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Abstract Primary surgical repair has been the treatment of choice in managing acute lacerated tendons since the mid- 20th century. Post-surgical strength for tendon injuries are influenced by the repair technique, properties of the suture, knot security and its configuration. The surgical suture technique that are used for flexor tendon repair consist of two parts, its core suture and its peripheral suture. While peripheral suture are most often similar, the number and technique for core suture often differ. Previously, a two strand repair was considered strong enough to be applied in clinical practice, however this belief was soon brought into question as multiple studies reported a high incidence in rupture rates after initiation of early active mobilization protocols, which only until recently, has been accepted as a gold standard in rehabilitation management. |