Barbed Sutures and Tendon Repair-a Review

Hand : Official Journal of the American Association for Hand Surgery
Ajul ShahAlexander Au

Abstract

Traumatic tendon lacerations are a common problem encountered by hand surgeons worldwide. Although the use of barbed suture to repair tendon lacerations has gained theoretical popularity in recent years, there is little information available regarding the safety, efficacy, longevity, or complications encountered when used in tenorraphy. In this study, we review the available literature on the use of barbed suture in tendon repair. Studies conducted between 1980 and 2014 were identified using several databases, including EMBASE, SCOPUS, MEDLINE, and Web of Science. Keywords used to search for appropriate studies included the following: barbed, v loc, quill, tendon, tendon injuries, suture, tenorraphy, injury, and laceration, in various combinations. Our initial literature search identified 47 articles, and 8 were deemed appropriate for review after applying our exclusion criteria. The data from each of the articles is reviewed for the following major categories:Maximum load to failureMode of failureLoad to 2-mm gapChange in cross-sectional areaType of repair. Barbed suture tenorraphy has a myriad of theoretical advantages, supported by varying ex vivo studies, as compared to traditional techniques. However, due to the non-unifor...Continue Reading

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Citations

Feb 13, 2019·Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale·E CrosettiG Succo
Jan 31, 2017·JBJS Reviews·Nathan T MorrellAdam B Shafritz
Nov 25, 2020·Veterinary Surgery : VS·Hadley E GleasonMariana E Kersh
Oct 23, 2018·ACS Applied Materials & Interfaces·Shelley D RawsonSarah H Cartmell

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