67 tendon sutures were performed on 29 patients using polydioxanon (PDS), a synthetic absorbable suture material. The results after a mean survey period of twelve months are documented; there were no ruptures and fistula, only two infections and in four cases the need for tenolysis. In the reconstruction of isolated flexor tendon injuries 89% excellent results were found. The satisfactory and bad results in reconstructing flexor and extensor tendon injuries accompanied by complex hand injuries are analyzed and discussed.