PMID: 9421604Jan 1, 1997Paper

Suture methods for flexor tendon repair. A biomechanical analysis during the first six weeks following repair

Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery
S C WintersRichard H Gelberman

Abstract

This review describes the evolution of recently developed multi-strand, multi-grasp flexor tendon suture techniques. Analyses of digital angular joint rotation, tendon excursion, and ultimate tensile load at the time of repair and at three and six weeks following repair allowed comparison of a variety of innovative grasping and non-grasping multi-strand techniques. The first series of experiments describes an analysis of the Tajima, Tsuge, Savage, Kessler, double loop locking suture, and recently developed eight-strand suture techniques at the time of repair. The Tajima, Savage, and eight-strand repair methods were found to have statistically significant improved gliding function compared to those methods that featured external knots (Kessler and Tsuge) and methods that tended to bunch at the repair site (double loop locking suture). With regard to ultimate tensile load, the eight-strand repair was found to have the greatest strength (69N) of all tested methods (p < 0.05). The second series of experiments examined the Tajima, Kessler, Savage, and eight-strand suture methods at three and six weeks following tendon repair. A high percentage of failure within the Kessler repairs precluded their inclusion for final comparative anal...Continue Reading

References

Nov 1, 1977·The Journal of Hand Surgery·G D ListerE Atasoy
Oct 1, 1975·The Hand·K TsugeY Matsuishi
May 1, 1992·The Journal of Hand Surgery·K L SilfverskiöldA H Törnvall
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Mar 1, 1983·The Journal of Hand Surgery·H Seradge
Jul 1, 1993·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·M NoguchiS L Woo

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Citations

May 11, 2005·Hand Clinics·Martin I Boyer
Apr 28, 2004·Journal of Biomechanics·T W Tony W LinL J Louis J Soslowsky
Jan 28, 2003·Journal of Biomechanics·Chunfeng ZhaoKai-Nan An
Feb 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M Schädel-HöpfnerI Celik
Sep 4, 2015·Der Orthopäde·M F LangerB Wieskötter
Jul 17, 2004·Annual Review of Biomedical Engineering·David L ButlerMatthew R Dressler
Oct 22, 2008·The Journal of Hand Surgery·Jonathan RibohJames Chang
Nov 6, 2007·Clinical Biomechanics·Richard H ShinKai-Nan An
Aug 5, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S B HarrisD Elliot
Dec 3, 2013·Hand : Official Journal of the American Association for Hand Surgery·Masanori HayashiPeter C Amadio
Aug 9, 2008·The Journal of Hand Surgery, European Volume·A M Navali, A Rouhani
Jul 8, 2011·Annals of Plastic Surgery·Michael P CashWesley P Thayer
Nov 19, 2011·Veterinary Surgery : VS·Eric EverettRaffaella DeVita
Nov 22, 2014·Plastic and Reconstructive Surgery·Jason K F Wong, Fiona Peck
Oct 25, 2007·The Journal of Bone and Joint Surgery. British Volume·K M HirparaM E O'Sullivan
Aug 2, 2005·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Chunfeng ZhaoKai-Nan An
Jun 15, 2010·The Journal of Hand Surgery·Jun IkedaPeter C Amadio

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