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Flexor tendon rupture after repair

Rupture of Flexor Tendon Repair : Wheeless' Textbook of

Rupture of Flexor Tendon Repair. - Discussion: - tendon ruptures can occur as an early or late complication (6 to 7 weeks) - most occur around post op day 10; - after primary repair, most likely site for failur is at repair site; - if rupture is recent, reanstomose tendon; - if rupture is older than 1-2 weeks, reanastomosis is not likely to be. The goals of flexor tendon repair are to promote intrinsic tendon healing and minimize extrinsic scarring in order to optimize tendon gliding and range of motion. Despite advances in the materials and methods used in surgical repair and postoperative rehabilitation, complications following flexor te Primary surgical repair results in better functional outcome compared with secondary tendon repair (more than 3 weeks after the primary injury) or tendon graft surgery for repairing flexor tendon injuries. After 3 weeks primary tendon repair will not be possible because of proximal tendon end swelling, tendon contraction and muscle fibrosis The average time to rupture of the primary repairs was 18 days (range, 3 to 61 days). The highest incidence of rupture of primary finger flexor tendon repairs was seen in the second week after surgery. The incidence of rupture was higher in the first 5 weeks after surgery than in the later 4 weeks (weeks 6 to 9)

Exercise is important to allow your tendon to heal. It will also reduce stiffness and swelling in your hand and fingers. Your hand therapist will teach you specific exercises which you must complete throughout the day - normally every two hours with five repetitions. Too much or too little exercise is dangerous with risk of rupture or adhesions to your repaired tendon/s if not followed precisely. Your hand therapist will advise you of when to move onto new exercises repair with epitendinous suture augmentation). Reminders: Severe edema increases tendon drag and likelihood of rupture. Therefore, wait until 48-72 hours post-op prior to initiating ROM. Tensile strength of tendons decreases from days 5 to 15. Place/hold digital flexion with wrist extended in hook, straight and full fist positions. No active. If the rupture occurs in the early postoperative period, the tendon may be primarily repaired. When the rupture occurs 4 to 6 weeks after the original repair, tendon grafting or a staged reconstruction is recommended. Staged grafting is preferred when there is significant scarring within the sheath Early motion protocols do not improve long-term results and there is a higher re-rupture rate than flexor tendon repair in fingers. Direct end-to-end repair of FPL is advocated. Try to avoid Zone III to avoid injury to the recurrent motor branch of the median nerve. Oblique pulley is more important than the A1 pulley; however both may be. Nicole Schroeder Abstract Flexor tendon lacerations are disabling injuries that require surgeons to have an indepth comprehension of anatomy, surgical techniques, and dedicated rehabilitation protocols in order to optimize functional outcome. While basic principles have remained constant, certain elements in management have evolved over the past three decades and will be discussed

After repair it takes approximately 12 weeks for a flexor tendon to regain enough tensile strength to avoid rupture with normal strong use of the hand required to grasp, hold, or lift objects during daily activities Rehabilitation after surgical repair of flexor injuries is a controversial topic. Motion at the repair site decreases risk for adhesions but increases risk for rupture. We review the current concepts behind various rehabilitation protocols based on zone of injury and the evidence behind each Later repair: After 10-12 weeks, the swelling will have gone down, and the tendon will be easier to move. In most cases, a person can go home shortly after having tendon repair surgery Historically, lacerations to the intrasynovial portion of the flexor tendons were thought to be unsuitable for primary repair. Despite continuing advances in our knowledge of flexor tendon biology, repair, and rehabilitation, good results following primary repair of flexor tendons remain challenging to achieve

Complications after treatment of flexor tendon injurie

Suppl 1: An Overview of the Management of Flexor Tendon

The diagnosis of re-rupture or stiffness is challenging after initial flexor tendon repair, and each surgeon has a specific threshold to reoperate based on prior experiences. Although biological and clinical factors contribute heavily to a surgeon's decision to reoperate, further evaluation of sociodemographic factors may be useful in shaping. The MRI scan is a valuable tool in diagnosing tendon ruptures and may help reduce the incidence of unnecessary tendon explorations. (J Hand Surg 1996;21A:451-455.) Tendon rupture is a difficult problem after flexor treatment. While clinical examination is invaluable, tendon surgery Tendon repair is necessary when one or more tendons in the hand are divided or ruptured which leads to a loss of normal hand movements. If the extensor tendons are damaged you will not be able to straighten one or more of your fingers Zone V injury. Direct repair in this zone has a favorable prognosis. Results may be compromised by coexisting nerve injury. Postoperative Rehabilitation. Rehabilitation after flexor tendon injury treatment is very important to: Prevent tendon adhesion. Increased tendon excursion. Accelerate healing of the tendon. Keep the strength of the muscles Tendon repair is done to bring back normal movement to a joint. Tendon injury may occur anywhere in the body where there are tendons. The joints that are most commonly affected by tendon injuries.

Treatment of Rupture of Primary Flexor Tendon Repairs

  1. imal tension on the repair, then apply dressing and splint to protect the repair and limit movement as the tendon heals. Recovery. It can take up to 2 months before the repair heals and your hand is strong enough to use without protection
  2. wrist and hand. Successful rehabilitation following flexor tendon repair requires the guidance of a highly trained hand therapist. The therapist provides the patient with safe exercises that promote tendon gliding while avoiding risk of tendon rupture as well as other important treatment to control scarring and swelling
  3. healing and functional recovery after tendon repair surgery. Failure to safely mobilize the repaired tendon will result in dense scar adhesion formation and ultimate loss of function, while overzealous mobilization of the repaired tendon via active and/or passive motion will result in gap formation and/or tendon rupture. Potential Problem Lis
  4. Flexor Tendon Repair. Flexor tendons are the cords that help bend the joints in each finger. There are two tendons in each finger. When these are cut, they do not heal on their own. Surgery is needed. After surgery, therapy helps get the tendons moving in a controlled fashion. Too much movement and tendons may rupture
  5. flexor tendon biology, repair, and rehabilitation, a successful outcome after intrasynovial flexor tendon injury can be difficult to achieve. This re-quires a thorough understanding of the biologic principles of tendon injury and healing, a detailed knowledge of normal and pathologic flexor tendon anatomy, an attention to meticulous surgical tech
  6. The flexor tendon is considered to have sufficient tensile strength to tolerate most functional activities at 12 weeks after repair. The first 3-4 weeks post-injury/surgery, rehabilitation consists of passive flexion
  7. tendon or repair of the ruptured FHL tendon with possible use of an allograft tendon. The patient consented to having the FHL tendon repaired. The patient underwent a surgical repair of the FHL tendon rupture under general anesthesia. The patient . was placed in a supine position and a mid-calf tourniquet was utilized to maintain surgical.

digital function after a flexor tendon injury. Some of the major hindrances for attaining good results after a flexor tendon repair are scarring, adhesion formation and subsequent stiffness. The flexor lacerations in the finger also showed poor performance after primary repair and the digital sheath was referred to as 'no man's land' Rupture of a flexor tendon repair occurs in at least four percent of patients following primary flexor tendon repair in zone II with postoperative controlled passive motion . Stiffness may be due to either or both problems, and it may be impossible to determine the nature of loss of motion, even with MRI The flexor carpi radialis (FCR) is one of the long flexors, which is important in flexing and abducting the hand at the wrist. It originates at the medial epicondyle of the humerus and attaches at the base of the second metacarpal. Closed rupture of the long flexors of the finger is well-described, especially in association with rheumatoid hands A flexor tendon injury is generally more serious because they're often put under more strain than extensor tendons. After a flexor tendon repair, it's quite common for some fingers to not regain full movement. However, the tendon repair will still give a better result than not having surgery METHODS; Between February 2005 and February 2010, 122 patients (163 fingers with 243 flexor digital tendons) with flexor tendon rupture, were treated with microsurgical repair by non-knot Kessler suture method (treatment group); flexor tendon was sutured, and sodium hyaluronate was used to repair tendon membrane, tendon sheaths, and the tissue.

Despite extensive therapy, some patients have long-term stiffness after flexor tendon injuries. Sometimes, a second surgery is required to free up scar tissue and to help the patient regain motion. Overall, flexor tendon surgery results in good return of function and high patient satisfaction We retrospectively reviewed the outcomes of flexor tendon repairs in zones 1, 2 and 3 in 356 fingers in 291 patients between 2005 and 2010. The mean (standard deviation) active ranges of motion of two interphalangeal joints of the fingers were 98° (40) and 114° (45) at 8 weeks postoperatively and at the last follow-up (mean 7 months, range 3-98), respectively One known complication is the rupture of flexor tendons. The aim of this paper is to present flexor tendon ruptures after volar plate fixation analysing the clinical outcome after tendon surgery, aetiology, and methods of prevention. Seventeen consecutive ruptures in 14 patients were included. The incidence was 1.4%

Problems after flexor tendon injury. A cut flexor tendon injury is a serious injury. The wound may be small, but the large forces carried by flexor tendons and the tendency for the repaired tendon to stick to the walls of the tunnel mean that despite a skilled repair and good hand therapy, many fingers do not regain full movement - which approaches minimise the risk of adverse (unwanted) events, such as tendon ruptures, scar tissue sticking to other tissues, and joint stiffness. How did we identify and evaluate the evidence? First, we searched for studies in the medical literature that compared any rehabilitation approach after flexor tendon surgery against: - no treatment Flexor tendons attach muscles in the forearm to the bones in the fingers, enabling bending. Hand tendon repair surgery should be performed by a specialized hand surgeon in an operating room setting. Surgery. The surgeon will make an incision in the skin above the damaged tendon to evaluate the injury. Any damaged tissue will be removed

A flexor tendon injury is generally more serious because they're often put under more strain than extensor tendons. After a flexor tendon repair, it's quite common for some fingers to not regain full movement. But the tendon repair will still give a better result than not having surgery The goal of flexor tendon repair is to achieve normal range of motion of the finger or thumb. The surgical approach depends on the level of injury. Risks of the Procedure. General complications include infection and tendon rupture. What to Expect After Procedure. After surgery, the hand may be brusied and swollen, and you will most likely.

Introduction. Peritendinous adhesions after repair of an injury to the digital flexor tendons are a major problem in hand surgery. The adhesions are part of the healing process and almost inevitably produce functional disability following the biological response of the tendon to injury. 1 To achieve better gliding function of the digital tendons by reducing peritendinous adhesions without. injuries in zone II, primary tendon repair is contrain­ dicated in severely crushed fingers with flexor tendon rupture in zone II. The only solution in these cases is either to use a tendon graft or a two-stage tendon re­ construction using either silicone rods or Hunter tendon implants (Pulvertaft 1956, Hunter 1984, Wil 2. Murine Flexor Tendon Injury and Repair Surgery (~10 min) Find the flexor digitorum longus (FDL) tendon, seen superficially in the medial aspect of the calf. Using a scalpel, make a small 0.5-1 cm incision in the skin with micro-scissors to expose the tendon When tendon repair rupture is diagnosed, early return for revision repair is essential. Tendon grafts maybe required for revision. The patient must informed of the decreased overall function expected in a revision repair and the increased likelihood of further necessary surgery (eg, tenolysis) (Department of Rehabilitation Services , 2007.

Complications After Treatment of Flexor Tendon Injuries

To achieve a good functional and aesthetic result after the repair of a bony avulsion of the FDP tendon, accurate reduction, rigidity of the repair, as well as an adequate postoperative. The results of immediate re-repair of zone 1 and 2 primary flexor tendon repairs which rupture The Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand, 2006 David Ellio After a flexor tendon injury, most people lose some movement in the finger, despite all efforts. It really takes everything going in your favor, including luck, to have a full recovery. However, if all goes well, the hand will work better after surgery than if surgery were not done, and that's the reason for doing it

Flexor Tendon Injuries - Hand - Orthobullet

About Flexor Tendon Repair; Exercises; Hand Therapy After Injury; Left Flexor Tendon Repair HSS Rehabilitation Guide. About Flexor Tendon Repair. Understanding your tendon repair and how to help it heal. View guide. Rehabilitative Exercises. Follow these videos to safely strengthen your muscles and to maintain mobility There are many ways to surgically repair flexor tendons. Certain types of injuries need specific types of surgery. Your hand surgeon will stitch the ends of the tendon together and repair damaged nerves, blood vessels, or bones. A splint will immobilize your hand to allow the flexor tendon to heal after surgery Flexor tendon injuries should be treated surgically expeditiously (within about 7 days of initial injury) to ensure the best results and a functional outcome. With the passage of time, the proximal edge of the lacerated tendon retracts further proximally; also, adhesions begin to form between the tendon and nearby structures The results of flexor tendon repair in the hand have improved over the years, which is the result of a combination of improved surgical techniques and better rehabilitation. Further improvements may be on the way. Traditionally, to reduce muscle force on the repair, the wrist has been splinted in flexion after flexor tendon injuries

14 Flexor Tendon Injury, Repair, and Reconstruction

Flexor tendon injuries require surgical repair to restore active digit flexion. Early repair is crucial, with several studies pointing to better results when repairs are performed within the first 7 days after injury. 3, Primary repair should occur within 12hr; secondary repair can occur up to 4wk after injury. Hand surgeon should repair all flexor tendon lacerations. If hand surgeon is not immediately available: Irrigate open wounds and close with 5-0 nylon. Most advocate antibiotics. Splint hand with: Wrist in 30 deg of flexion

not totally resolve after flexor tendon repair. Failure of Tendon Repair: Sutures are used to hold the tendon repair together until it has healed and has enough strength for function. It is possible to break the sutures or tear apart the tendon repair. Breakage of tendon repairs is a serious problem TY - JOUR T1 - Rupture of the flexor digitorum superficialis: occurrence after tendon repair of an adjacent digit. A1 - Gonzalez,M H, PY - 2002/7/23/pubmed PY - 2002/8/7/medline PY - 2002/7/23/entrez SP - 69 EP - 71 JF - Journal of the Southern Orthopaedic Association JO - J South Orthop Assoc VL - 9 IS - 1 N2 - A patient had a ruptured flexor digitorum sublimis tendon of the long finger in. A short video to help patients with a flexor tendon injury

Review of rehabilitation protocol after Flexor tendon injuries

Surgery and Rehabilitation for Primary Flexor Tendon

  1. Restoring normal function after flexor tendon injury.and repair. Aoki et al (1997) Canine flexor tendons subjected to active-passive mobilization - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 1d0744-ZDc1
  2. A ruptured tendon cannot heal without surgery because the cut ends usually pull away after an injury. There are many options to repair a cut tendon; the type of repair depends on the type of cut. The aim of the procedure is to restore normal function of the joints and surrounding tissues following a tendon laceration. The flexor tendon repair.
  3. Because the cut ends of a tendon usually separate after an injury, a cut tendon can not heal without surgery. Your doctor will advise you on how soon surgery is needed after a flexor tendon is cut. There are many ways to repair a cut tendon, and certain types of cuts need a specific type of repair
  4. Sagittal band (SB) rupture leads to leads to dislocation of the extensor tendon of the hand nd may be caused by trauma or by a chronic inflammatory process such as rheumatoid arthritis. When the condition is caused by trauma it is also known as a boxer's knuckle. Acute traumatic injuries are treated with splinting where chonic injuries often require surgical reconstruction

Postsurgical Rehabilitation of Flexor Tendon Injuries

  1. Tendon adhesion to tissues, irrespective of the zone of injury [], is one of the most frequent complications reported after flexor tendon repair.Clinicians, since the first report of Pulvertaft in 1948 [], have addressed this problem by implementing improved suturing techniques and early functional exercise.Effective solutions preventing this complication are still in research, and 30 to 40%.
  2. imise scarring. This chapter will comprise flexor tendon anatomy, types of flexor tendon injury, modes of healing, molecular updates, repair techniques and post-operative rehabilitation
  3. imal gapping at the repair site or interference with tendon vascularity. A deep cut on the palm side of your fingers, hand, wrist, or forearm can damage your flexor nourishes flexor tendons located outside of synovial sheaths
  4. For the isolated flexor tendon injury with a perfused finger (even with digital nerve laceration) repair within the first two weeks after injury is within the standard of care. Surgery if elective can be performed as an outpatient, utilizing a regional anesthesia
  5. First 2 weeks after flexor zone 2 tendon repair. See video, Supple-mental Digital Content 2, which outlines The Saint John rehabilita-tion Protocol for the first 2 weeks after flexor tendon repair with 3 to 5 days of immobilization and elevation followed by passive warm ups and up to half a fist of early protected true active finger flexion
  6. Background: Multiple closed spontaneous pulley ruptures are rare injuries and require surgical reconstruction to prevent functional deficits. Pulley rupture combined with avulsion of the flexor digitorum superficialis (FDS) tendon is an even more uncommon occurrence. Case Report: We describe a closed traumatic annular 2 (A2) through annular 4 (A4) pulley rupture with avulsion of the FDS tendon
  7. Fingerprint Dive into the research topics of 'Does Digital Nerve Injury Affect Range of Motion Recovery After Zone 2 Flexor Tendon Repair?'. Together they form a unique fingerprint

Tendon repair: Procedure, recovery, and complication

  1. Post-Operative Instructions for Flexor Tendon Repair Purpose of surgery The goal of the operation is to repair or reattach lacerated or detached flexor tendons. The flexor tendons (muscles) are responsible for flexing (bending) your fingers. What to expect after surgery? You will have a firm splint covering your forearm and the back of you
  2. e the affected hand. The physician will assess range of motion and may manipulate the fingers to deter
  3. is it normal to have altered sensation after a flexor tendon repair injury? 2 doctor answers • 3 doctors weighed in. With cuts deep enough to cut the tendon, If it felt normal after the injury, but before surgery, the feeling could be from swelling
  4. However, despite these advancements there is a 15% risk of tendon rupture and tenosynovitis after volar plating procedures. This discussion will review the risk factors and management of flexor pollicis longus (FPL) tendon rupture secondary to volar plate fixation of distal radius fractures. 2. Case

How long will altered sensation last after a flexor tendon repair injury? 1 doctor answer • 2 doctors weighed in. Share. Dr. Greg Sexton answered. Plastic Surgery 39 years experience. Months: Most sensation will return within 3 months, but it can take longer. 5.7k views Reviewed >2 years ago Primary surgical repair results in better functional outcome compared with secondary tendon repair (more than 3 weeks after the primary injury) or tendon graft surgery for repairing flexor tendon injuries . After 3 weeks primary tendon repair will not be possible because of proximal tendon end swelling, tendon contraction and muscle fibrosis During the trigger thumb release, the flexor pollicis longus (FPL) tendon was partially cut and repaired. The FPL tendon later ruptured and was not repaired within a short enough time to perform a simpler primary repair. A complex tendon transfer surgery was then performed using the FDS tendon from the ring finger to restore function to the thumb

8: Acute Repair of Zone 2 Flexor Tendon Injury | PlasticManagement of Flexor Tendon Injuries in Hand | IntechOpenFlexor tendon injuries

Flexor Tendon Injury, Repair and Rehabilitation

In the authors' opinion, acute flexor tendon divi-sions should be repaired within 48 hours. How-ever, late presentation is not uncommon; the authors have all performed delayed primary repair up to 30 days after the injury. Successful delayed primary repair has been reported after much longer delays, even after 1 year.7 This may requir First Study to Compare Hand Therapy After Finger Flexor Tendon Repair. Back in the 1970s, hand surgeons discovered that early motion after flexor tendon repairs yielded better results. Putting the hand in a splint that blocked some motions but allowed others was better than no motion at all. Those early studies supported the idea that motion is. Andarawis-Puri studies tendon injuries in an attempt to understand how wear and tear develops in the tendon and how to successfully heal the damage. It's a very real problem. Thirty percent of all people will have a tendon injury, and the risk is higher in women, she says. Tendons are prone to injuries caused by overuse tendon repair and pulling it apart before it is healed is tricky. The Hand Therapists play a crucial role here. All flexor tendon injuries need supervised rehabilitation with the therapists for at least 6 weeks and often longer. Full, normal function of the finger is rarely obtained after a flexor tendon injury, but close aher nc tob i

Flexor Tendon Injuries | Rehab My Patient

Hand rehabilitation after flexor tendon repai

Possible complications from tendon repair surgery include pain, bleeding, infection, swelling, stiffness, rupture of the repair, and damage to the surrounding nerves and blood vessels. If scar tissue and stiffness become a problem, an additional surgery called a tenolysis can be helpful to gain more motion of flexor tendon injury that necessitated reoperation. Partic-ipants requiring secondary surgery (re-repair, tenolysis, and tenolysis with re-repair) because of rupture and/or adhesion formation that arises from the primary tendon repair were recorded. The number, type, and timing of reoperations were described. Statistic Rupture of the flexor hallucis longus (FHL) tendon is rare in the absence of trauma and associated systemic disease. Rupture of FHL is also rare in hallux valgus corrective surgery. We present a case of FHL rupture after Akin osteotomy for hallux interphalangeus, a brief literature review and treatment options tendon injury but may look like a zig-zag on the palmar surface ☐ Pain Management • Tendon repair or reconstruction can be painful. You will receive a prescription for narcotic pain medicine. For the first 2-3 days, take the pain medication around the clock to stay on top of the pain control. After 3 days, take the medicine only if you need it In most cases, surgery is required to repair tendons in the hand. When a tendon is ripped from the bone or the muscle, it usually cannot repair itself because the ends have ripped so far apart. After an injury, surgery should be sought right away in order to gain back as much range of motion as possible. Even though flexor tendon surgery is.

Trends in digital joint motion following surgical

PURPOSE: Although outcomes after flexor tendon repair have reportedly improved with modern treatment, complications are common. The purpose of this study was to determine the incidence of these complications and the potential contributory factors within the published literature Rigo IZ, Røkkum M: Predictors of outcome after primary flexor tendon repair in zone 1, 2 and 3. J Hand Surg Eur. 2016, 41:793-801. 10.1177/1753193416657758; Kasashima T, Kato H, Minami A: Factors influencing prognosis after direct repair of the flexor pollicis longus tendon: multivariate regression model analysis. Hand Surg. 2002, 7:171-176

Rupture of the flexor carpi radialis tendon secondary to

The aim of this study is to investigate if active mobilisation after flexor tendon repair in fingers gives better range of motion, strength, risk of rupture and patient satisfaction compared with passive mobilisation with place and hold for all flexor tendon repairs, a view supported by Peck et al (1998) who suggests that every patient must be managed according to their individual needs and the variable characteristics of injury, surgical findings and lifestyles. 4 Controlled mobilization regimens are widely employed in rehabilitation after flexor tendon repair in the hand

Acute Tibialis Posterior Tendon Rupture Associated With a

Flexor Tendon Injuries - Physiopedi

Reviewing the research available left the authors still wondering what the best balance is between active and passive rehabilitation protocols following flexor tendon repair. Luckily, they were able to conclude that during the past 25 years overall trend in tendon re-rupture rates after surgery is decreasing thanks to material advances and. FDS / FDP Flexor Tendon Repair Dr. Bakker's Post-op Protocol IMPORTANT INSTRUCTIONS FOLLOWING SURGERY: After surgery, your forearm and hand will be in a large bandage and plaster splint. Please DO NOT remove this. Try to keep your bandage clean and dry Flexor tendon injuries, however, can be challenging to treat. Despite extensive therapy, some patients have long-term stiffness after flexor tendon injuries. Sometimes, a second surgery is required to free up scar tissue and to help the patient regain motion. Unfortunately, stiffness, tendon rupture and impaired function may all accompany lon

Hand rehabilitation after flexor tendon repairReconstruction: Sagittal band rupture reconstructionFlexor tendon injuries

FLEXOR TENDON REPAIR BY JOHN GRAY SEILER III, MD During the last 20 years there have been significant innovations in injury repair and aftercare for patients who sustain zone 2 flexor tendon injuries Flexor tendon, Tendon injury, Tendon repair Skills How to perform a thorough physical exam of the upper extremity, including how to evaluate individual nerves, both sensory and motor branches, how to assess distal digital pulses with Doppler exam, how to perform Allen's test, how to differentiate between FDS and FDP function, and how to. Peck, et al. 2 and Higgins and Lalonde 3 have published studies using progressive protocols that modify the position of the hand in the protective orthosis after flexor tendon repair surgery. They decreased the degree of metacarpopal flexion to 30° and also incorporated a hand-based orthosis either immediately after surgery or at the two-week. Using the described régime, full activity can be encouraged 8 weeks after flexor tendon repair in zone 2 of the hand without adverse effects on functional results or increased risk of rupture of the repair. References PURPOSE: To determine if magnetic resonance (MR) imaging enables differentiation of adhesions from tendon rupture after repair of digital flexor tendon injuries. MATERIALS AND METHODS: The reference group comprised eight tendon sutures with a good clinical outcome To repair a ruptured tendon involves making an incision, locating both ends of the tendon, and suturing them back together. If a rupture is left untreated, the two tendon ends shorten over time, making repair more difficult as more time passes. With flexor tendon injuries it is very important repair occurs ASAP