Description
Abstract
Despite significant advancements in flexor tendon repair techniques and rehabilitation strategies,
achieving complete restoration of digital motion remains a formidable challenge. The most
prevalent complications associated with tendon repair are the development of tendon adhesions
and joint contractures. Left unaddressed, these complications can further lead to secondary
pathomechanical changes, resulting in fixed deformities significantly affecting hand function.
This review of zone-specific considerations in flexor tendon rehabilitation provides an in-depth
analysis of the dynamics of tendon motion after repair and strategies to minimize common
secondary complications.
Learning Objectives
- Describe the common complications following flexor tendon repair, with particular
emphasis on tendon adhesions and joint contractures. - Explain the pathomechanical mechanisms by which untreated adhesions and contractures
lead to secondary deformities and functional impairment of the hand. - Analyze zone-specific biomechanical considerations that influence tendon motion
Following flexor tendon repair. - Evaluate rehabilitation strategies aimed at optimizing tendon gliding while minimizing
The risk of secondary complications after repair. - Apply principles of zone-specific flexor tendon rehabilitation to inform clinical decision-
making and improving functional outcomes.