Phone: 817-697-4038 Fax: 877-409-3962


If you need a flexor tendon reconstruction, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Flexor Tendon Reconstruction?

Flexor tendon reconstruction is a surgical procedure performed to repair or replace a damaged or nonfunctional flexor tendon in the hand or fingers. The flexor tendons are responsible for bending (flexing) the fingers and thumb, enabling us to make a fist and perform various gripping movements. When a flexor tendon is severely damaged, torn, or unable to function correctly, reconstruction may be necessary to restore hand function


  • Flexor tendon reconstruction is indicated when a flexor tendon is extensively damaged, irreparable, or nonfunctional, resulting in the loss of the ability to flex the affected finger or thumb.
  • The procedure is considered when other conservative treatments or simple tendon repairs are not sufficient to restore hand function.


  • The surgery is typically performed under local or regional anesthesia, with or without sedation, depending on the patient’s condition and preferences.
  • During the procedure, the surgeon evaluates the damaged flexor tendon and may debride any nonviable tissue.
  • In cases where the damaged tendon can be repaired, sutures or surgical techniques are used to reconnect the tendon and restore its continuity.
  • In more complex cases where the tendon is severely damaged or nonfunctional, a tendon graft may be used for reconstruction. The graft is harvested from another part of the body (usually from the forearm or foot) and attached to the damaged tendon to provide a functional replacement.
  • After the reconstruction, the wound is closed with stitches, and a splint or protective dressing is applied to keep the reconstructed tendon in a protected position during the initial healing phase.

Recovery and Rehabilitation:

  • The postoperative recovery period is crucial for the success of the tendon reconstruction. Immobilization of the repaired or reconstructed tendon is necessary to allow proper healing for several weeks.
  • Physical therapy and hand rehabilitation play a vital role in the recovery process. A therapist guides the patient through exercises to gradually increase the range of motion and strength of the repaired or reconstructed tendon.
  • The full recovery and return to normal activities may take several months, and the final outcome can vary depending on the extent of the injury and the patient’s commitment to rehabilitation.


  • The success of flexor tendon reconstruction depends on various factors, including the severity of the injury, the chosen surgical technique, and the patient’s compliance with postoperative care and rehabilitation.
  • With appropriate surgical reconstruction and diligent rehabilitation, many patients can achieve satisfactory functional outcomes and regain hand function.

Flexor tendon reconstruction is a complex surgical procedure that requires the expertise of a skilled hand surgeon. Individuals with severe flexor tendon injuries that result in significant hand dysfunction should seek timely medical evaluation to determine the most appropriate treatment approach, which may include flexor tendon reconstruction when simpler repairs are not feasible.


If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.