Biomechanical Evaluation of 4-Strand Flexor Tendon Repair Techniques, Including a Combined Kessler–Tsuge Approach

2015 ◽  
Vol 40 (2) ◽  
pp. 229-235 ◽  
Author(s):  
Christian Renner ◽  
Fernando Corella ◽  
Nicole Fischer
2001 ◽  
Vol 386 ◽  
pp. 252-259 ◽  
Author(s):  
Jin Bo Tang ◽  
Bin Wang ◽  
Feng Chen ◽  
Chen Zhong Pan ◽  
Ren Gou Xie

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.


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.


2011 ◽  
Vol 36 (3) ◽  
pp. 446-449 ◽  
Author(s):  
Philip H. Zeplin ◽  
Robert K. Zahn ◽  
Rainer H. Meffert ◽  
Karsten Schmidt

2001 ◽  
Vol 20 (6) ◽  
pp. 176-183 ◽  
Author(s):  
M. Johnson ◽  
K. Firoozbakhsh ◽  
M. Moniem ◽  
M. Jamshidi

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