Flexor Tendon Reconstruction: Current Concepts and Techniques

Abstract

Flexor tendon reconstruction is uncommon today given the advances in flexor tendon repair and postrepair rehabilitation. Nonetheless, patients with a delay in the diagnosis of a flexor tendon laceration or patients with a failed flexor tendon repair may be candidates for reconstruction. Flexor tendon reconstruction includes flexor tenolysis, 1-stage tendon grafting, and 2-stage tendon grafting. This article reviews the surgical indications, the surgical techniques, and the reported outcomes of these procedures.