This 72 year old man sustained an injury to FDP and RDN of his left, non-dominant, index finger using an electric hedge trimmer 17 days earlier and underwent a primary repair procedure.

He represented 10 days after surgery with evidence of a localised infection.

Exploration and washout revealed a deep seated infection, disruption of the RDN repair but intact FDP, although frayed.

Two further inspections and washout found copius pus and cellulitis but an intact tendon.

QUESTION: discuss your management plan for him and how will you counsel him. What will be the options and what are the long term hand function that can be expected for your options.