What are the indications for surgical repair of a flexor tendon rupture in the common flexor tendon?

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From the Research

Indications for Surgical Repair

The indications for surgical repair of a flexor tendon rupture in the common flexor tendon include:

  • Complete tendon lacerations, which require surgical repair 1
  • Chronic ruptures, which may require special consideration and potentially secondary reconstruction 2, 3
  • Concomitant fractures, which may affect the timing and approach to surgical repair 2
  • Pediatric cases, which may require special consideration due to the potential for growth and development 2

Timing of Surgical Repair

The timing of surgical repair is an important factor in reducing the risk of complications:

  • Delay to surgery lasting between three and seven days may be associated with increased risk for major complications 4
  • Early surgical repair, ideally within three days, may be beneficial in reducing the risk of complications 4

Repair Techniques and Rehabilitation

Various repair techniques and rehabilitation protocols exist, and the choice of technique and protocol may depend on the location and severity of the injury:

  • Different repair techniques are discussed in detail for each flexor tendon zone 1
  • Postoperative rehabilitation greatly influences outcomes, and several protocols are described 1, 5

References

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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