Abstract
Between 1982 and 1994, the authors performed 63 flexor digitorum profundus tendon reinsertions according to the "lost-suture" DARS method (double armed reinsertion suture). This technique consists of 2 Bunnell sutures fixed to the lateral and anterior parts of the cut surface of the tendon. Nylon suture material is passed through a transverse hole made in the base of the distal phalanx. Active flexion without resistance is commenced postoperatively. A similar limit to extension is only applied in the case of an associated lesion if the neurovascular pedicle. Forty tendons were reviewed for this study (patients between the ages of 7 and 75 years, 35 males for 5 females). The lesion involved the thumb in 13 cases and long fingers in 27 cases. According to the authors' criteria, the results were scored as excellent 20% (8 cases); good 70% (28 cases); poor 10% (10 cases). The "lost-suture" DARS technique is a simple method which allows immediate active mobilization of the finger and appears to guarantee satisfactory functional results with no risk of tendon rupture.
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