Reconstruction of tendon losses

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.