الفهرس 
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Abstract
Summary
Flexor tendon injuries of the hand, whctherc , oren or closed bl’COI1H ..’ more
common injuries in our present civilisation, they are of great signi ficancc to the
patient and the surgeon.
It is important to treat such a case to change a handicapped person to a
functioning one.
The pathological changes after tendon injury, suture or after tendon graft arc
important to known the cause of adhesions which limit the free excursion of the
tendon.
To diagnose a flexor tendon injury of the hand we must take the history,
physical examination, X-ray examination and surgical exploration.
The hand divided into five zones every zone has its line of treatment, the
lines of treatment differ from primary, Secondary suture, tendon graft, Two stage
tendon graft, and other methods.
Primary suture of cut tendon is the first line of treatment. Many factors
affecting primary tendon suture such as type of injury, time of injury and area of
hand affected. Many types of tendon sutures are introduced to avoid damaging the
central blood supply.
When tendon graft is indicated we take the graft from many sources as,
palmaris longeus, plantaris tendon.
In the last years, two stage tendon graft and recently, tendon prosthesis
implant ( total tendon replacement)give a great advancement in management of
tendon injuries.