Distal Tendon Repair Instructions

Step 1

step 1

Create standard tenotomy 1cm from end of the tendon.

Install Teno Fix® soft tissue anchor capturing collagen fibers.

Step 2

step 2

Pass stainless steel suture with needle through anchor and out mid substance of the tendon.

Close the tenotomy with 6-0 suture.

Step 3

step 3

Use 22 gauge needle distal to A5 pulley to guide suture/needle through distal tendon segment.

Step 4

step 4

Drill through distal phalanx and out nail bed with .045" (1.1mm) k-wire.

Step 5

step 5

Use 22 gauge needle to guide suture through phalanx and nail bed.

Approximate tendon edges with epitendonous stitch as needed.

Step 6

step 6

Approximate repair and crimp bead on properly sized endo button.

Cut suture flush with bead.

After healing, pull up on endo button and cut suture flush with nail.