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Bertolini et al. Plast Aesthet Res 2023;10:34 Plastic and
DOI: 10.20517/2347-9264.2022.121
Aesthetic Research

Review Open Access

Reconstruction of tendon losses

2
1
3
2
Maddalena Bertolini , Carlotta Faccenda 1 , Chiara Parolo , Sara Stucchi , Andrea Marchesini , Francesco
3
De Francesco , Michele Riccio 3
1
Department of Orthopaedic and Traumatology, Hand and Microsurgery Unit, Orthopaedic and Trauma Centre, AOU Città Della
Salute E Della Scienza Di Torino, Turin 10126, Italy.
2
University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan 20123,
Italy.
3
Department of Plastic and Reconstructive Surgery, Hand Surgery Unit, Azienda Ospedaliero Universitaria delle Marche, Ancona
60121, Italy.
Correspondence to: Dr. Maddalena Bertolini, Department of Hand Surgery, Azienda Ospedaliero-Universitaria Città della Salute
e della Scienza di Torino, via Zuretti 2910126 Turin, Italy. E-mail: maddabertolini@gmail.com
How to cite this article: Bertolini M, Faccenda C, Parolo C, Stucchi S, Marchesini A, De Francesco F, Riccio M. Reconstruction of
tendon losses. Plast Aesthet Res 2023;10:34. https://dx.doi.org/10.20517/2347-9264.2022.121
Received: 26 Oct 2022 First Decision: 3 Mar 2023 Revised: 14 Apr 2023 Accepted: 25 Jun 2023 Published: 3 Jul 2023

Academic Editor: Raymund E. Horchi Copy Editor: Yanbing Bai Production Editor: Yanbing Bai

Abstract
This review discusses the latest literature-based evidence on reconstructive strategies following tendon losses,
with a final focus on the innovative regenerative approach. Significant improvements in primary tendon repair
techniques have radically reduced the failure rate and therefore decreased the use of reconstructive procedures.
However, in specific conditions, such as crush injuries with loss of substance, avulsion injuries and inveterate
injuries, the tendon gap cannot be repaired with a primary suture, making the procedure much more challenging for
the surgeon. This article aims to guide the treatment of tendon losses, which is still a complex topic in hand
surgery.

Keywords: Tendon losses, tendon reconstruction, hand surgery

INTRODUCTION
Tendon injuries are a frequently encountered and commonly treated condition in our hospitals.

© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
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