We report our experience of using double or multiple looped sutures fo
r primary tenorrhaphy combined with early active mobilization. In 46 p
atients involving 51 fingers with flexor tendon lacerations, double th
reads of the looped nylon suture were placed to repair injured FDP or
FDS tendons, or three threads of looped nylon suture were made to repa
ir the FDP tendons. Using White's (1956) criteria, the results were go
od or excellent in 76.5% of fingers. The double and multiple looped su
tures are of sufficient strength to sustain early motion, and cause li
ttle disturbance in the circulation. Satisfactory function following p
rimary tendon repair can be expected,vith these new techniques.