Journal on Medical Genetics - BJSTR Journal

Abstract

Aim: The #ideal flexor tendon repair should be a simple procedure and should provide enough strength to the tendon in order to ensure a good anatomical stumps connection. The #surgery must be performed without impairing either the tendon shape or the gliding process, particularly in zone II. Many experimental attempts have been made by using a barbed suture in the repair of the finger flexors focusing particularly on the mechanical properties of the suture. All the devices previously used had either a circular cross-sectional area or were designed to be used on the skin and #subcutaneous tissues. The aim of our research is to define the anatomical properties of the digital flexor system in order to set the ideal shape and dimensions for a barb wire, that can be used for the digital flexor tendon repair.

Methods: Twenty-four hands from fresh cadavers were dissected exposing the different finger flexor systems. The length of the different annular pulleys and the distance from the distal insertion of each pulley to the distal insertion of the #Flexor Digitorum Profondus (FDP) were both recorded. In addition, the width, heights and cross-sectional diameter of all the FDP tendons were documented.

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Optimization of the Parameters of an Intra - Tendinous Barb Suture for Finger Flexor Tendon Repair in Zone II by Bakhach J in BJSTR