[Suture techniques for flexor tendons of the hand].
BACKGROUND
The success of the flexor tendon suture depends on many factors. An important factor is that the tendon suture technique that must be carried out for flexor tendons is considerably more complex and more precise than for all other tendons of the body.


OBJECTIVE
To discover important technical points that need to be considered during flexor tendon suturing.


METHODS
We compiled the most important technical details in flexor tendon suturing from the literature and from personal experience.


RESULTS
Details on core suture, peripheral suture, the tensile strength, gapping, the circulation of sutured tendons, gliding resistance and excisions are discussed.


CONCLUSIONS
Flexor tendon suturing must be performed taking great care to conserve tissue.
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland. langer.martin@ukmuenster.de.
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Langer
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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Oeckenpöhler
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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Kösters
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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Herrmann
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
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B
Wieskötter
D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D053441:Suture Anchors; D013536:Suture Techniques / Q000295:instrumentation*; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery*; D058971:Tenotomy / Q000295:instrumentation* / Q000379:methods
Biomechanical phenomena; Fingers; Operative surgical procedures; Range of motion; Tensile strength