Lengthening and locking: Two ways to improve repair strength of obliquely lacerated tendons

Journal of Hand Surgery

Volumn 28, Issue 5, 2003, Pages 832-837

  Tang, Jin Bo ^a   Tan, Jun ^b   Xu, Yan ^b  

^a NANTONG MEDICAL COLLEGE   (China)

^b NONE

Author keywords

Flexor tendon; Lengthening; Locking suture; Oblique lacerations; Repair strength

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; BIOMECHANICS; CONTROLLED STUDY; NONHUMAN; PERFORMANCE; PRIORITY JOURNAL; SURGICAL TECHNIQUE; SUTURING METHOD; SWINE; TENDON LESION; TENDON RECONSTRUCTION; TENDON SUTURE; TENSILE STRENGTH; TREATMENT OUTCOME;

EID: 0141620352     PISSN: 03635023     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0363-5023(03)00367-8     Document Type: Article

References (26)

1. Aoki M, Manske PR, Pruitt DL, Larson BJ. Work of flexion after tendon repair with various suture methods: a human cadaveric study. J Hand Surg 1995;20B:310-313.
2. Barrie KA, Tomak SL, Cholewicki J, Merrell GA, Wolfe SW. Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs. J Hand Surg 2001;26A:340-346.
3. Angeles JG, Heminger H, Mass DP. Comparative biomechanical performance of 4-strand core suture repair for zone II flexor tendon lacerations. J Hand Surg 2002;27A:508-517.
4. Hatanaka H, Manske PR. Effect of the cross-sectional area of locking loops in flexor tendon repair. J Hand Surg 1999; 24A:751-760.
5. Tang JB, Wang B, Chen F, Pan CZ, Xie RG. Biomechanical evaluation of flexor tendon repair techniques. Clin Orthop 2001;386:252-259.
6. Veitch A, Firoozbakhsh K, Pribyl CR, McNally T. In vitro biomechanical evaluation of the double loop suture for flexor tendon repair. Clin Orthop 2000;377:228-234.
7. Soejima O, Diao E, Lotz JC, Hariharan JS. Comparative mechanical analysis of dorsal versus palmar placements of core suture for flexor tendon repairs. J Hand Surg 1995;20A:801-807.
8. Wade PJ, Wetherell RG, Amis AA. Flexor tendon repair: significant gain in strength from the Halsted peripheral suture technique. J Hand Surg 1989;14B:232-235.
9. Silfverskiold KL, Andersson CH. Two new methods of tendon repair: an in vitro evaluation of tensile strength and gap formation. J Hand Surg 1993;18A:58-65.
10. Tan J, Wang B, Xu Y, Tang JB. Effects of direction of tendon lacerations on strength of tendon repairs. J Hand Surg 2003;28A:237-242.
11. Savage R. In vitro studies of a new method of flexor tendon repair. J Hand Surg 1985;10B:135-141.
12. Smith AM, Evans DM. Biomechanical assessment of a new type of flexor tendon repair. J Hand Surg 2001;26B:217-219.
13. Zatiti SCA, Mazzer N, Barbieri CH. Mechanical strengths of tendon sutures. An in vitro comparative study of six techniques. J Hand Surg 1998;23B:228-233.
14. Tang JB, Xie RG. Effect of A3 pulley and adjacent sheath integrity on tendon excursion and bowstringing. J Hand Surg 2001;26A:855-861.
15. Zobitz ME, Zhao C, Erhard L, Amadio PC, An KN. Tensile properties of suture methods for repair of partially lacerated human flexor tendon in vitro. J Hand Surg 2001;26A:821-827.
16. Wada A, Kubota H, Miyanishi K, Miura H, Iwamoto Y. Comparison of postoperative early active mobilization and immobilization in vivo utilising a four-strand flexor tendon repair. J Hand Surg 2001;26B:301-306.
17. Tang JB, Cao Y, Xie RG. Effects of tension direction on strength of tendon repair. J Hand Surg 2001;26A:1105-1110.
18. Wada A, Kubota H, Akiyama T, Hatanaka H, Miura H, Iwamoto Y. Effect of absorbable polydioxanone flexor tendon repair and restricted active mobilization in a canine model. J Hand Surg 2001;26A:398-406.
19. Hotokezaka S, Manske PR. Differences between locking loops and grasping loops: effects on 2-strand core suture. J Hand Surg 1997;22A:995-1003.
20. Barrie KA, Tomak SL, Cholewicki J, Wolfe SW. The role of multiple strands and locking sutures on gap formation of flexor tendon repairs during cyclic loading. J Hand Surg 2000;25A:714-720.
21. Kleinert HE, Schepel S, Gill T. Flexor tendon injuries. Surg Clin North Am 1981;61:267-268.
22. Tsuge K, Ikuta Y, Matsuishi Y. Repair of flexor tendons by intratendinous tendon suture. J Hand Surg 1977;2:436-440.
23. Savage R, Risitano G. Flexor tendon repair using a "six-strand" method of repair and early active mobilisation. J Hand Surg 1989;14B:396-399.
24. Tang JB, Shi D, Gu YQ, Chen JC, Zhou B. Double and multiple looped suture tendon repair. J Hand Surg 1994;19B:699-703.
25. Sandow MJ, McMahon MM. Single-cross grasp six-strand repair for acute flexor tenorrhaphy. Atlas Hand Clin 1996; 1:41-64.
26. Grill RS, Lim BH, Shatford RA, Toth E, Voor MJ, Tsai TM. A comparative analysis of the six-strand double-loop flexor tendon repair and three other techniques: a human cadaveric study. J Hand Surg 1999;24A:1315-1322.