Flexor Tendon Repair of The Right Fifth Finger Using Modified Kessler Tenorrhaphy and Palmaris Longus Tendon Graft: Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Chronic flexor tendon injuries of the hand represent a major technical challenge due to degenerative changes, tendon retraction, and fibrosis that prevent primary repair. We report the case of a 63-year-old female patient who suffered a laceration on the right fifth finger that was inadequately treated and, one year later, presented with complete loss of active flexion. Tendon reconstruction was performed using an autologous palmaris longus tendon graft and a modified Kessler tenorrhaphy, preserving the anatomical pulleys and initiating early rehabilitation under a modified Kleinert protocol. The postoperative course was favorable, with progressive recovery of motion and complete functional restoration at six months, without complications or donor-site deficits. This case demonstrates that even in long-standing injuries, reconstruction with an autologous palmaris longus graft and an appropriate suture technique can successfully restore grasping function and manual dexterity.
Authors: Karen Janeth Serrano González, Cristian David Cruz Landazuri, Diego Armando Fabela Martinez, Yairani Jeisel Sena Pineda, Luis José Reséndiz de Santiago, Jhovany Cruz Herrera, Rodrigo Torres Dibildox, Fernanda Sarai Ramírez Becerril, Jorge Alejandro Sánchez Cervantes, Alejandro García Maravilla, Breidy Kevin Yeiki Rivera Sánchez, Diana Camila Soto Sánchez, Alioth Daphne Cruz Cortez, Javier Alfonso Martínez Acosta
Institutions: Universidad Autónoma de Guadalajara, Universidad Nacional de Colombia, Universidad Michoacana de San Nicolás de Hidalgo, Universidad Autónoma del Estado de Hidalgo, Universidad Autónoma del Estado de México, Autonomous University of San Luis Potosí, Autonomous University of Queretaro, Universidad Politécnica de Pachuca, Universidad del Noreste, Universidad Popular Autónoma del Estado de Puebla, Universidad Vasco de Quiroga
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7108341526
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