Department| Volume 19, ISSUE 4, P447-448, October 2006

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The Pathomechanics and Management of Secondary Complications following Flexor Tendon Repair

      Verdan classified injuries to the flexor tendons based on the anatomical location of transaction. Following repair, a number of management strategies have been developed to maximize the gliding amplitude of the tendons. Nonetheless, despite optimal management, complications arise. If these complications remain untreated, secondary pathomechanical changes will result in a kinematic chain disturbance. An appropriate treatment protocol includes attention to maintenance of integrity of the flexor tendon repair, while avoiding secondary complications due to reduced gliding amplitude. A biomechanical analysis of the dynamics of tendon gliding following repair in the various Verdan zones will be discussed in the context of common complications. This analysis may help in devising an appropriate therapeutic approach to avoid secondary complications following flexor tendon repair.
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