Chapter 20 Flexor Tendon Repair of the Hand, Wrist, and Forearm

2022 ◽  
Keyword(s):  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair

scholarly journals Ischaemic contracture of the hand

2006 ◽  
Vol 39 (01) ◽  
pp. 94-102
Author(s):  
G. Balakrishnan
Keyword(s):  
Suture Material ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Hypodermic Needle ◽  
Flexor Tendon Repair ◽  
Active Motion ◽  
Custom Made

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.

Methods of Evaluation of the Functional Results of Flexor Tendon Repair of the Fingers

1985 ◽  
Vol 10 (1) ◽  
pp. 60-61 ◽  
Author(s):  
A. B. NIELSEN ◽  
P. Ø. JENSEN
Keyword(s):  
Functional Outcome ◽  
Standard Method ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Functional Results ◽  
Functional Evaluation ◽  
Flexor Tendon Repair ◽  
Methods Of Evaluation ◽  
Method Of Measurement ◽  
No Man's Land

The methods used by Buck-Gramcko, Kleinert and Tsuge in evaluating the functional results of flexor tendon repair were each applied to assess the functional outcome in sixty-seven fingers where both tendons had been severed in “no man's land”. The method of Buck-Gramcko gave the highest rating, and the three methods showed evident differences in the results of evaluation after surgery. The study suggests a need for one standard method of measurement and recording, if a comparison of results after flexor tendon repair is to be of value. We found that the method of Buck-Gramcko incorporated the most essential features in the functional evaluation.

Looped suture properties: implications for multistranded flexor tendon repair

2015 ◽  
Vol 40 (3) ◽  
pp. 234-238 ◽  
Author(s):  
R. Haddad ◽  
T. Peltz ◽  
N. Bertollo ◽  
W. R. Walsh ◽  
S. Nicklin
Keyword(s):  
Mechanical Properties ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Relative Effect ◽  
Flexor Tendon Repair ◽  
Polypropylene Monofilament ◽  
Single Suture ◽  
Biomechanical Strength ◽  
Standard Techniques ◽  
Repair Techniques

Multiple-strand repair techniques are commonly used to repair cut flexor tendons to achieve initial biomechanical strength. Looped sutures achieve multiple strands with fewer passes and less technical complexity. Their biomechanical performance in comparison with an equivalent repair using a single-stranded suture is uncertain. This study examined the mechanical properties of double-stranded loops of 3-0 and 4-0 braided polyester (Ticron) and polypropylene monofilament (Prolene). Double loops were generally less than twice the strength of a single loop. Ticron and Prolene had the same strengths, but Ticron was stiffer. The 4-0 double loops had significantly higher stiffness than 3-0 single loops. Increasing the size of sutures had a larger relative effect on strength than using a double-stranded suture. However, a double-strand loop had a larger effect on increasing stiffness than using a single suture of a larger equivalent size. Looped suture repairs should be compared with standard techniques using a thicker single suture.

The effect of flexor tendon repair bulk on tendon gliding during simulated active motion: An in vitro comparison of two-strand and six-strand techniques

2001 ◽  
Vol 26 (5) ◽  
pp. 833-840 ◽  
Author(s):  
David W. Sanders ◽  
Andrew D. Milne ◽  
James A. Johnson ◽  
Cynthia E. Dunning ◽  
Robert S. Richards ◽  
...  
Keyword(s):  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair ◽  
Active Motion ◽  
In Vitro Comparison

scholarly journals Flucloxacillin Reduces Stiffness Following Flexor Tendon Repair

Hand ◽  
2008 ◽  
Vol 3 (4) ◽  
pp. 337-339
Author(s):  
Hagen H. A. Schumacher ◽  
Nick K. James
Keyword(s):  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair

scholarly journals Bundles of Spider Silk, Braided into Sutures, Resist Basic Cyclic Tests: Potential Use for Flexor Tendon Repair

PLoS ONE ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. e61100 ◽  
Author(s):  
Kathleen Hennecke ◽  
Joern Redeker ◽  
Joern W. Kuhbier ◽  
Sarah Strauss ◽  
Christina Allmeling ◽  
...  
Keyword(s):  
Spider Silk ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Cyclic Tests ◽  
Flexor Tendon Repair ◽  
Potential Use

Flexor tendon repair

1986 ◽  
Vol 4 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Richard H. Gelberman ◽  
Paul R. Manske ◽  
Wayne H. Akeson ◽  
Savio L-Y. Woo ◽  
Goran Lundborg ◽  
...  
Keyword(s):  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair

Factors Affecting the Strength of Flexor Tendon Repair

1992 ◽  
Vol 17 (5) ◽  
pp. 550-552 ◽  
Author(s):  
D. BHATIA ◽  
K. E. TANNER ◽  
W. BONFIELD ◽  
N. D. CITRON
Keyword(s):  
Cyclic Load ◽  
Suture Material ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Tendon Repair ◽  
Factors Affecting ◽  
Full Strength ◽  
Load Tests

The effects of different thicknesses and configurations of core sutures were studied in human cadaveric flexor tendon repairs. Both straight and cyclic load tests were employed. To exploit the full strength of 4/0 suture material, the Kessler repair using four locked single knots would seem to be appropriate.

Sign in / Sign up

Export Citation Format

Share Document