Digital tendon repair is one of the most common issues in hand surgery and also one of the most vexing. A repair must withstand the forces imparted on it during early motion. Common clinical scenarios that challenge the hand surgeon are flexor tendon injuries in zone II, zone I, and extensor tendons. Repair of tendons that have flat morphology present a particular challenge to achieving a strong repair while maintaining the native tendon shape. This article evaluates modern tendon repair techniques. Early clinical experience using such methods have shown clinical success of improved motion and no known ruptures.
