Adhesion Formation after Flexor Tendon Repair: A Histologic and Biomechanical Comparison of 2- and 4-Strand Repairs in a Chicken Model

Journal of Hand Surgery

Volumn 29, Issue 1, 2004, Pages 15-21

  Strick, Margaret J ^a   Filan, Susan L ^a   Hile, Mark ^a   McKenzie, Catriona ^a   Walsh, William R ^a   Tonkin, Michael A ^a,b  

^a Royal North Shore Hospital ^*

^b ROYAL NORTH SHORE HOSPITAL   (Australia)

Author keywords

Adhesions; Gliding; Tendon repair

Indexed keywords

ADHESION; ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; BIOMECHANICS; CHICKEN; CONTROLLED STUDY; FLEXOR TENDON; HISTOPATHOLOGY; INTERMETHOD COMPARISON; NONHUMAN; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; QUANTITATIVE ANALYSIS; SCORING SYSTEM; SURGICAL TECHNIQUE; TENDON RECONSTRUCTION;

EID: 0742323074     PISSN: 03635023     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhsa.2003.09.003     Document Type: Article

References (27)

1. Strickland JW, Glogovac SV. Digital function following flexor tendon repair in Zone II: a comparison of immobilization and controlled passive motion techniques. J Hand Surg 1980;5:537-543.
2. Gelberman RH, Woo SLY, Lothringer K, Akeson WH, Amiel D. Effects of early intermittent passive mobilization on healing canine flexor tendons. J Hand Surg 1982;7:170-175.
3. Strickland JW. Development of flexor tendon surgery: twenty-five years of progress. J Hand Surg 2000;25A:214-235.
4. Barrie KA, Wolfe SW, Shean C, Shenbagamurthi D, Slade JF III, Panjabi MM. A biomechanical comparison of multistrand flexor tendon repairs using an in situ testing model. J Hand Surg 2000;25A:499-506.
5. Thurman RT, Trumble TE, Hanel DP, Tencer AF, Kiser PK. Two-, four-, and six-strand zone II flexor tendon repairsan in situ biomechanical comparison using a cadaver model. J Hand Surg 1998;23A:261-265.
6. Rothkopf DM, Webb S, Szabo RM, Gelberman RH, May JW Jr. An experimental model for the study of canine flexor tendon adhesions. J Hand Surg 1991;16A:694-700.
7. 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.
8. Noguchi M, Seiler JG III, Gelberman RH, Sofranko RA, Woo SL-Y. In vitro biomechanical analysis of suture methods for flexor tendon repair. J Orthop Res 1993;11:603-611.
9. Akali A, Khan U, Khaw PT, McGrouther AD. Decrease in adhesion formation by a single application of 5-Fluorouracil after flexor tendon injury. Plast Reconstr Surg 1999;103:151-158.
10. Hatano I, Suga T, Diao E, Peimer CA, Howard C. Adhesions from flexor tendon surgery: an animal study comparing surgical techniques. J Hand Surg 2000;25A:252-259.
11. Farkas LG, Thomson HG, Martin R. Some practical notes on the anatomy of the chicken toe for surgeon investigators. Plast Reconstr Surg 1974;54:452-458.
12. Farkas LG, Lindsay WK. Functional return of tendon graft protected entirely by pseudosheath-experimental study. Plast Reconstr Surg 1980;65:188-194.
13. Feehan LM, Beauchene JG. Early tensile properties of healing chicken flexor tendons: early controlled passive motion versus postoperative immobilization. J Hand Surg 1990;15A:63-68.
14. Hitchcock TF, Light TR, Bunch WH, Knight GW, Sartori MJ, Patwardhan AG, Hollyfield RL. The effect of immediate constrained digital motion on the strength of flexor tendon repairs in chickens. J Hand Surg 1987;12A:590-595.
15. Işik S, Öztürk S, Gürses S, Selmanpakoǧlu N, Günhan Ö. Prevention of restrictive adhesions in primary tendon repair by HA-membrane: experimental research in chickens. Br J Plast Surg 1999;52:373-379.
16. McDowell CL, Marqueen TJ, Yager D, Owen JR, Wayne JS. Characterization of the tensile properties and histologic/biochemical changes in normal chicken tendon at the site of suture insertion. J Hand Surg 2002;27A:605-614.
17. Pennington DG. The influence of tendon sheath integrity and vincular blood supply on adhesion formation following tendon repair in hens. Br J Plast Surg 1979;32:302-306.
18. Peterson WW, Manske PR, Dunlap J, Horwitz DS, Kahn B. Effect of various methods of restoring flexor sheath integrity on the formation of adhesions after tendon injury. J Hand Surg 1990;15A:48-56.
19. Peterson WW, Manske PR, Kain CC, Lesker PA. Effect of flexor sheath integrity on tendon gliding: a biomechanical and histologic study. J Orthop Res 1986;4:458-465.
20. Robotti E, Zimbler AG, Kenna D, Grossman JAI. The effect of pulsed electromagnetic fields on flexor tendon healing in chickens. J Hand Surg 1999;24B:56-58.
21. Tang JB, Shi D, Zhang QG. Biomechanical and histologic evaluation of tendon sheath management. J Hand Surg 1996;21A:900-908.
22. Momose T, Amadio PC, Zhao C, Zobitz ME, Couvreur PJ, An K-N. Suture techniques with high breaking strength and low gliding resistance: experiments in the dog flexor digitorum profundus tendon. Acta Orthop Scand 2001;72:635-641.
23. Zhao C, Amadio PC, Momose T, Couvreur P, Zobitz ME, An K-N. The effect of suture technique on adhesion formation after flexor tendon repair for partial lacerations in a canine model. J Trauma 2001;51:917-921.
24. Bhatia D, Tanner KE, Bonfield W, Citron ND. Factors affecting the strength of flexor tendon repair. J Hand Surg 1992;17B:550-552.
25. Wade PJF, Wetherell RG, Amis AA. Flexor tendon repair: significant gain in strength from the Halsted peripheral suture technique. J Hand Surg 1989;14B:232-235.
26. Sanders DW, Milne AD, Johnson JA, Dunning CE, Richards RS, King GJW. The effect of flexor tendon repair bulk on tendon gliding during simulated active motionan in vitro comparison of two-strand and six-strand techniques. J Hand Surg 2001;26A:833-840.
27. Coert JH, Uchiyama S, Amadio PC, Berglund LJ, An KN. Flexor tendon-pulley interaction after tendon repair. A biomechanical study. J Hand Surg 1995;20B:573-577.