Flexor Tendon Graft Attachment: A Review of Methods and A Newly Modified Tendon Graft Attachment

2003 ◽  
Vol 28 (2) ◽  
pp. 116-120 ◽  
Author(s):  
S. WILSON ◽  
D. SAMMUT
Keyword(s):  
Flexor Tendon ◽  
Tendon Graft ◽  
Distal Phalanx ◽  
Minimal Trauma ◽  
Tendon Grafts ◽  
Flexor Tendon Graft

A review of the described methods of attachment of flexor tendon grafts to the distal phalanx is presented. The authors advocate the previously described method of attachment consisting of passage of the tendon graft through the pulp with anchorage to the nail. A new modification of this technique is presented, facilitating accurate dissection and placement of the graft with minimal trauma.

AN ANALYSIS OF PARTIAL WIDTH FLEXOR TENDON GRAFT PREPARATION ON PORCINE MODELS: THE OPTIMAL SPLIT?

Hand Surgery ◽  
2010 ◽  
Vol 15 (02) ◽  
pp. 99-102
Author(s):  
Toby Colegate-Stone ◽  
Richard Allom ◽  
Adel Tavakkolizadeh ◽  
John Compson
Keyword(s):  
Suture Material ◽  
Flexor Tendon ◽  
Tendon Graft ◽  
Partial Width ◽  
Suture Materials ◽  
Average Force ◽  
Handling Characteristics ◽  
Tendon Grafts ◽  
Flexor Tendon Graft

Partial width tendon grafts are commonly used in upper limb reconstructive surgery. Different techniques are described to harvest the graft including a "cheese wire" technique to split the tendon along its fibres with a filament. However no study has looked at the best material for this purpose. Fresh flexor tendons from pigs' trotters were used to analyse the splitting qualities of 11 different suture materials. The qualities assessed were: whether the suture material was successful in splitting the tendon, the average force required to split the tendon and the resulting quality of the spilt tendon graft. Whilst wire sutures produced a high quality of graft, they were awkward to use as they necessitated handling with a holder due to the higher forces required to split the tendon. Fibrewire provided the best result with respect to graft quality and ease of method as it combined the cutting strength of wire with the handling characteristics of a braided suture.

scholarly journals Comparison of step-cut and Pulvertaft attachment for flexor tendon graft: a biomechanics evaluation in an in vitro canine model

2012 ◽  
Vol 37 (9) ◽  
pp. 848-854 ◽  
Author(s):  
T. Hashimoto ◽  
A. R. Thoreson ◽  
K.-N. An ◽  
P. C. Amadio ◽  
C. Zhao
Keyword(s):  
Ultimate Load ◽  
Flexor Tendon ◽  
Canine Model ◽  
Tendon Graft ◽  
Flexor Digitorum Profundus ◽  
Load To Failure ◽  
Tendon Grafts ◽  
Flexor Digitorum ◽  
Flexor Tendon Graft

The purpose of this study was to compare two different methods of joining tendons of similar and dissimilar sizes between recipient and donor tendons for flexor tendon grafts. Flexor digitorum profundus (FDP) and peroneus longus (PL) canine tendons were harvested and divided into four groups. The repair technique we compared was a step-cut (SC) suture and a Pulvertaft weave (PW). FDP tendons were significantly larger in diameter than PL tendons ( p < 0.05). The volume of the SC repairs using either FDP or PL tendon as a graft was significantly smaller than PW repairs ( p < 0.05). The ultimate load to failure and repair stiffness in FDP graft tendons significantly increased compared with the PL graft tendons ( p < 0.05). The SC suture can be used as an alternative to the PW, with similar strength and less bulk for repairs using graft tendons of similar diameter. Surgeons should be aware of the effect of graft tendon size and repair method on strength and bulk when performing flexor tendon grafts.

scholarly journals Biomechanical evaluation of flexor tendon graft with different repair techniques and graft surface modification

2015 ◽  
Vol 33 (5) ◽  
pp. 731-737 ◽  
Author(s):  
Jingheng Wu ◽  
Andrew R. Thoreson ◽  
Ramona L. Reisdorf ◽  
Kai-Nan An ◽  
Steven L. Moran ◽  
...  
Keyword(s):  
Surface Modification ◽  
Flexor Tendon ◽  
Tendon Graft ◽  
Biomechanical Evaluation ◽  
Flexor Tendon Graft ◽  
Repair Techniques

Flexor Tendon Graft

1982 ◽  
Vol 17 (6) ◽  
pp. 1189
Author(s):  
Byung Chul Park ◽  
Ik Dong Kim ◽  
Soo Young Lee ◽  
Joo Chul Ihn ◽  
Young Goo Lyu
Keyword(s):  
Flexor Tendon ◽  
Tendon Graft ◽  
Flexor Tendon Graft

A New Technique of Attachment of Flexor Tendons to The Distal Phalanx without A Button Tie-Over

1996 ◽  
Vol 21 (5) ◽  
pp. 629-632 ◽  
Author(s):  
M. K. SOOD ◽  
D. ELLIOT
Keyword(s):  
Flexor Tendon ◽  
Distal Phalanx ◽  
New Technique ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendons ◽  
Tendon Grafts ◽  
A New Technique ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

A new technique of attachment of the flexor digitorum profundus tendon and flexor tendon grafts to the distal phalanx, without using a button on the nail, is described and its use reported in 14 cases.

Porcine Small Intestine Submucosa as a Flexor Tendon Graft

2004 ◽  
Vol 423 ◽  
pp. 245-252 ◽  
Author(s):  
K Derwin ◽  
C Androjna ◽  
E Spencer ◽  
O Safran ◽  
T W Bauer ◽  
...  
Keyword(s):  
Small Intestine ◽  
Flexor Tendon ◽  
Tendon Graft ◽  
Small Intestine Submucosa ◽  
Porcine Small Intestine Submucosa ◽  
Flexor Tendon Graft

Early Active Mobilization after Second Stage Flexor Tendon Grafts

1997 ◽  
Vol 22 (3) ◽  
pp. 372-374 ◽  
Author(s):  
K. KHAN ◽  
M. RIAZ ◽  
M. S. C. MURISON ◽  
M. D. BRENNEN
Keyword(s):  
Flexor Tendon ◽  
Tendon Graft ◽  
Grading System ◽  
Two Stage ◽  
Longus Tendon ◽  
Second Stage ◽  
Graft Rupture ◽  
Active Mobilization ◽  
Palmaris Longus Tendon ◽  
Tendon Grafts

We assessed the results of nine two-stage tendon reconstructions. The tendon graft was the ipsilateral palmaris longus tendon inserted into a tunnel which had been previously created by a silicone spacer. Early active mobilization was commenced 48 hours after surgery according to a previously described protocol ( Small et al, 1989 ). Using the grading system of Kleinert and Verdan (1983) the results were: one excellent, two good, five fair and one poor. Using the Buck-Gramcko et al (1976) grading system there were three excellent, two good, two satisfactory and two poor results. There were no cases of tendon graft rupture or dehiscence of the junction between tendon and graft.

Healing of a Split Flexor Tendon Graft— An Experimental Study in Chickens

1983 ◽  
Vol 10 (4) ◽  
pp. 284-289 ◽  
Author(s):  
Alfred W. Farmer ◽  
Leslie G. Farkas ◽  
Morley A. Herbert
Keyword(s):  
Experimental Study ◽  
Flexor Tendon ◽  
Tendon Graft ◽  
Flexor Tendon Graft
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