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Biomechanical properties of four circumferential flexor tendon suture techniques.
- Source :
-
The Journal of hand surgery [J Hand Surg Am] 2003 Sep; Vol. 28 (5), pp. 824-31. - Publication Year :
- 2003
-
Abstract
- Purpose: We introduce 2 interlocking circumferential flexor tendon suture techniques: the interlocking cross-stitch and the interlocking horizontal mattress repair and biomechanically tested them against 2 commonly used methods.<br />Methods: Thirty-two deep digital flexor tendons harvested from sheep hindlimbs were transected sharply. These were repaired without a core suture using 4 different circumferential repair techniques: group 1, simple running; group 2, cross-stitch; group 3, interlocking cross-stitch; group 4, interlocking horizontal mattress. All tendons were tested to failure at a distraction rate of 20 mm/min. Load to 2-mm gap formation, stiffness, load to failure, and method of failure all were assessed.<br />Results: The mean load to 2-mm gap formation was 22.8, 20.7, 20.0, and 26.1 N for groups 1, 2, 3, and 4, respectively. The mean stiffness was 7.6, 8.1, 8.7, and 10.1 N/mm, and the mean load to failure was 30.9, 42.1, 49, and 52.9 N for groups 1, 2, 3, and 4, respectively. There was no statistically significant difference between groups 2 and 3. Group 4, however, was statistically better than the others in all measured parameters (except group 3 in load to failure).<br />Conclusions: The interlocking horizontal mattress was the best performer overall, with statistically greater loads to failure, 2-mm gap formation, and stiffness. This technique could be considered for use in any patient likely to begin an early postoperative finger mobilization program.
Details
- Language :
- English
- ISSN :
- 0363-5023
- Volume :
- 28
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Journal of hand surgery
- Publication Type :
- Academic Journal
- Accession number :
- 14507514
- Full Text :
- https://doi.org/10.1016/s0363-5023(03)00305-8