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Flexor Tendon Repair for a Zone 2 FDP Tendon Laceration

Chaim Miller1; Asif M. Ilyas, MD, MBA, FACS1,2
1 Sidney Kimmel Medical College at Thomas Jefferson University
2 Rothman Institute at Thomas Jefferson University

1. Introduction

2. Surgical Approach

  1. Injection of Local Anesthesia
  2. Mark Incision

3. Incision

4. Creation of Flaps

  1. Examination of Tendon Sheath and Digital Nerves

5. FDP Tendon Repair

  1. Retrieval of Proximal FDP Tendon Stump
  2. Retrieval of Distal FDP Tendon Stump
  3. Pass Proximal Stump Through Pulley
  4. Approximation of Tendon Ends
  5. Testing of Core Sutures

6. Epitendinous Repair

7. Closure

8. Placement of Dorsal Extension Block Splint

  1. Post-op Remarks