**3. Conclusions**

Many advances have been made in the understanding of tendinous healing mechanism—e.g. rehabilitation programmes, suture technique—but it is important to consider the various other factors related to injury itself that can significantly affect the final outcome, these include: the type of initial injury (clean cut, avulsion or contusion), associated injuries (phalangeal fractures, skin loss or any neurovascular bundle injury) and extent of injury to tendon sheath and pulley system, especially in zone II. However, the maneuvers which help in achieving better end results should essentially be followed, which include: an atraumatic handling of structures preferably under microscope and use of an anatomic suture with high potential of resistance thereby allowing to start immediate active motion and last but not least a well-motivated patient who understands and follows postoperative physiotherapy protocol under the supervision of a hand therapist and an operating surgeon.
