Tendon: Principles of Healing and Repair

作者：Christian Chartier, Hassan ElHawary, Aslan Baradaran, Joshua Vorstenbosch, Liqin Xu, Johnny Ionut Efanov · 发表于：Seminars in Plastic Surgery · 年份：2021 · DOI：10.1055/s-0041-1731632 · 被引用次数：75 · 研究领域：Tendon Structure and Treatment、Orthopedic Surgery and Rehabilitation、Shoulder Injury and Treatment

Tendon stores, releases, and dissipates energy to efficiently transmit contractile forces from muscle to bone. Tendon injury is exceedingly common, with the spectrum ranging from chronic tendinopathy to acute tendon rupture. Tendon generally develops according to three main steps: collagen fibrillogenesis, linear growth, and lateral growth. In the setting of injury, it also repairs and regenerates in three overlapping steps (inflammation, proliferation, and remodeling) with tendon-specific durations. Acute injury to the flexor and extensor tendons of the hand are of particular clinical importance to plastic surgeons, with tendon-specific treatment guided by the general principle of minimum protective immobilization followed by hand therapy to overcome potential adhesions. Thorough knowledge of the underlying biomechanical principles of tendon healing is required to provide optimal care to patients presenting with tendon injury.