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3Reduction

If the tendon has retracted to the PIP joint, the zigzag incision has to be extended to the PIP joint.

Reposition the tendon

If the tendon has retracted to the PIP joint, the zigzag incision has to be extended to the PIP joint.
Use a small flexible catheter or similar tool to retract the tendon.
Use a 4 (o) suture to hold the end of the FDP in the Mansson fashion and pass these through a suture loop. The tendon will be repositioned by exerting pull with the suture.