Two-, four-, and six-strand zone II flexor tendon repairs: an in situ biomechanical comparison using a cadaver model

The Journal of Hand Surgery
R T ThurmanP K Kiser

Abstract

A dynamic in vitro model of zone II flexor tendon repair was used to compare gliding resistance, gap formation, and ultimate strength of the 2-, 4-, and 6-strand repair techniques. Each of 12 hands was mounted to a loading frame with 3 flexor tendons attached to individual pneumatic cylinders. A spring attached to a pin through the distal end of each digit provided a 1.25-kg resistance force. The force required to flex each proximal interphalangeal joint to 90 degrees was determined. Following this, the tendons were sectioned and each was repaired using a different technique so that each specimen acted as its own control. The 2- and 4-strand core sutures were placed using a suture interlock technique with radial and ulnar grasping purchase of the tendon on each side of the transverse part of the repair. Each repair was accomplished using a single core stitch with the knot buried between the tendon ends. The 4-strand repair involved an additional horizontal mattress suture with the knot buried. Repair of the dorsal side of the tendon was performed followed by core suture placement. The palmar portion of the peripheral locking suture was completed after core suture placement. Following repair, each hand was remounted on the frame...Continue Reading

References

Oct 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D BhatiaN D Citron
Mar 1, 1992·The Journal of Hand Surgery·F SchuindK N An
May 1, 1992·The Journal of Hand Surgery·K L SilfverskiöldA H Törnvall
Feb 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·I A TrailJ Noble
Feb 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G A Robertson, M M al-Qattan
Jul 1, 1991·The Journal of Hand Surgery·D L PruittB Fink
May 1, 1989·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P J WadeA A Amis
Jun 1, 1985·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R Savage
Feb 1, 1986·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·P J WadeL L Hutcheon
Mar 1, 1983·The Journal of Hand Surgery·H Seradge
Jan 1, 1981·Scandinavian Journal of Plastic and Reconstructive Surgery·A Ejeskär, L Irstam
Sep 1, 1994·The Journal of Hand Surgery·J T BarmakianR S Casar
Nov 1, 1994·The Journal of Hand Surgery·W F WagnerJ P Toombs
Jan 1, 1993·The Journal of Hand Surgery·K L Silfverskiöld, C H Andersson
Feb 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H J Boulas, J W Strickland

❮ Previous
Next ❯

Citations

May 11, 2005·Hand Clinics·Martin I Boyer
May 3, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·T M LawrenceT R C Davis
Jun 4, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Y Cao, J B Tang
Jun 2, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A WadaY Iwamoto
May 25, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Y CaoJ B Tang
Apr 28, 2009·British Medical Bulletin·Anil KhannaNicola Maffulli
Oct 26, 2001·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·K A Barrie, S W Wolfe
Aug 11, 2010·Indian Journal of Orthopaedics·Narender SainiSp Gupta
Jul 30, 2014·Hand Clinics·Brian Zafonte, Robert M Szabo
Sep 4, 2012·Hand : Official Journal of the American Association for Hand Surgery·Yazeed Mazen GussousKai-Nan An
Aug 4, 2012·The Journal of Hand Surgery·Aaron W T GanShian Chao Tay
Mar 6, 2012·The Journal of Hand Surgery·Ya Fang Wu, Jin Bo Tang
Feb 22, 2011·The Journal of Hand Surgery·Tim S PeltzWilliam R Walsh
Jun 15, 2010·The Journal of Hand Surgery·Jun IkedaPeter C Amadio
Dec 12, 2007·The Journal of Hand Surgery·Yrjänä NietosvaaraNadja Ristaniemi
Dec 6, 2006·The Journal of Hand Surgery·Bassem ElhassanPeter Amadio
Jul 18, 2006·The Journal of Hand Surgery·Denju OsadaKoichi Saotome
Jul 26, 2005·The Journal of Hand Surgery·Tom M Lawrence, Tim R C Davis
Sep 22, 2015·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Tim Sebastian PeltzWilliam Robert Walsh
Aug 30, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Thijs de WitJohan W van Neck
Sep 4, 2015·Hand : Official Journal of the American Association for Hand Surgery·David T NetscherPhilip Noble
Jul 6, 2010·Matrix Biology : Journal of the International Society for Matrix Biology·J K F WongD A McGrouther
Jan 23, 2015·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Hirotaka OkuboFuminori Kanaya
Mar 15, 2015·Hand : Official Journal of the American Association for Hand Surgery·Ajul ShahAlexander Au
Mar 21, 2000·The Journal of Hand Surgery·J W Strickland
Jul 20, 2016·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Sharath SundararajThomas Hedman
Aug 20, 2008·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·C H YenK H Mak
Mar 20, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Maryam FarzadS Ali Hosseini
Mar 23, 2005·The Journal of Hand Surgery·Brian W SuMelvin P Rosenwasser
May 8, 2007·The Journal of Hand Surgery·Brian MillerThomas E Trumble
Jan 29, 2014·Plastic and Reconstructive Surgery·Jeffrey E Janis, Bridget Harrison
Jun 28, 2017·Plastic and Reconstructive Surgery·Robin N Kamal, Jeffrey Yao
Jul 10, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·B WangJ B Tang
Apr 15, 2011·The Journal of Hand Surgery, European Volume·Y F Wu, J B Tang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
M NoguchiS L Woo
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
S C ZatitiC H Barbieri
© 2022 Meta ULC. All rights reserved