Flexor tendon repair: a comparative study between a knotless barbed suture repair and a traditional four-strand monofilament suture repair
| Autor: | Sean M. Carroll, J. C. Chan, Cormac W. Joyce, Mary Murphy, K. E. Whately, Fergal J. O'Brien |
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| Rok vydání: | 2013 |
| Předmět: |
tensile
medicine.medical_specialty animal structures Flexor tendon repair Swine fiberwire medicine.medical_treatment gliding resistance Repair method Tendons Random Allocation modified kessler flexor tendon repair Tendon Injuries Tensile Strength Materials Testing medicine Animals Humans four-strand repair tenorrhaphy active mobilization Reduction (orthopedic surgery) model Sutures Flexor tendon business.industry Suture Techniques Equipment Design Tendon rupture musculoskeletal system Surgery Tendon medicine.anatomical_structure barbed suture Barbed suture Monofilament suture adelaide repair strength business location |
| Zdroj: | Journal of Hand Surgery (European Volume). 39:40-45 |
| ISSN: | 2043-6289 1753-1934 |
| Popis: | We compared the tensile strength of a novel knotless barbed suture method with a traditional four-strand Adelaide technique for flexor tendon repairs. Forty fresh porcine flexor tendons were transected and randomly assigned to one of the repair groups before repair. Biomechanical testing demonstrated that the tensile strengths between both tendon groups were very similar. However, less force was required to create a 2 mm gap in the four-strand repair method compared with the knotless barbed technique. There was a significant reduction in the cross-sectional area in the barbed suture group after repair compared with the Adelaide group. This would create better gliding within the pulley system in vivo and could decrease gapping and tendon rupture. |
| Databáze: | OpenAIRE |
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