Comparison of modified Kessler and Yotsumoto-Dona suture: A biomechanical study on porcine tendons

Journal of Plastic Surgery and Hand Surgery

Volumn 46, Issue 5, 2012, Pages 313-317

  Rigó, István Z ^a   Haugstvedt, Jan Ragnar ^a   Ludvigsen, Per ^a   Rokkum, Magne ^a  

^a OSLO UNIVERSITY HOSPITAL   (Norway)

Author keywords

Flexor; Kessler; Suture; Tendon; Tensile strength; Two strand

Indexed keywords

ANIMAL; ANIMAL MODEL; ARTICLE; BIOMECHANICS; COMPARATIVE STUDY; SUTURING METHOD; SWINE; TENDON; TENSILE STRENGTH;

ANIMALS; BIOMECHANICS; MODELS, ANIMAL; SUTURE TECHNIQUES; SWINE; TENDONS; TENSILE STRENGTH;

EID: 84866683135     PISSN: 2000656X     EISSN: None     Source Type: Journal    
DOI: 10.3109/2000656X.2012.700005     Document Type: Article

References (25)

1. Tang JB. Indications, methods, postoperative motion and outcome evaluation of primary flexor tendon repairs in Zone 2. J Hand Surg Eur Vol 2007;32:118-29.
2. Kessler I, Nissim F. Primary repair without immobilization of flexor tendon division within the digital sheath. An experimental and clinical study. Acta Orthop Scand 1969;40:587-601.
3. Pennington DG. The locking loop tendon suture. Plast Reconstr Surg 1979;63:648-52.
4. Tajima T. History, current status, and aspects of hand surgery in Japan. Clin Orthop Relat Res 1984;184:41-9.
5. Strickland JW. Flexor tendon surgery. Part 1: Primary flexor tendon repair. J Hand Surg 1989;14B:261-72.
6. Amadio P, An KN, Ejeskar A, et al. IFSSH Flexor Tendon Committee report. J Hand Surg 2005;30B:100-16.
7. Pettengill KM. The evolution of early mobilization of the repaired flexor tendon. J Hand Ther 2005;18:157-68.
8. Hatanaka H, Manske PR. Effect of suture size on locking and grasping flexor tendon repair techniques. Clin Orthop Relat Res 2000;375:267-74.
9. Tanaka T, Amadio PC, Zhao C, Zobitz ME, Yang C, An KA. Gliding characteristics and gap formation for locking and grasping tendon repairs: a biomechanical study in a human cadaver model. J Hand Surg 2004;29A:6-14.
10. Yotsumoto T, Mori R, Uchio Y. Optimum locations of the locking loop and knot in tendon sutures based on the locking Kessler method. J Orthop Sci 2005;10:515-20.
11. Yamagami N, Mori R, Yotsumoto T, Hatanaka H, Takao M, Uchio Y. Biomechanical differences resulting from the combination of suture materials and repair techniques. J Orthop Sci 2006;11:614-19.
12. Miller B, Dodds SD, deMars A, Zagoreas N, Waitayawinyu T, Trumble TE. Flexor tendon repairs: the impact of fiberwire on grasping and locking core sutures. J Hand Surg 2007;32A: 591-6.
13. Dona E, Turner AW, Gianoutsos MP, Walsh WR. Biomechanical properties of four circumferential flexor tendon suture techniques. J Hand Surg 2003;28A:824-31.
14. Elliot D. Primary flexor tendon repair-operative repair, pulley management and rehabilitation. J Hand Surg 2002; 27B:507-13.
15. Silva MJ, Hollstien SB, Brodt MD, et al. Flexor digitorum profundus tendon-to-bone repair: an ex vivo biomechanical analysis of 3 pullout suture techniques. J Hand Surg 1998; 23A:120-6.
16. Schuind F, Garcia-Elias M, Cooney WP III, An KN. Flexor tendon forces: in vivo measurements. J Hand Surg 1992;17A: 291-8.
17. Zhao C, Amadio PC, Tanaka T, et al. Effect of gap size on gliding resistance after flexor tendon repair. J Bone Joint Surg 2004;86A:2482-8.
18. Tang JB, Wang B, Chen F, Pan CZ, Xie RG. Biomechanical evaluation of flexor tendon repair techniques. Clin Orthop Relat Res 2001;386:252-9.
19. Hausmann JT, Vekszler G, Bijak M, Benesch T, Vécsei V, Gäbler C. Biomechanical comparison of modified Kessler and running suture repair in 3 different animal tendons and in human flexor tendons. J Hand Surg 2009;34A:93-101.
20. Smith AM, Forder JA, Annapureddy SR, Reddy KS, Amis AA. The porcine forelimb as a model for human flexor tendon surgery. J Hand Surg 2005;30B:307-9.
21. Hirpara KM, Sullivan PJ, O'Sullivan ME. The effects of freezing on the tensile properties of repaired porcine flexor tendon. J Hand Surg 2008;33A:353-8.
22. Kubota H, Aoki M, Pruitt DL, Manske PR. Mechanical properties of various circumferential tendon suture techniques. J Hand Surg 1996;21B:474-80.
23. Lee H. Double loop locking suture: a technique of tendon repair for early active mobilization. Part I: Evolution of technique and experimental study. J Hand Surg 1990;15A:945-52.
24. Kuwata S, Mori R, Yotsumoto T, Uchio Y. Flexor tendon repair using the two-strand side-locking loop technique to tolerate aggressive active mobilization immediately after surgery. Clin Biomech 2007;22:1083-7.
25. Komatsu F, Mori R, Uchio Y, Hatanaka H. Optimum location of knot for tendon surgery in side-locking loop technique. Clin Biomech 2007;22:112-19.