A 3-Dimensional Suture Technique for Flexor Tendon Repair: A Biomechanical Study

Author(s):  
Marie Castoldi ◽  
Federico Solla ◽  
Olivier Camuzard ◽  
Martine Pithioux ◽  
Virginie Rampal ◽  
...  
2010 ◽  
Vol 37 (1) ◽  
pp. 79-84 ◽  
Author(s):  
M. Schädel-Höpfner ◽  
J. Windolf ◽  
T. T. Lögters ◽  
M. Hakimi ◽  
I. Celik

1989 ◽  
Vol 14 (2) ◽  
pp. 232-235
Author(s):  
P. J. F. WADE ◽  
R. G. WETHERELL ◽  
A. A. AMIS

A biomechanical study in vitro has evaluated a new modification of the core and peripheral suture technique for flexor tendon repair. Groups of repairs were conducted in cadaver tendons, using a core suture alone, a core suture with a simple running surface suture and a new modification involving a ‘Halsted’ horizontal mattress technique for the peripheral stitch. The Halsted modification increased the load at which a visible gap formed by 93%, the load at which a 2 mm gap formed by 77%, and the maximum strength by 89%. This increase was due to the technique; it did not depend on the suture material used. The bulk of the tendon repair was not significantly greater with the Halsted modification.


1998 ◽  
Vol 23 (3) ◽  
pp. 344-349 ◽  
Author(s):  
C. K. KITSIS ◽  
P. J. F. WADE ◽  
S. J. KRIKLER ◽  
N. K. PARSONS ◽  
L. K. NICHOLLS

One hundred and thirty patients with 339 divided flexor tendons affecting 208 fingers were studied prospectively between 1988 and 1996, to assess a regime of primary flexor tendon suture and active postoperative motion, combined with a modified Kleinert dynamic traction splint. The tendon suture technique used was a high-strength multistrand technique using a modified Kessler core and a Halsted peripheral stitch. The results were influenced by the zone in which the tendon was divided, by the physiotherapy and to a lesser extent by the grade of surgeon operating. Overall results by Strickland criteria were 92% excellent or good, 7% fair and 1% poor. There were 43 complications in 31 patients including five zone 2 ruptures (5.7%) and one further rupture in zone 5. This method of flexor tendon repair requires good physiotherapy and splint-making capability but gives good results with minimal need for further surgery.


2001 ◽  
Vol 51 (5) ◽  
pp. 917-921 ◽  
Author(s):  
Chunfeng Zhao ◽  
Peter C. Amadio ◽  
Toshimitsu Momose ◽  
Paulus Couvreur ◽  
Mark E. Zobitz ◽  
...  

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