Use of the Taguchi Method for Biomechanical Comparison of Flexor-Tendon-Repair Techniques to Allow Immediate Active Flexion. A New Method of Analysis and Optimization of Technique to Improve the Quality of the Repair*†

1998 ◽  
Vol 80 (10) ◽  
pp. 1498-1506 ◽  
Author(s):  
GORDON SINGER ◽  
EDWARD EBRAMZADEH ◽  
NEIL FORD JONES ◽  
ROY MEALS
2015 ◽  
Vol 40 (3) ◽  
pp. 234-238 ◽  
Author(s):  
R. Haddad ◽  
T. Peltz ◽  
N. Bertollo ◽  
W. R. Walsh ◽  
S. Nicklin

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.


1998 ◽  
Vol 23 (1) ◽  
pp. 37-40 ◽  
Author(s):  
L. GORDON ◽  
M. TOLAR ◽  
K. T. VENKATESWARA RAO ◽  
R. O. RITCHIE ◽  
S. RABINOWITZ ◽  
...  

We have developed a stainless steel internal tendon anchor that is used to strengthen a tendon repair. This study tested its use in vitro to produce a repair that can withstand the tensile strength demands of early active flexion. Fresh human cadaver flexor digitorum profundus tendons were harvested, divided, and then repaired using four different techniques: Kessler, Becker or Savage stitches, or the internal tendon anchor. The internal splint repairs demonstrated a 99–270% increase in mean maximal linear tensile strength and a 49–240% increase in mean ultimate tensile strength over the other repairs. It is hoped that this newly developed internal anchor will provide a repair that will be strong enough to allow immediate active range of motion.


2001 ◽  
Vol 386 ◽  
pp. 252-259 ◽  
Author(s):  
Jin Bo Tang ◽  
Bin Wang ◽  
Feng Chen ◽  
Chen Zhong Pan ◽  
Ren Gou Xie

1994 ◽  
Vol 19 (6) ◽  
pp. 979-983 ◽  
Author(s):  
William F. Wagner ◽  
Charles Carroll ◽  
James W. Strickland ◽  
David A. Heck ◽  
James P. Toombs

2018 ◽  
Vol 43 (3) ◽  
pp. 285.e1-285.e6 ◽  
Author(s):  
Gavrielle Hui-Ying Kang ◽  
Yoke-Rung Wong ◽  
Rebecca Qian-Ru Lim ◽  
Austin Mun-Kitt Loke ◽  
Shian-Chao Tay

2005 ◽  
Vol 5 (3) ◽  
pp. 16-25
Author(s):  
Mirza Mujadžić ◽  
Miguel Pirela-Cruz ◽  
Enes Kanlić

This article reviews the history and current management concepts of flexor tendon lacerations. Classic and contemporary repair techniques are discussed. The most popular rehabilitation protocols are also reviewed.


Hand Clinics ◽  
2017 ◽  
Vol 33 (3) ◽  
pp. 455-463 ◽  
Author(s):  
Jin Bo Tang ◽  
Xiang Zhou ◽  
Zhang Jun Pan ◽  
Jun Qing ◽  
Ke Tong Gong ◽  
...  

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