Flexor Pulley Reconstruction

Christopher J. Dy, Aaron Daluiski

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Flexor pulley reconstruction is a challenging surgery. Injuries often occur after traumatic lacerations or forceful extension applied to an acutely flexed finger. Surgical treatment is reserved for patients with multiple closed pulley ruptures, persistent pain, or dysfunction after attempted nonoperative management of a single pulley rupture, or during concurrent or staged flexor tendon repair or reconstruction. If the pulley cannot be repaired primarily, pulley reconstruction can be performed using graft woven into remnant pulley rim or looping graft around the phalanx. Regardless of the reconstructive technique, the surgeon should emulate the length, tension, and glide of the native pulley.

Original languageEnglish
Pages (from-to)235-242
Number of pages8
JournalHand clinics
Issue number2
StatePublished - May 2013


  • Biomechanics
  • Flexor pulley reconstruction
  • Flexor tendon bowstringing


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