The purpose of this study is to report the clinical results after repair of flexor
tendon zone II injuries utilizing a 6-strand double-loop technique and early post-operative
active rehabilitation. We retrospectively reviewed 22 patients involving 51 cases
with zone II flexor tendon repair using a six strand double loop technique from September
1996 to December 2012. Most common mechanism of injuries was sharp lacerations (86.5
%). Tendon injuries occurred equally in manual and non-manual workers and were work-related
in 33 % of the cases. The Strickland score for active range of motion (ROM) postoperatively
was excellent and good in the majority of the cases (81 %). The rupture rate was 1.9
%. The six strand double loop technique for Zone II flexor tendon repair leads to
good and excellent motion in the majority of patients and low re- rupture rate. It
is clinically effective and allows for early postoperative active rehabilitation.
Keywords
Zone II flexor tendon - Six strand technique - Early active rehabilitation
