Tendons are bands of fibrous tissue that connect muscles to bone. When a muscle contracts, the tendon pulls the bone, causing it to move. The movement of the fingers is controlled by muscles in the forearm.

Deep lacerations on the under surface of the wrist, hand or fingers can cut, and injure these flexor tendons, making it difficult to bend your fingers.

Injuries to the flexor tendon can also occur during sports activities (football, rugby and wrestling), when the tendon may get stretched and pulled off the bone or when a player’s finger catches on another’s clothing (Jersey finger). It may also be associated with certain conditions such as rheumatoid arthritis.

The most common signs of a flexor tendon injury include

  • An open injury, such as a cut, on the palm side of your hand, often where the skin folds as the finger bends
  • An inability to bend one or more joints of your finger
  • Pain when your finger is bent
  • Tenderness along your finger on the palm side of your hand
  • Numbness in your fingertip

As a rule, all flexor tendon injuries should be repaired in the main operating room because this
place, unlike emergency departments, is a sterile environment.

The ideal repair is reliable, simple, and strong and does not impair healing. The optimal time for repair of the flexor tendons is within 24 hours of the injury. The longer the severed tendons have to develop adhesions and scar tissue, the smaller the possibility of restoring full function.

Most repairs  should be performed within the first 2 weeks following injury, since the tendon ends and tendon sheaths become scarred, and the musculotendinous units retract. Subsequent repairs
after this time decrease the ultimate mobility of the fingers.

The goal of the tendon repair is to coapt the severed ends without bunching or leaving a gap. Bunching of the repair may inhibit tendon excursion under the pulley system. A gap left at the repair site can either weaken the repair, which will subsequently be prone to rupture, or foster an overabundance of adhesions, limiting excursion of the tendon.

Index flexor tendon injury. Repair using microsurgical techniques.

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Normal finger posture after flexor stitching

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Final clinical result

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Our patients says…

I feel the need to say in public a very big thanks to the man first of all, and doctor Antonis Vassiliadis !! He managed a damaged hand with the ulnar nerve completely cut, with a terrible general injury to make it fully functional.

Doctor, thank you !! God bless you.
(I would put some photos, before and after, but I do not know if it is right. However, there are and are available to anyone interested in the miracle of the doctor !!)

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The best orthopedic hand limb in the country! It has saved me personally and many friends I sent them! Thank you for being there, Mr. Vassiliadis!

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