The investigators aim to evaluate the efficacy & applicability of using deep fascial grafts and acellular dermal matrix conduits in reducing post flexor tendon repair adhesions and improving the clinical outcome.

Inclusion Criteria:

• recent hand cut tendon

Exclusion Criteria:

1. All patients less than 16 years old.
2. Zone 1 , 3 , 4 and zone 5 flexor tendon injuries.
3. Patients with flexor pollicis longus tendon injury.
4. Severely lacerated or crushed tendons.
5. Tendon defects.
6. Multiple level tendon injuries.
7. Associated injuries to muscles.
8. Associated hand or forearm fractures.
9. Patients with poor general condition.
10. Patients with limited passive hand movements.
11. Soft tissues defects overlying the repaired tendons.