Zone I Flexor Digitorum Profundus Repair: A Surgical Technique

Elizabeth M. Polfer, Jennifer M. Sabino, Ryan D. Katz

Research output: Contribution to journalReview articlepeer-review

Abstract

We present an all-inside technique for zone I flexor tendon repair that combines suture anchor fixation with buried back-up fixation. The back-up fixation uses transosseous tunnels and a dorsal counterincision to allow a suture tied dorsal to the distal phalanx and buried. This technique is strong and permits early active range of motion. The dorsal tie-over does not require a suture button and, therefore, does not imperil the nail matrix. The surgical technique is herein described including the proposed anesthesia (wide awake), the incisions (midlateral), the exposures, and the repair itself.

Original languageEnglish (US)
Pages (from-to)164.e1-164.e5
JournalJournal of Hand Surgery
Volume44
Issue number2
DOIs
StatePublished - Feb 2019

Keywords

  • Flexor profundus
  • jersey finger
  • pull-out suture
  • tendon rupture
  • wide awake

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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