A proposed protocol for the prevention of flexor tendon adhesions in zone II of the hand

Injuries of hand involving zone II are burdened by a significant number of treatment failures due to the development of adherences that prevent normal gliding of tendons. Surgical adherences are the result of the physiological process of tendon healing during the first 14 days following surgery. Due to the high frequency of hand traumas and the poor results of surgical treatment, numerous studies have been carried out on various anti-adhesion strategies, although no definitive solution has been found. In this manuscript, we report our experience on a hyaluronan-based gel (Hyaloglide) as a preventive measure of surgical adherences due to tenolysis and tendon repair in zone II of the hand. Based on the homogeneity of the results obtained, we propose a treatment protocol based on the efficacy of the device tested.