chapter
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Part II: Basic Techniques

In hand surgery, it is often necessary to repair soft tissue to bone.

Prior to the advent of suture anchors, tissue such as capsule,

ligament, or tendon was attached to bone by direct suture to

periosteum, or use of bone tunnels with pullout sutures or

sutures tied over a bone bridge. Although useful and cost-

effective, all of these techniques have a certain limitations and

do, at times, require longer or separate incisions and signi-

ficantly more soft tissue dissection and stripping.