PRELIMINARY REPORT ON PERMANENT SlLASTIC ARTIFICIAL TENDON / 解放军医学杂志

The repair of severed tendons within the digital sheath constitutes a complicated surgical problem. The injury and adhesion of the tendons are an important factor for functional return in the hand. On the basis of experimental study, 7 cases of injuries of flexor digitalis tendons have been treated by using silastic artificial tendons since 1982. During the operation the tendon graft was ensheathed in a porous filmy silastic tube, including the sites of anastomosis. This technique can prevent adhesion between tendon and its surrounding tissues. The operation can be performed in one stage. The operative procedure and its indication, reconstruction of the pulley system and the gliding function of the tendon were discussed.