Flexor tendon reconstruction: A review

Flexor tendon injuries of the hand are common injuries that are usually handled by hand surgeons. Most flexor tendon injuries are managed in the acute setting, with variable reported outcomes depending on the zone of injury. However, patients with flexor tendon injuries may present later with limited motion of the injured finger, because they either missed the opportunity to have the tendon repaired in the acute setting or they have already had previous attempts at tendon repair with unsatisfactory results. To manage either problem, flexor tendon reconstruction may be needed. This requires a good knowledge of the flexor tendon anatomy, repair biology and familiarity with the different flexor tendon reconstruction options.