Mousavi SR, Surgery Vascular and Trauma, Shohada Medical Center, Shohada Medical Center Tajrish Tehran Iran, 259 Abadan St, Nabsheh Shahid Nadi St, Narmak Tehran Iran, Tehran, Iran and Kalantar Motamedi AR, Hazrat Rasoul Medical Complex, Iran University of Medical Sciences, Tehran, Iran.
OBJECTIVES: This is a new technique for managing tendon repair which can improve the results of existing methods. METHODS:105 patient with new or old tendon injuries or complications of previous repair underwent tendon repair by modified Kessler method and a portion of the saphenous veins was used to cover the repaired tendon. 90 patient had flexor tendon injuries which involved zone 1 to 5, and 15 patient had extansor tendon injuries ( zone 5 t0 7). A modified Kessler technique with 3-0 prolene was used for the core suture. Afterwards, a running 6-0 nylon or prolene epitendinous suture was used to even the repair site. After the tendon repair, a segment of vein which the tendon has been passed through prior to the repair was used as a tendon sheath substitue. A 6-0 prolene was used for anastomosis of the proximal and distal ends of the sheath defect to an interposed segment of autogenous or frozen vein. RESULTS: our preliminary results appear encouraging when compared with outcomes achieved by conventional tendon repair techniques. CONCLUSIONS: because this technique reduce the adhesion formation, and also improve tendon nurishment, and also decrease the need of intensive physiotherapy, it can be a standard choice in the future. ____________________________________________________________