In suturing tendons that glide, as in a sheath, special care must be used to prevent adhesions, as the sheath itself will not move; in suture of tendons surrounded with paratenon, adhesions are not as important a consideration, as the paratenon will move with the tendon itself. Because of this, better results are always obtained in suture of the forearm than in the hand. Following tendon repair, immobilization is usually maintained for two or three weeks; a more recent trend is toward early, i. e., within five days, passive motion of the injured portion, with approximation of the cut tendon ends maintained. The approximating agent must remain in effect for three weeks. Because of the tendency of cut tendons to proliferate, free ends should not be left unattached; crippling cross adhesions may be formed by attachment of these free ends to unaffected parts. A minimum of suture material should be
CECCARELLI FE. Tendon Trauma. AMA Arch Surg. 1957;75(5):735–736. doi:10.1001/archsurg.1957.01280170045026
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