Modified Pull-Out Technique for Zone One Flexor Digitorum Profundus Repair

Document Type : TECHNICAL NOTE


1 Ramsay Générale de Santé, Capio, Hôpital Privé Paul d’Egine, 4 avenue Marx Dormoy, Champigny-sur-Marne, France

2 Ramsay Générale de Santé, Capio, Clinique Jouvenet, Paris, France


Pull-out suture fixation is widely used to fix zone one flexor tendon injuries. The original technique of Bunnell generally
has good results. However, in some cases, it may result in complications, including nail deformity and infection. The
all-inside techniques for fixation of the tendon at this zone cannot totally replace the Pull-out technique. In this article,
we propose a modification of the pull-out technique, which can reduce the complications and report the results of our
patients’ series.
Level of evidence: IV


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