Lengthening the locking loop repair for zone 2 flexor tendon laceration and partial lateral release of the tendon sheath.

The authors present the clinical outcomes of nine zone 2 flexor tendon repairs using a locking loop technique (i.e. the Modified Pennington technique).

Aggressive active mobilization following zone II flexor tendon repair using a two-strand heavy-gauge locking loop technique.

In vitro and in vivo experimental studies have shown that a new two-strand technique increases the tensile strength of flexor tendon repair and eliminates gap formation at the healing repair site. The purpose of the current study was to clinically evaluate the new technique, followed by an aggressive active mobilization program. Seven digits with zone II flexor tendon lacerations were treated using the technique, employing a heavy (2-0) braided polyester suture.