The Effects of Edema and Self-adherent Wrap on the Work of Flexion in a Cadaveric Hand

Biomechanical Analysis of Knotless Flexor Tendon Repair Using Large-Diameter Unidirection Barbed Suture

“…Many different suture repair techniques exist, but all require the placement of one or more knots located within or external to the tendon repair site [9][10][11][12]. However, knots are a site of weakness and may rupture or unravel [13,14].…”

“…When located within the tendon repair site, knots may impede tendon healing, stimulate an inflammatory response, impede vascularization, and hinder gliding by increasing tendon cross-sectional area. Knots that are located external to the repair can impair gliding within the flexor tendon sheath, and are a potential nidus for adhesion formation [8][9][10][13][14][15][16][17][18].…”

“…As techniques in flexor tendon repair have advanced, the merits of early mobilization, reduction of bulk at the repair site, and minimization of gapping have been established [1][2][3][4][5][6][7][8]. Many different suture repair techniques exist, but all require the placement of one or more knots located within or external to the tendon repair site [9][10][11][12]. However, knots are a site of weakness and may rupture or unravel [13,14].…”

Rehabilitation of the Upper Extremity Following Nerve and Tendon Reconstruction: When and How

“…Of importance is the concept that moderate to maximal edema creates increased resistance on the healing tendon, which is amplified with adherent wrap on the digit during range of motion. 48 Attention should be focused on the factors that can be modulated in the early postoperative phase to affect work of flexion, including decreasing range of motion and frequency of exercise, as well as emphasis on slow and controlled movement.…”