A biomechanical comparison of techniques of flexor tendon repair

1994 ◽  
Vol 19 (6) ◽  
pp. 979-983 ◽  
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William F. Wagner ◽  
Charles Carroll ◽  
James W. Strickland ◽  
David A. Heck ◽  
James P. Toombs
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2006 ◽  
Vol 39 (01) ◽  
pp. 94-102
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G. Balakrishnan

ABSTRACTStronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed looped sutures (supramid). This is not available in many countries and we describe a technique whereby looped sutures can be introduced in flexor tendon repair by the use of 23 G hypodermic needle and conventional 4.0 or 5.0 sutures. This is an alternative when the custom made preformed sutures are not available. This can be practiced in zone 3 to zone 5 repairs. Technical difficulties limit its use in zone 2 repairs.


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