Online citations, reference lists, and bibliographies.
← Back to Search

Comparison Of Mechanical Properties Of Various Suture Repair Techniques In A Partially Lacerated Tendon.

M. Zobitz, C. Zhao, P. Amadio, K. An
Published 2000 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Share
The technique of surgical repair for zone two flexor tendon injuries has been debated extensively throughout the years, yet adhesion formation, suture rupture, and suture locking on the pulley edge remain possible consequences of a poor repair. The partially lacerated tendon is especially challenging to treat since there can be justification for not intervening surgically. In a partial laceration canine model we measured failure load and suture gap formation for tendons repaired with the Lee, modified four-strand Savage, Kessler, modified Kessler, and Augmented Becker core suture techniques and with a simple running peripheral suture. The modified Kessler (106.3 N, SD 18.8 N) and modified Savage (108.2 N, SD 19.9 N) repair techniques had a significantly higher failure load than the Lee (85.0 N, SD 20.6 N) suture method (P < 0.05), while there were no differences among the other techniques. There were no significant differences in resistance to gap formation among the repair techniques, with the mean values ranging from 38.9 N/mm (SD 15.7 N/mm) using the simple running suture to 53.2 N/mm (SD 25.8 N/mm) with the Kessler repair. The mean load to produce a 1.5 mm repair site gap ranged from 71.1 N (SD 21.5 N) in the Lee repair to 91.3 N (SD 22.2 N) in the Augmented Becker repair although there were no significant differences among repair methods. All repair methods were much weaker than tendons left unrepaired (184.7 N, SD 41.3 N).
This paper references
10.1016/S0363-5023(83)80012-4
Elongation of the repair configuration following flexor tendon repair.
H. Seradge (1983)
10.1097/00006534-197601000-00008
SHOULD AN INCOMPLETELY SEVERED TENDON BE SUTURED?
B. Reynolds (1976)
10.1016/0363-5023(92)90408-H
Flexor tendon forces: in vivo measurements.
F. Schuind (1992)
10.1016/S0266-7681(84)80006-6
An Experimental Study on Incompletely Cut Chicken Tendons—A Comparison of Two Methods of Management
S. Chow (1984)
10.1002/JOR.1100160402
Analytic model to predict the strength of tendon repairs
J. Lotz (1998)
10.1097/00006534-197602000-00026
Should an incompletely severed tendon be sutured? Commentary.
Kleinert He (1976)
10.1016/0363-5023(94)90182-1
Comparison of a suture technique with the modified Kessler method: resistance to gap formation.
J. T. Barmakian (1994)
10.1016/S0072-968X(77)80122-8
Eliminating the Gap in Flexor Tendon Surgery
H. Becker (1977)
10.1016/S0363-5023(77)80096-8
Tendon healing: an experimental model in the dog.
C. McDowell (1977)
10.1016/S0363-5023(97)80040-8
Partial lacerations of human digital flexor tendons: a biomechanical analysis.
J. Hariharan (1997)
10.1016/0266-7681(92)90083-E
Partial Flexor Tendon Injuries: To Repair or Not
D. McGeorge (1992)
10.1053/JHSU.1999.0302
Effects of tenorraphy on the gliding function and tensile properties of partially lacerated canine digital flexor tendons.
N. D. Boardman (1999)
10.1002/JOR.1100100206
Biochemically discrete zones of canine flexor tendon: Evaluation of properties with a new photographic method
P. Amadio (1992)
10.1053/JHSU.1999.0295
Biomechanical analysis of the cruciate four-strand flexor tendon repair.
E. McLarney (1999)
10.1016/0266-7681(85)90001-4
In vitro studies of a new method of flexor tendon repair.
R. Savage (1985)
10.1016/S0363-5023(05)80021-8
Biomechanical and clinical evaluation of the epitenon-first technique of flexor tendon repair.
R. Papandrea (1995)
10.1097/00005373-198604000-00001
Treatment of partial flexor tendon lacerations: the effect of tenorrhaphy and early protected mobilization.
A. Bishop (1986)
Effect of partial lacerations on canine flexor tendons.
Dobyns Rc (1982)
10.1016/S0363-5023(05)80434-4
Effect of partial laceration on the structural properties of the canine FDP tendon: an in vitro study.
D. M. McCarthy (1995)
10.1016/S0363-5023(05)80023-1
Clinical management of partially lacerated digital flexor tendons : a surgery of hand surgeons
D. Mccarthy (1995)
10.1097/00003086-198011000-00041
The effects of mobilization on the vascularization of healing flexor tendons in dogs.
R. Gelberman (1980)
10.2106/00004623-199810000-00011
Use of the Taguchi Method for Biomechanical Comparison of Flexor-Tendon-Repair Techniques to Allow Immediate Active Flexion. A New Method of Analysis and Optimization of Technique to Improve the Quality of the Repair*†
G. Singer (1998)
10.1016/S0363-5023(88)80094-7
Biomechanical studies of running suture for flexor tendon repair in dogs.
G. T. Lin (1988)
10.1016/0363-5023(94)90102-3
Tendon repair using flexor tendon splints: an experimental study.
M. Aoki (1994)
10.1053/JHSU.1999.1315
A comparative analysis of the six-strand double-loop flexor tendon repair and three other techniques: a human cadaveric study.
R. Gill (1999)
10.1016/S0363-5023(81)80051-2
Three complications of untreated partial laceration of flexor tendon­ Entrapment, rupture, and triggering
J. Schlenker (1981)



This paper is referenced by
10.31031/SMOAJ.2018.01.000518
Comparison of Modified Kessler Technique versus Four Strand Cruciate Technique for Repair of Long Flexor Tendons of Fingers: A Randomized Controlled Trial
Safdar Ali Shaikh (2018)
10.1016/B978-1-4160-3623-4.00048-1
Extensor and Flexor Tendon Injuries in the Hand, Wrist, and Foot
P. Sokolove (2010)
Raif Ozden et al.: Effects of of Adcon Gel on Peritendinous Adhesion Original Effects of a Single Application of Adcon Gel on Peritendinous Adhesion: An Experimental Study in Rabbits
Raif Ozden (2014)
10.1097/PRS.0000000000004290
The Management of Partial Zone II Intrasynovial Flexor Tendon Lacerations: A Literature Review of Biomechanics, Clinical Outcomes, and Complications
K. Lineberry (2018)
10.2106/00004623-200402000-00015
Digital resistance and tendon strength during the first week after flexor digitorum profundus tendon repair in a canine model in vivo.
C. Zhao (2004)
10.1177/1753193413490898
Effect of triggering and entrapment on tendon gliding properties following digital flexor tendon laceration: in vitro study on turkey tendon
J. A. Kennedy (2014)
10.1038/s41598-019-57332-8
Biomechanical comparison of the use of different surgical suture techniques for continuous loop tendon grafts preparation
C. Zhang (2020)
10.1016/j.matbio.2010.06.002
The cell biology of suturing tendons
J. Wong (2010)
10.1016/S0021-9290(02)00038-6
Reproducible volar partial lacerations in flexor tendons: a new device for biomechanical studies.
L. Erhard (2002)
10.1016/S0266-7681(03)00168-2
Changes in Tendon Strength After Partial Cut and Effects of Running Peripheral Sutures
J. Tan (2003)
A COMPARATIVE STUDY OF TWO SUTURE CONFIGURATIONS IN ZONE II FLEXOR TENDON REPAIR IN ADULTS
A. Navali (2008)
Towards an Understanding of the Mechanisms of Acellular Zone Formation in Sutured Tendons
S. A. Youha (2011)
10.2106/00004623-200206000-00016
Treatment of Partial Lacerations in Flexor Tendons by Trimming: A Biomechanical in Vitro Study
L. Erhard (2002)
10.2485/JHTB.23.199
Effects of a Single Application of Adcon Gel on Peritendinous Adhesion: An Experimental Study in Rabbits
Raif Özden (2014)
10.1515/aut-2017-0007
Experimental and Numerical Analysis of the Tendon Repair Process Using Tubular Braided Fabrics
J. Ochola (2018)
Collagen membrane alleviates peritendinous adhesion in the rat Achilles tendon injury model.
H. Zhao (2013)
10.1016/j.main.2014.01.004
Support for partial lesions of the flexor tendons of the fingers: a retrospective study of 36 cases.
N. Maire (2014)
10.1007/978-1-62703-989-5_6
A mouse model of flexor tendon repair.
Sys Hasslund (2014)
10.1302/0301-620X.92B8.23309
Effect of laceration and trimming of a tendon on the coefficient of friction along the A2 pulley: an in vitro study on turkey tendon.
L. Hajipour (2010)
10.1117/1.1776177
Biomedical Photonics Handbook
T. Vo-Dinh (2003)
10.1146/ANNUREV.BIOENG.6.040803.140240
Functional efficacy of tendon repair processes.
D. Butler (2004)
10.1053/JHSU.2001.26031
Tensile properties of suture methods for repair of partially lacerated human flexor tendon in vitro.
M. Zobitz (2001)
10.1016/j.jhsa.2008.09.020
Gliding resistance and strength of composite sutures in human flexor digitorum profundus tendon repair: an in vitro biomechanical study.
J. M. Silva (2009)
10.1177/1753193415584715
Tensile mechanical properties of human forearm tendons
J. F. Weber (2015)
10.1016/J.JHSB.2004.02.011
Repairs of Partial Oblique Tendon Injuries: A Biomechanical Evaluation
J. Tan (2004)
10.1007/s11552-011-9344-6
The resurgence of barbed suture and connecting devices for use in flexor tendon tenorrhaphy
Yazeed Mazen Gussous (2011)
10.1016/j.jhsa.2008.12.014
Comparison of 1- and 2-knot, 4-strand, double-modified kessler tendon repairs in a porcine model.
L. Rees (2009)
10.1201/9780203008997.ch39
Laser Tissue Welding
K. M. McNally-Heintzelman (2004)
Semantic Scholar Logo Some data provided by SemanticScholar