Download PDF
J Hand Microsurg 2010; 02(01): 28-30
DOI: 10.1007/s12593-010-0004-9
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

The use of Teno Fix tendon repair device in a patient with multiple flexor tendon ruptures

Wade Daniel Kubat
1   Department of Plastic and Reconstructive Surgery, St. Luke’s Hospital, 915 East First Street, Duluth, MN, 55805, USA
,
John Hsu
2   Department of Orthopaedic Surgery, Thomas Jefferson University, The Philadelphia Hand Center, 834 Chesnut Street, Suite G114, Philadelphia, PA, 19107, USA
,
Anahita Azharian
2   Department of Orthopaedic Surgery, Thomas Jefferson University, The Philadelphia Hand Center, 834 Chesnut Street, Suite G114, Philadelphia, PA, 19107, USA
,
Mark Rekant
2   Department of Orthopaedic Surgery, Thomas Jefferson University, The Philadelphia Hand Center, 834 Chesnut Street, Suite G114, Philadelphia, PA, 19107, USA
› Author Affiliations
Subject Editor:
Further Information

Publication History

02 June 2009

19 November 2009

Publication Date:
05 September 2016 (online)

  PDF Download  Permissions and Reprints

Abstract

Flexor tendon laceration repairs remain challenging despite numerous advances in hand surgery. Although progress on this vital subject matter has been achieved, there continues to be discussion over which surgical technique produces the optimal result. Currently there are several recommended surgical repair options for the lacerated flexor tendon. However, these repairs continue to have possible significant complications including adhesions, decreased range of motion, gapping, and post operative rupture. Stainless steel suture has long been known as an option for flexor tendon repair. Stainless steel suture demonstrates one of the highest tensile strength sutures. However until recently, stainless steel suture placement for flexor tendon repairs was technically problematic. This case study discusses an additional option for repairing lacerated flexor tendons using an advanced stainless steel tendon repair system.

Keywords

Flexor tendon rupture - Teno Fix - Flexor tendon repair
 

  • References

  • 1 Strickland JW, Glogovac SV. Digital function following flexor tendon repair in zone II: A comparison of immobilization and controlled passive motion techniques. J Hand Surg 1980; 5: 537-543
    CrossrefPubMedGoogle Scholar
  • 2 Boyer MI, Taras JS, Kaufmann RA. Flexor Tendon Injury. Green’s Operative Hand Surgery. (eds) Green DP, Hotchkiss RN, Pederson WC, and Wolfe SW. 4th ed 2005. vol 1. Philadelphia: Churchill Livingstone; pp 219-276
    Google Scholar
  • 3 Wada A, Kubota H, Miyanishi K et al Comparison of postoperative early active mobilization and immobilization in vivo utilizing a four-strand flexor tendon repair. J Hand Surg 2001; 26 ((4)) 301-306
    CrossrefPubMedGoogle Scholar
  • 4 Rocchi L, Merolli A, Genzini A et al Flexor tendon injuries of the hand treated with Teno Fix: mid-term results. J Orthopaed Traumatol 2008; 9: 201-208
    CrossrefPubMedGoogle Scholar
  • 5 Wolfe S, Willis A Campbell et al Biomechanic comparison of the Teno Fix tendon repair device with the cruciate and modified Kessler techniques. J Hand Surg 2007; 32 ((3)) 356-366
    CrossrefPubMedGoogle Scholar
  • 6 Lewis N, Quitkin H. Strength analysis and comparison of the Teno Fix Tendon Repair System with the two-strand modified Kessler repair in the Achilles tendon. Foot & Ankle Inter 2003; 24 ((11)) 857-860
    PubMedGoogle Scholar
  • 7 Su B, Solomons M, Barrow A et al A device for Zone II Flexor Tendon Repair: Surgical Technique. JBJS 2006; 88 (Supp(1)) 37-49
    CrossrefPubMedGoogle Scholar
  • 8 Su B, Solomons M, Barrow A et al Device for Zone II flexor tendon repair: A multicenter, randomized, blinded, clinical trial. JBJS 2005; 87 ((A5)) 923-935
    CrossrefPubMedGoogle Scholar