Suture Repair of Tendon Laceration in the Hand

Details of the Procedure

1.The adjacent tissue is debrided if neccessary with local exploration to ascertain surgical landmarks.

2. Nerves and blood vessels are identified and gently retracted away from the operative site.

3. The tendon ends are located if possible in the wound and grasped with forceps.

4. In cases where the proximal tendon end has retracted into the wrist (e.g., flexor pollicis tendon), local exploration must be performed to locate the free end.

5. This is performed by making a small transverse incision in the wrist and dissecting until the loose tendon end is located.

6. A small metal probe is then threaded from the proximal edge of the lacerated tissue proximally to the transverse opening.

7. The retracted end of the tendon is then fastened to the metal probe with a suture (sometimes metal) and pulled distally under the tissue bridge into its correct anatomical position.