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Journal of Bone and Joint Surgery, 1941;23:240-250.
© 1941 by The Journal of Bone and Joint Surgery, Inc

TREATMENT OF TENDONS IN COMPOUND INJURIES OF THE HAND

STERLING BUNNELL M.D.1

1 SAN FRANCISCO, CALIFORNIA

Primary repair of tendons in open wounds is dependent upon obtaining primary healing in the wounds in general.

Essentials are prompt operation, thorough débridement, covering over all vulnerable tissues, and adequate after-treatment, consisting of splinting, elevation, and dryness.

The technique of tendon suturing is based on physiological healing.

Stainless-steel wire is superior as a suture material.

Irritation from suture is terminated by withdrawing the suture from the tendon in three weeks.

The fascial tunnel or sheath in the proximal segment of a finger should be split laterally when repairing a tendon within it.


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