Acute flexor tendon repairs in zone II

Flexor tendon repair in zone II is still a technically demanding procedure, but the outcomes have become more predictable and satisfying. Of keystone importance for obtaining the goals of strength and gliding are a surgically atraumatic technique, adequate suture material, a competent of the pulley system, and the utilization of early motion rehabilitation protocols. The overall goal of hand and finger function also implies timely addressing of neurovascular injuries. New devices have shown adequate strength in the lab, but are bulky and untested for work of flexion. Insufficient clinical data and high cost may prevent widespread use.