In vitro biomechanical evaluation of the double loop suture for flexor tendon repair.

Autor: Veitch A; Department of Orthopaedics and Rehabilitation, School of Medicine, University of New Mexico, Albuquerque 87131-5296, USA., Firoozbakhsh K, Pribyl CR, McNally T
Jazyk: angličtina
Zdroj: Clinical orthopaedics and related research [Clin Orthop Relat Res] 2000 Aug (377), pp. 228-34.
DOI: 10.1097/00003086-200008000-00030
Abstrakt: Fifty-one fresh frozen human anatomic specimen flexor superficialis and profundus tendons that had been transected completely were repaired using the double loop, the single loop, and the modified Kessler techniques, and the resistances to mechanical distraction at 1, 2, and 3 mm and the ultimate load to failure were compared. The mechanical distraction at 1, 2, and 3 mm created nearly identical gaps at the tendon repair sites. There was no significant difference among the three repair techniques to resisting distraction at 1 and 2 mm. However, the double loop technique presented a mean resistance force of 22.0 N to distraction at 3 mm and 45.8 N in load to failure, which was significantly greater than the single loop (18.8 N at 3 mm distraction and 31.5 N failure load) and the modified Kessler (19.0 N at 3 mm distraction and 26.0 N failure load). This suggests the double loop technique may be superior to the single loop and the modified Kessler techniques in resisting gap in the range of forces generated in the early rehabilitation protocol.
Databáze: MEDLINE