New IFSSH flexor tendon repair recommendations - practice changing?

https://journals.sagepub.com/doi/abs/10.1177/17531934251404821

A nice paper from IFSSH - Tang/Lalonde et al. in the JHSEur

Article has a very good summary table of all the most recent recommendations but the ones from this paper are as follows;

1. A 6-strand core suture is recommended for all repair of the FDP tendon in zone 2.

2. True active flexion exercise should be the key component of early active motion therapy. Active flexion to half of the full flexion arc should form a standard or main part of all therapy after primary repair.

3. Avoid a lengthy incision for a zone 1 and 2 repair in fingers. This is a key to reducing oedema in the finger, making it easier to achieve active flexion postoperatively. If necessary, use a separate incision in the palm to find a proximally retracted tendon.

4. Suture knots should be placed outside the tendon surface. Avoid any knots between two tendon stumps, as this decreases the cross-sectional area for tendon healing and connection of tendon tissue.

5. Traditional running peripheral sutures should be abandoned in all repairs where a six-strand core suture has been used. Instead, a few separate stitches of sutures are placed to close any visible gaps between the two stumps.

6. Place-and-hold exercise should be abandoned, as this is ineffective. It is also misleading as the patient feels that he or she is actively moving the tendon.

Thoughts?