Traumatic Lacerations of Flexor Tendons of the Hand: A Retrospective Epidemiological Study and Review of Current Therapeutic Concepts

IntroductionFlexor tendon lacerations of the hand are a frequent surgical emergency with major functional and socioeconomic implications.This retrospective study reports our recent experience at the Department of Trauma and Orthopedic Surgery A of Ibn Tofail University Hospital, Marrakech, over a six-month period, with a minimum follow-up of six months for each included patient. MethodsThirty consecutive patients presenting with flexor tendon lacerations of the hand, managed between January 2026 and June 2026, were included.Sixty-five tendon injuries were analyzed.Functional assessment was performed using the White and Boyes criteria. ResultsThe mean age of the participants was 32 years (range: 17-58 years), with a clear male predominance (n=26, 86.7%).Stab wounds were the leading etiology (n=13, 43.3%).Zone II accounted for 27 (41.5%)lesions.Primary repair using the modified Masson-Kessler core suture was performed in 28 (93.3%)cases.At a sixmonth follow-up, 18 (72%) reviewed patients showed excellent or good functional outcomes. ConclusionOur findings confirm the local epidemiological profile and highlight the importance of high-quality primary repair combined with early rehabilitation.The integration of the Wide Awake Local Anesthesia No Tourniquet (WALANT) technique into our practice offers promising prospects for further improving outcomes.