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Hand & Upper Limb
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Flexor Tendon Repair Techniques - Core Suture and Epitendinous Repair

Tendon Injuries

A hand surgery trainee is preparing to repair a Zone II flexor tendon laceration. The attending surgeon emphasizes the importance of achieving a strong repair that will permit early active motion rehabilitation. The FDP and one slip of FDS are completely divided at the level of the proximal phalanx. Regarding core suture techniques for flexor tendon repair:

Mark each as TRUE or FALSE

A

The number of core suture strands crossing the repair site is the primary determinant of repair stre...

B

The modified Kessler (grasping) technique involves a locking loop that grasps tendon fibers, providi...

C

A single 4-strand core suture using 2-0 braided polyester provides equivalent strength to two separa...

D

Suture purchase (the distance from the cut end to the suture bite) of 10-12mm optimizes strength; le...

E

The cruciate (cross-stitch or Strickland) repair uses two modified Kessler sutures placed at right a...

Answer the questions to see explanations

Click T (True) or F (False) for each option