부산대학교 도서관

Twenty years ago, we concluded that it was useless to use suture material strong enough to allow early mobilisation, since material of this sort creates problems in the form of connective tissue reaction and even tendon necrosis. It is better to use what is called “the blocked suture”, which abolishes muscle tension on the repair, and, therefore, makes it possible to bring the tendon ends accurately together by fine sutures too weak to resist any muscle fore.[sup 19] This statement, from Claude Verdan's Founders Lecture to the American Society for Society of the Hand only 30 years ago, highlights the dramatic rate of change in our understanding and clinical approach to flexor tendon repair. At the time these words were spoken, Verdan and some of his more adventurous contemporaries were challenging the currently accepted dictum that repair of flexor tendons divided in the digit should not be attempted. This early work on the primary repair of flexor tendons by Verdan,[sup 20] Kleinert and associates,[sup 12] and Kessler and Nissim,[sup 11] among others, forever changed the landscape of Bunnell's “no man's land”,and paved the way for the clinical advances and explosion of research into flexor tendon healing and repair that have occurred in the last several decades. [ABSTRACT FROM AUTHOR]