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


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

What Is A Flexor Tendon Repair?

Surgeons perform flexor tendon repair to mend a damaged or severed flexor tendon in the hand or fingers. However, do no confuse with Tenolysis that frees a stuck tendon from its adhesion. The flexor tendons facilitate the bending (flexing) of the fingers and thumb, enabling us to make a fist and execute various gripping movements. Injuries to these tendons can result from trauma, lacerations, or overuse. Additionally, this procedure differs from a Tendon Transfer as it does not move another tendon or muscle to replace the area needing repair.


Flexor tendon repair is indicated when a flexor tendon is partially or completely torn or cut, resulting in the loss of the ability to fully flex the affected finger or thumb. This type of injury significantly impairs hand function, making it difficult for patients to perform essential tasks that require gripping, pinching, or other fine motor skills.

During the procedure, surgeons carefully suture the ends of the torn tendon to restore its integrity and functionality. This precise repair allows the tendon to heal properly and regain its ability to transmit force from the muscles to the finger or thumb, enabling full flexion.

Patients typically undergo this procedure when conservative treatments, such as splinting or physical therapy, fail to restore function. Indications for flexor tendon repair include significant hand function impairment and the need to prevent long-term complications. Some of which include tendon retraction, joint stiffness, or permanent loss of motion. The goal is to restore optimal hand function and improve the patient’s quality of life.


The surgery typically occurs under local or regional anesthesia, with or without sedation, depending on the patient’s condition and preferences. The surgeon creates an incision over the injured tendon to expose the damaged area. Carefully identifying the ends of the torn or cut tendon, the surgeon reconnects them using sutures or surgical techniques to restore the tendon’s continuity.

In some cases, tissue grafts may be used to reinforce the repair, especially for larger or more complex injuries. These grafts provide additional strength and support to the healing tendon. Once the repair is completed, the surgeon closes the wound with stitches and applies a splint or protective dressing. This immobilizes the affected area, maintaining the repaired tendon in a protected position during the initial healing phase.

Post-surgery, patients are advised to follow a structured rehabilitation program to gradually restore strength, flexibility, and function to the affected finger or thumb, ensuring optimal recovery.


Recovery and Rehabilitation:

The postoperative recovery period plays a crucial role in the success of the tendon repair. Immobilizing the repaired tendon is necessary to facilitate proper healing over several weeks. Additionally, physical therapy and hand rehabilitation constitute essential elements of the recovery process. Moreover, a therapist will lead the patient through exercises aimed at gradually enhancing the range of motion and strength of the repaired tendon.

However, achieving full recovery and returning to normal activities may require several months. With the final outcome varying based on the injury’s extent and the patient’s commitment to rehabilitation.


Various factors influence the success of flexor tendon repair, such as the severity of the injury, the timing of the surgery, and the patient’s adherence to postoperative care and rehabilitation. However, with proper surgical technique and committed rehabilitation, many patients can attain satisfactory functional outcomes and fully regain flexion of the affected finger or thumb.

It is  essential for individuals with suspected flexor tendon injuries to seek immediate medical attention. Early diagnosis and timely surgical intervention, if needed, can improve the chances of a successful flexor tendon repair and help restore hand function.


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.