{"id":2023,"date":"2025-12-31T07:02:58","date_gmt":"2025-12-31T07:02:58","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=2023"},"modified":"2026-10-20T14:45:59","modified_gmt":"2026-10-20T14:45:59","slug":"flexor-and-extensor-tendon-surgery","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/","title":{"rendered":"Flexor and Extensor Tendon Surgery"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_2130217588\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-69007378\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Flexor and Extensor Tendon Surgery in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-69007378 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-69007378 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_2130217588 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_710210616\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1714446305\">\n\n\t<div id=\"col-896177103\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Flexor and extensor tendon repairs are surgical interventions performed to restore function after tendon injuries. The location, type, and timing of the injury determine the surgical technique. Early and appropriate repair is critical for long-term success.<\/p>\n<p>Flexor tendon repair is performed especially in the complex anatomical regions on the palm side of the hand and the volar aspect of the fingers. Surgery in these areas requires advanced technical skill. Epineural suturing and multi-strand suture techniques are often preferred.<\/p>\n<p>Extensor tendon repair is easier to perform because the tendons are more superficially located. While primary suturing may be sufficient for simple ruptures, grafting or tendon transfer may be required in complex injuries. A splint is used for stabilization after suturing.<\/p>\n<p>Postoperative rehabilitation is the cornerstone of healing after tendon repairs. Early passive motion programs reduce the risk of adhesions and accelerate functional recovery. Long-term success rates increase with physiotherapy support.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Should Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Flexor and extensor tendon repairs are the surgical reattachment of torn tendons in the hand and fingers in an anatomical and functional manner. The goal is to restore mobility and re-establish muscle-tendon balance.<\/td>\n<\/tr>\n<tr>\n<td>Flexor Tendons<\/td>\n<td>They are responsible for bending the fingers and the thumb. They run along the palm side. The most complex repair is in \u201cZone 2.\u201d<\/td>\n<\/tr>\n<tr>\n<td>Extensor Tendons<\/td>\n<td>They are responsible for extending the fingers and the thumb. They run superficially along the dorsum of the hand and are more exposed to trauma.<\/td>\n<\/tr>\n<tr>\n<td>Challenges in Flexor Tendon Repair<\/td>\n<td>The tendons move within a narrow sheath; the risk of adhesions and re-rupture is high. Careful planning of surgery and rehabilitation is required.<\/td>\n<\/tr>\n<tr>\n<td>Challenges in Extensor Tendon Repair<\/td>\n<td>The tendons are superficial and may remain under tension. After repair, tendon elongation and a feeling of \u201cgap\u201d in the finger may occur.<\/td>\n<\/tr>\n<tr>\n<td>Timing of Surgery<\/td>\n<td>In clean, open injuries, repair is performed within the first 24\u201372 hours if possible. In dirty or contaminated wounds, delayed repair may be planned.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Techniques (Flexor)<\/td>\n<td>4-strand core suture technique (e.g., modified Kessler), reinforcement with epitendinous sutures, microsurgical methods.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Techniques (Extensor)<\/td>\n<td>Simple suturing, figure-of-8 technique, tissue reinforcement, tendon graft if necessary.<\/td>\n<\/tr>\n<tr>\n<td>Repair Characteristics by Zones<\/td>\n<td>In flexor tendons, Zone 2 (\u201cno man&#8217;s land\u201d) is the most complex region. In extensor tendons, Zone 1 injuries may lead to mallet finger, and Zone 3 injuries carry a risk of boutonni\u00e8re deformity.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Splinting (Flexor)<\/td>\n<td>Duran (passive extension\u2013active flexion) or Kleinert (active flexion\u2013passive extension) protocols are used.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Splinting (Extensor)<\/td>\n<td>A static or dynamic splint may be applied. The duration is usually 4\u20136 weeks.<\/td>\n<\/tr>\n<tr>\n<td>Physiotherapy Process<\/td>\n<td>Early controlled motion protocols are applied after repair. The aim is to prevent adhesions, support tendon healing, and preserve range of motion.<\/td>\n<\/tr>\n<tr>\n<td>Recovery Time<\/td>\n<td>Functional recovery may take 10\u201312 weeks for flexor tendons; this period is usually shorter for extensors. Full strength is regained within 3\u20136 months.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Tendon adhesions, re-rupture, limited motion, finger deformities (e.g., mallet finger, boutonni\u00e8re), tenodesis effect.<\/td>\n<\/tr>\n<tr>\n<td>Need for Revision<\/td>\n<td>In cases of inadequate healing or rupture, tendon revision, grafting, or tendon transfer may be required.<\/td>\n<\/tr>\n<tr>\n<td>Related Specialties<\/td>\n<td>Plastic surgery (hand surgery), orthopedics and traumatology, physical medicine and rehabilitation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-896177103 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_710210616 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1828859057\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1607574488\">\r\n\r\n\n\t<div id=\"col-850315394\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-55690985\">\r\n\r\n\n\t<div id=\"col-2044259436\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1242489002\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1242489002 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2044259436 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-432023514\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1619166223\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-1619166223 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-1619166223 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-432023514 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-850315394 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1828859057 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_329099486\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-412753775\">\n\n\t<div id=\"col-1103395781\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#What_Is_Flexor_and_Extensor_Tendon_Surgery\" >What Is Flexor and Extensor Tendon Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#What_is_tendon_repair_and_how_does_this_mechanism_in_our_fingers_work\" >What is tendon repair, and how does this mechanism in our fingers work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#Why_cant_a_cut_tendon_heal_on_its_own\" >Why can\u2019t a cut tendon heal on its own?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#Why_are_surgical_timing_and_the_first_24-hour_rule_so_important\" >Why are surgical timing and the first 24-hour rule so important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#Where_is_the_%E2%80%9CZone_II%E2%80%9D_region_in_flexor_tendon_repair_that_surgeons_are_cautious_about\" >Where is the \u201cZone II\u201d region in flexor tendon repair that surgeons are cautious about?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#How_are_extensor_tendon_injuries_and_mallet_finger_treated\" >How are extensor tendon injuries and mallet finger treated?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#Why_are_the_surgical_technique_and_the_number_of_sutures_used_so_important\" >Why are the surgical technique and the number of sutures used so important?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#Why_should_the_pulley_system_of_the_hand_be_preserved\" >Why should the pulley system of the hand be preserved?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#What_is_two-stage_tendon_repair_used_in_difficult_cases\" >What is two-stage tendon repair used in difficult cases?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/flexor-and-extensor-tendon-surgery\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Flexor_and_Extensor_Tendon_Surgery\"><\/span>What Is Flexor and Extensor Tendon Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Flexor and extensor tendon surgery is a surgical repair procedure performed when the tendons that enable hand and finger movements are cut, ruptured, or severely damaged. Flexor tendons allow the fingers to bend, while extensor tendons allow them to straighten. During surgery, the damaged tendons are sutured or, if necessary, repaired with a graft. The aim is to restore hand function and minimize loss of movement. Early intervention and the physical therapy applied afterward are of great importance in the recovery process.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_tendon_repair_and_how_does_this_mechanism_in_our_fingers_work\"><\/span>What is tendon repair, and how does this mechanism in our fingers work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>To understand the system that moves our fingers, you can think of your hand as a highly advanced puppet. The muscles in our forearm are the engine of this system; they generate the force. However, this force must be transmitted all the way to the fingertips. This is where tendons come into play. Tendons are strong cords that transmit muscle force to the bones.<\/p>\n<p>There are two main tendon groups in your hand. Those on the palm side are called \u201cflexor tendons.\u201d They allow you to bend your fingers, make a fist, and grip objects. Those on the back of the hand are called \u201cextensor tendons.\u201d They allow you to straighten your fingers, open your hand, and point.<\/p>\n<p>For this system to work, cords alone are not enough. Especially in the palm, there are tunnels and pulley systems that prevent these cords from bowing away from the bone. We call these \u201cpulleys.\u201d Just like the rings on a fishing rod through which the line passes, these pulleys ensure that the tendon works at the correct angle and that force is not wasted. When a tendon is cut, it is not only the cord that is severed; in many cases, this tunnel system and balance are also disrupted.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_cant_a_cut_tendon_heal_on_its_own\"><\/span>Why can\u2019t a cut tendon heal on its own?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Many tissues in our body\u2014for example, a simple abrasion on the skin\u2014form a scab over time and heal on their own. However, tendons are very different due to the laws of physics, and unfortunately their chance of healing without intervention is zero. The main reason is \u201ctension.\u201d<\/p>\n<p>Tendons have a certain degree of tension even at rest. The moment you cut a tendon, it is like cutting a tight rubber band in the middle. The forearm muscles pull the upper (proximal) end of the tendon toward themselves, that is, toward the elbow. The other end remains in the finger.<\/p>\n<p>A gap of several centimeters immediately forms between these two ends. It is impossible for them to come together and fuse on their own. On the contrary, as time passes, this distance increases with muscle pull, the tendon shortens, and it shrinks within its tunnel. Therefore, in tendon injuries, surgical intervention is not an option but an absolute necessity to restore function.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_are_surgical_timing_and_the_first_24-hour_rule_so_important\"><\/span>Why are surgical timing and the first 24-hour rule so important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In plastic surgery, we race against time while managing tissue healing. In tendon injuries, the time to intervention is one of the most critical factors determining surgical success. We surgeons consider \u201cearly primary repair,\u201d meaning intervention within the first 24 hours after injury, to be the gold standard.<\/p>\n<p>Why is the first 24 hours so valuable? Because during this period, the wound is still fresh. The tissues have not become excessively swollen, the tendon ends have not retracted too far, and most importantly, the inflammation process that makes healing more difficult has not yet disrupted the tissue structure. Repairs performed in this window make the tendon ends easier to find, and the holding capacity of the sutures we place is much higher.<\/p>\n<p>If the first day is missed, \u201cdelayed primary repair\u201d performed within the next 2 weeks can still yield successful results, but things become somewhat more difficult. After 2 weeks, the tendon ends begin to soften, shorten, and the surrounding tunnels start to narrow. In cases presenting after 4 weeks, end-to-end suturing is usually not possible and a graft (a piece taken from another part of the body) is required.<\/p>\n<p>The advantages of early intervention are as follows<\/p>\n<ul>\n<li>Less edema<\/li>\n<li>Cleaner tissue structure<\/li>\n<li>Higher healing potential<\/li>\n<li>Lower risk of adhesions<\/li>\n<li>Earlier ability to begin movement<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1103395781 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_329099486 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1266468267\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1471803780\">\r\n\r\n\n\t<div id=\"col-24341600\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-931058481\">\r\n\r\n\n\t<div id=\"col-1727412149\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-864136050\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-864136050 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-864136050 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-864136050 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-2051614982\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-24341600 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-24341600 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1266468267 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1679928113\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-2075278713\">\n\n\t<div id=\"col-1407394803\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Where_is_the_%E2%80%9CZone_II%E2%80%9D_region_in_flexor_tendon_repair_that_surgeons_are_cautious_about\"><\/span>Where is the \u201cZone II\u201d region in flexor tendon repair that surgeons are cautious about?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In the history of hand surgery, there is a famous region called \u201cNo Man\u2019s Land,\u201d a well-known area that surgeons used to hesitate to approach. This is the region extending from the palmar creases to the middle phalanx of the fingers (Zone II).<\/p>\n<p>The challenge in this region is as follows: Here, both the superficial and deep flexor tendons travel on top of each other within a very narrow and rigid sheath we call the \u201cfibro-osseous tunnel.\u201d The space is so tight that even minimal swelling, a millimetric excess of suture material, or scar tissue can cause the tendon to become stuck inside this tunnel.<\/p>\n<p>In the past, outcomes in injuries in this region often ended in disappointment and the fingers could not move. However, today, with advances in microsurgical techniques, magnifying loupes, and microscopes, this area is no longer a feared region. We now repair both tendons (both FDS and FDP) in this area and smooth the tendon surface with special sutures to ensure gliding. Still, patients should know that injuries in this region belong to the group with the most delicate healing process.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_are_extensor_tendon_injuries_and_mallet_finger_treated\"><\/span>How are extensor tendon injuries and mallet finger treated?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Extensor tendon injuries on the dorsal side of the hand have a slightly different biomechanics than flexors. The tendons here are flatter and thinner. They lie almost like a leaf between the skin and the bone. This thinness limits their ability to hold sutures, and because the skin is very thin, the risk of infection is higher.<\/p>\n<p>Extensor injuries are also divided into regions (zones). One of the most common conditions we see is \u201cmallet finger,\u201d which occurs when the tendon at the fingertip ruptures. In this situation, the patient cannot straighten the fingertip, and the tip droops downward.<\/p>\n<p>Mallet finger treatment may not always require surgery. If there is no open laceration and no associated fracture, we can treat it with special splints that keep the finger completely straight for 6\u20138 weeks. However, during this process, the splint must not be removed even for a second; otherwise, the tendon re-ruptures and the process starts over.<\/p>\n<p>Another important situation is injuries around the middle joint of the finger. Here, a \u201cboutonni\u00e8re deformity\u201d can develop. The central slip ruptures, the lateral bands slip downward, and the finger pops upward as if it has come out of a buttonhole. If this deformity becomes established, it seriously impairs hand function and requires surgical correction.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_are_the_surgical_technique_and_the_number_of_sutures_used_so_important\"><\/span>Why are the surgical technique and the number of sutures used so important?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>You should think of what we do in the operating room not as fine tailoring, but as a microscopic engineering task. In tendon repair, our main goal is to suture the tendon strongly enough so it will not rupture, yet delicately enough so it will not get stuck within the tunnel.<\/p>\n<p>The concept of \u201cstrand count,\u201d meaning the number of suture strands crossing the repair site, is very important. Tendon strength is directly proportional to the number of strands. In the past, 2-strand techniques were used, but these repairs were not strong enough to allow early motion. Today, especially in flexor tendons, we use 4- and even 6-strand repair techniques.<\/p>\n<p>As strand count increases, the tendon\u2019s load-bearing capacity increases. This means the patient can begin moving the finger earlier after surgery. Early motion is the most important factor preventing adhesions. However, as strand count increases, the amount of knots and tendon bulk can also increase. This is where the surgeon\u2019s mastery comes into play: providing maximum strength without increasing tendon volume and keeping the surface smooth.<\/p>\n<p>The suture techniques we use are as follows<\/p>\n<ul>\n<li>Core sutures (central, load-bearing sutures)<\/li>\n<li>Epitendinous sutures (fine sutures that smooth the surface)<\/li>\n<li>Locking sutures<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1407394803 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1679928113 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1522017421\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1217299485\">\r\n\r\n\n\t<div id=\"col-1101114680\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1034527141\">\r\n\r\n\n\t<div id=\"col-848501735\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2932224773\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-2932224773 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-2932224773 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-2932224773 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-870731943\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-870731943 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-870731943 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-870731943 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-848501735 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-848501735 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-339814196\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2023#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"62\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-339814196 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-339814196 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1101114680 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1101114680 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1522017421 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2019480085\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1925775011\">\n\n\t<div id=\"col-1721080069\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Why_should_the_pulley_system_of_the_hand_be_preserved\"><\/span>Why should the pulley system of the hand be preserved?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As mentioned earlier, the tunnel and pulley system (pulleys) that allows tendons to glide along the bone is biomechanically vital. In particular, the main pulleys located at the base (A2) and mid-portion (A4) of the finger must be preserved at all costs during surgery.<\/p>\n<p>If these pulleys are damaged or sacrificed during repair, the \u201cbowstringing\u201d appearance can occur. When the tendon is tensioned, instead of remaining close to the bone, it rises under the skin like a taut bowstring. This causes two problems:<\/p>\n<ul>\n<li>You cannot fully close your finger.<\/li>\n<li>You experience a significant loss of strength.<\/li>\n<\/ul>\n<p>That is why we surgeons make a great effort to pass under these pulleys while repairing the tendon. If these pulleys have also been destroyed during the injury, they must be repaired or reconstructed using tissues taken from another part of the body (pulley reconstruction).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_two-stage_tendon_repair_used_in_difficult_cases\"><\/span>What is two-stage tendon repair used in difficult cases?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sometimes patients present very late, or they come to us after an unsuccessful prior operation, with tendons that are completely adherent, a disrupted tunnel structure, and a history of infection. We call these \u201cneglected\u201d or \u201ccomplicated\u201d cases. At this point, end-to-end tendon repair is impossible because there is no healthy tissue left.<\/p>\n<p>In such situations, we use the \u201ctwo-stage tendon reconstruction\u201d method.<\/p>\n<p>Stage One: In the first operation, we remove all adhesions and the damaged, nonfunctional tendon remnants inside the hand. Into this cleared area, we place a medical silicone rod sized like a tendon (a silicone rod). This silicone rod is temporary. Its purpose is to trigger the body to form a smooth sheath around it. In other words, we artificially create a new tendon tunnel. The patient lives with this silicone rod for 3\u20134 months and performs passive exercises.<\/p>\n<p>Stage Two: When the body has formed a slippery, excellent tunnel around the silicone, we perform the second operation. We remove the silicone rod and pass a tendon graft taken from the patient\u2019s own body (usually from the forearm or leg) through that prepared tunnel.<\/p>\n\t<div id=\"text-1917578129\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-1917578129 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-4038494229\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4038494229-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-difference-between-flexor-and-extensor-tendons?\" aria-expanded=\"false\" aria-controls=\"accordion-4038494229-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the difference between flexor and extensor tendons?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4038494229-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4038494229-label\">\n\t\t\t\n<p>Flexor tendons bend the fingers and wrist, while extensor tendons straighten them. Flexors are located on the palm side of the hand, while extensors are on the dorsum of the hand, and their repairs differ technically.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-10910216\" class=\"accordion-item\">\n\t\t<a id=\"accordion-10910216-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-is-flexor-tendon-repair-considered-more-challenging?\" aria-expanded=\"false\" aria-controls=\"accordion-10910216-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why is flexor tendon repair considered more challenging?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-10910216-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-10910216-label\">\n\t\t\t\n<p>Because flexor tendons work within narrow tendon sheaths, the risk of adhesions is high. In addition, since both superficial and deep tendons are present in Zone 2, the surgical field is complex.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1516428921\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1516428921-label\" class=\"accordion-title plain\" href=\"#accordion-item-are-extensor-tendon-lacerations-easier-to-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-1516428921-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Are extensor tendon lacerations easier to repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1516428921-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1516428921-label\">\n\t\t\t\n<p>Generally, yes. Because extensor tendons are located close to the skin, they are easier to access and suture. However, due to their superficial position, careful attention is needed regarding scarring and adhesions.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2052520259\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2052520259-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-surgical-suture-techniques-are-used-in-flexor-tendon-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-2052520259-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which surgical suture techniques are used in flexor tendon repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2052520259-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2052520259-label\">\n\t\t\t\n<p>Modified multi-strand suture techniques with 4 or 6 strands are commonly preferred. These techniques optimize strength and tendon-end alignment, enabling early motion.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2470193885\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2470193885-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-benefit-of-early-mobilization-after-tendon-repairs?\" aria-expanded=\"false\" aria-controls=\"accordion-2470193885-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the benefit of early mobilization after tendon repairs?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2470193885-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2470193885-label\">\n\t\t\t\n<p>Early controlled motion prevents the tendon from adhering to surrounding tissues, accelerates healing, and improves functional outcomes. However, excessive loading may increase the risk of rupture.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3095680951\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3095680951-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-is-zone-classification-important-in-extensor-tendon-injuries?\" aria-expanded=\"false\" aria-controls=\"accordion-3095680951-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why is zone classification important in extensor tendon injuries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3095680951-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3095680951-label\">\n\t\t\t\n<p>Zone classification defines the injury level and helps determine the treatment approach. For example, Zone I injuries typically occur at the fingertip and require special splinting.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1533857750\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1533857750-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-should-splint-use-be-after-flexor-tendon-repair?\" aria-expanded=\"false\" aria-controls=\"accordion-1533857750-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How should splint use be after flexor tendon repair?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1533857750-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1533857750-label\">\n\t\t\t\n<p>After flexor tendon repair, the fingers are passively mobilized in a protected position with custom dorsal splints. These splints are usually used for 4\u20136 weeks and supported with physiotherapy.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-846109548\" class=\"accordion-item\">\n\t\t<a id=\"accordion-846109548-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-most-common-complication-after-flexor-tendon-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-846109548-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the most common complication after flexor tendon surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-846109548-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-846109548-label\">\n\t\t\t\n<p>Adhesions are the most common complication. They prevent free tendon gliding and cause limited motion. This may sometimes require a second surgical procedure.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2338051834\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2338051834-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-functional-recovery-time-after-extensor-tendon-repairs?\" aria-expanded=\"false\" aria-controls=\"accordion-2338051834-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the functional recovery time after extensor tendon repairs?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2338051834-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2338051834-label\">\n\t\t\t\n<p>Basic movements are generally regained within 4\u20136 weeks. However, full functional recovery may take 8\u201312 weeks. Depending on an active lifestyle and occupation, this period may be longer.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3428861005\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3428861005-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-factors-affect-success-in-flexor-and-extensor-tendon-surgeries?\" aria-expanded=\"false\" aria-controls=\"accordion-3428861005-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which factors affect success in flexor and extensor tendon surgeries?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3428861005-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3428861005-label\">\n\t\t\t\n<p>The location of injury, surgical technique, patient age, early rehabilitation, and accompanying nerve-vessel injuries directly affect success rates. Management by an experienced team is important.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1984864389\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1984864389-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-flexor-and-extensor-tendon-repairs?\" aria-expanded=\"false\" aria-controls=\"accordion-1984864389-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Flexor and Extensor Tendon Repairs?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1984864389-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1984864389-label\">\n\t\t\t\n<p>For flexor and extensor tendon repairs, the Plastic, Reconstructive and Aesthetic Surgery department should be consulted. Repairs performed using microsurgical techniques are carried out by plastic surgeons experienced in hand surgery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1721080069 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2019480085 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1937,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2023","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2023","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=2023"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2023\/revisions"}],"predecessor-version":[{"id":2047,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2023\/revisions\/2047"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media\/1937"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=2023"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}