4.0 Article

Tendon: Principles of Healing and Repair

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SEMINARS IN PLASTIC SURGERY
卷 35, 期 3, 页码 211-215

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THIEME MEDICAL PUBL INC
DOI: 10.1055/s-0041-1731632

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tendon healing; tendon repair; tendon inflammation

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Tendons store, release, and dissipate energy to transmit contractile forces efficiently. Injuries range from chronic tendinopathy to acute rupture, with repair and regeneration following specific steps with tendon-specific durations. Acute injuries to hand tendons are particularly important, with treatment focusing on minimal immobilization and hand therapy to prevent adhesions. Understanding the biomechanical principles of tendon healing is essential for optimal care of tendon injuries.
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.

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