An atraumatic suture technique for advancing the proximal end of a severed digital flexor tendon through the pulley system.
One may encounter difficulty in attempting to advance the proximal digital flexor tendon into the pulley system. The use of (1) a purse-string suture around the tendon end, and (2) simultaneous prolonged tension on both the purse-string and repair sutures may be helpful. Tension on the purse-string suture converts the shape of the tendon end from an accordion into a bullet, easing its entry into the pulley tunnel.
Moss
R A
RA
Jordan Hospital, Plymouth, MA.
D006801:Humans; D013536:Suture Techniques; D013708:Tendon Injuries / Q000601:surgery*