/S0072-968X(78)80023-0
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