Animation of PONTiS flexor tendon repair

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  1. The first suture pass is made across the tendon 10 to 12mm from the cut end and the next two passed are 5 to 6mm from the cut end
  2. Each pass is made perpendicular to the long axis of the tendon and the suture ends are equalized
  3. Each suture end is brought over the tendon and passed through the center of the tendon also perpendicular to the long axis of the tendon. This creates a tidy cross lock attachment
  4. Each suture strand is then passed out of the center of the cut end with a simple gliding stitch. The needles are cut off close to the end
  5. The crimp holder with a loaded crimp is brought into the field and the sutures are passed from opposite sides through the crimp. The suture ends are color coded
  6. Gentle traction form both sides will bring the tendon ends together at the exact tension needed
  7. At this point a single epitendinous stitch is placed to ensure perfect rotation of the tendon ends
  8. The crimp tool is brought in and taking care to position it without damaging the tendon it is placed exactly on the center of the crimp. Care is taken not to damage the suture strands. The crimp is compressed for 10 seconds
  9. A few additional epitendinous stitches are placed to cover over the crimp
  10. This creates a very tidy tendon repair

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