Flexor Tendon Injuries –Repair and Reconstruction-Surgical Skills Flexor Tendon Repair in Zones 1 and 2

Surgical Skills Flexor Tendon Repair in Zones 1 and 2

Video Transcription

Video Summary

In this video, Dr. Marty Boyer from Washington University in St. Louis is visiting the Curtis National Hand Center at Union Memorial Hospital. The video shows him performing a zone 2 flexor tendon repair and discussing the technique. He begins by making an incision and dissecting the tendon, explaining that zone 2 is defined by the presence of two tendons and a narrow sheath. He demonstrates his technique for suturing the tendon, using a modified Kessler stitch with four strands. He also discusses the benefits of using an epitendinous stitch and the potential for using a new device called TinoFix. He mentions the importance of thorough visualization and argues against closing the sheath after repair, as it is not necessary. He also answers questions from colleagues about repair site bulk and other technical details. The video provides a practical demonstration of a zone 2 flexor tendon repair and offers insights into different surgical techniques and considerations.

Keywords

Dr. Marty Boyer

zone 2 flexor tendon repair

suturing technique

epitendinous stitch

TinoFix device

sheath closure

surgical techniques