The Polyester Patch: A New Technique to Promote Early Motion Exercises in Extensor Tendon Transfers

2002 ◽  
Vol 6 (3) ◽  
pp. 114-118 ◽  
Author(s):  
Masafumi Ishizuki
2018 ◽  
Vol 37 (1) ◽  
pp. 12-15 ◽  
Author(s):  
J. Pierrart ◽  
D. Tordjman ◽  
S. Otayek ◽  
R. Douard ◽  
L. Mahjoubi ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0257038
Author(s):  
Christina J. Wilhelm ◽  
Marc A. Englbrecht ◽  
Rainer Burgkart ◽  
Carina Micheler ◽  
Jan Lang ◽  
...  

Recent studies conclude that a new technique for tendon transfers, the side-to-side tenorrhaphy by Fridén (FR) provides higher biomechanical stability than the established standard first described by Pulvertaft (PT). The aim of this study was to optimize side-to-side tenorrhaphies. We compared PT and FR tenorrhaphies as well as a potential improvement, termed Woven-Fridén tenorrhaphy (WF), with regard to biomechanical stability. Our results demonstrate superior biomechanical stability and lower bulk of FR and, in particular, WF over PT tenorrhaphies. The WF and FR technnique therefore seem to be a notable alternative to the established standard tenorrhaphy as they display lower bulk and higher stability, permitting successful immediate active mobilization after surgery.


Author(s):  
Rohit Shaju ◽  
Sunil Sharma ◽  
Kshiteej Dhull

Abstract Introduction Pursuit for a new technique, which could be placed on flat extensor tendons and strong enough to withstand the tension forces of early mobilization to prevent stiffness, started few decades ago. We evaluated the new technique of tendon repair using running interlocking horizontal mattress (RIHM) sutures followed by early controlled motion protocol in traumatic extensor tendon injuries and compared it to modified Kessler technique. Materials and Methods We conducted a prospective randomized interventional study of 18 months’ duration, with 30 patients. A total of 103 tendons were repaired, of which 58 were repaired using modified Kessler technique and 45 were repaired using RIHM technique. Postoperatively, patients underwent the early controlled motion protocol and the results were evaluated using the criteria of Miller. Results Majority of the patients had excellent results (53.3%) and 46.67% had good results in the RIHM group while most of the patients in modified Kessler group had only fair results (80%), and only 20% had good results while none had excellent results. Conclusion RIHM suture is an easy-to-learn and effective technique for tendon repair with comparable operative duration and with better overall result than modified Kessler technique.


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