What is the significance of tendon suture purchase?

Journal of Hand Surgery: European Volume

Volumn 34, Issue 4, 2009, Pages 497-502

  Kim, J B ^a,b   De Wit, T ^a,b   Hovius, S E R ^a,b   McGrouther, D A ^a,b   Walbeehm, E T ^a,b  

^a ERASMUS MEDICAL CENTER   (Netherlands)

^b MANCHESTER UNIVERSITY NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Flexor tendon; Mechanical testing; Mode of failure; Suture purchase; Tendon repair; Tensile strength

Indexed keywords

POLYMER;

ARTICLE; BIOMECHANICS; FLEXOR TENDON; INCUBATION TIME; MECHANICAL STRESS; NONHUMAN; SUTURING METHOD; TENDON RECONSTRUCTION; TENDON SUTURE; TENSILE STRENGTH;

EID: 69049096221     PISSN: 17531934     EISSN: None     Source Type: Journal    
DOI: 10.1177/1753193409104555     Document Type: Article

References (12)

1. Cao, Y, B Zhu, RG Xie, and J Tang (2006). Influence of core suture purchase length on strength of four-strand tendon repairs. J Hand Surg Am, 31, 107-12.
2. Merrell, GA, SW Wolfe, WJ Kacena, Y Gao, J Cholewicki, and MA Kacena (2003). The effect of increased peripheral suture purchase on the strength of flexor tendon repairs. J Hand Surg Am, 28, 464-8.
3. Oshiro, W, J Lou, X Xing, Y Tu, and PR Manske (2003). Flexor tendon healing in the rat: A histologic and gene expression study. J Hand Surgery Am, 28, 814-23.
4. Pennington, DG (1979). The locking loop tendon suture. Plast Reconstr Surg, 63, 648-52.
5. Savage, R, and G Risitano (1989). Flexor tendon repair using a "six strand" method of repair and early active mobilisation. J Hand Surg Br, 14, 396-9.
6. Tan, J, and JB Tang (2004). Locking repairs for obliquely cut tendons: effects of suture purchase and directions of locking circles. J Hand Surg Am, 29, 891-7.
7. Tang, JB, J Tan, and Y Xu (2003). Lengthening and locking: 2 ways to improve repair strength of obliquely lacerated tendons. J Hand Surg Am, 28, 832-7.
8. Tang, JB, Y Zhang, Y Cao, and RG Xie (2005). Core suture purchase affects strength of tendon repairs. J Hand Surg Am, 30, 1262-6.
9. Tsuge, K, Y Ikuta, and Y Matsuishi (1977). Repair of flexor tendons by intratendinous tendon suture. J Hand Surg Am, 1, 436-40.
10. Urbaniak, JR, JD Cahill, and RA Mortenson (1975). Tendon suturing methods analysis of tensile strength. In AAOS Symposium on Tendon Surgery in the Hand (pp. 70-80). St Louis: CV Mosby.
11. Walbeehm, ET, T de Wit, SER Hovius, and DA McGrouther (2008). Influence of core suture geometry on tendon deformation and gap formation in porcine flexor tendons. J Hand Surg Eur. in print.
12. Walbeehm, ET, and DA McGrouther (1995). An anatomical study of the mechanical interactions of flexor digitorum superficialis and profundus and the flexor tendon sheath in zone 2. J Hand Surg Eur, 20, 269-80.