Flexor Tendon Injuries –Repair and Reconstruction-AM13

Video Transcription

Video Summary

In this video, Dr. Boyer demonstrates an 8-strand Gelberman winter repair for zone 1 and zone 2 flexor tendon injuries. He starts by explaining pulley management and the importance of a mid-axial exposure. He then demonstrates how to make an incision on the non-dominant side of the finger to avoid damaging the artery. Dr. Boyer prefers leaving the A3 pulley intact as he tends to rupture the A4 pulley during repair. He mentions that Peter Amadio's work shows that up to 75% of A4 and A2 can be resected without causing bowstringing. Dr. Boyer proceeds to create a laceration and then uses a 3-0 super mid suture to repair the tendon. He shows how the suture is passed through the tendon and demonstrates how to tie the core suture. He also mentions the importance of the epitendinous suture for the strength of the repair site. Dr. Boyer concludes by discussing the zone 1 repair technique and encourages viewers to ask questions to the faculty for additional tips and techniques.

Keywords

Gelberman winter repair

flexor tendon injuries

pulley management

suture repair

zone 1 repair technique