Simplifying four-strand flexor tendon repair using double-stranded suture: a comparative ex vivo study on tensile strength and bulking
We have compared a simple four-strand flexor tendon repair, the single cross-stitch locked repair using a double-stranded suture (dsSCL) against two other four-strand repairs: the Pennington modified Kessler with double-stranded suture (dsPMK); and the cruciate cross-stitch locked repair with single...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2012-02, Vol.37 (2), p.101-108 |
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| creator | Low, T. H. Ahmad, T. S. Ng, E. S. |
| description | We have compared a simple four-strand flexor tendon repair, the single cross-stitch locked repair using a double-stranded suture (dsSCL) against two other four-strand repairs: the Pennington modified Kessler with double-stranded suture (dsPMK); and the cruciate cross-stitch locked repair with single-stranded suture (Modified Sandow). Thirty fresh frozen cadaveric flexor digitorum profundus tendons were transected and repaired with one of the core repair techniques using identical suture material and reinforced with identical peripheral sutures. Bulking at the repair site and tendon–suture junctions was measured. The tendons were subjected to linear load-to-failure testing. Results showed no significant difference in ultimate tensile strength between the Modified Sandow (36.8 N) and dsSCL (32.6 N) whereas the dsPMK was significantly weaker (26.8 N). There were no significant differences in 2 mm gap force, stiffness or bulk between the three repairs. We concluded that the simpler dsSCL repair is comparable to the modified Sandow repair in tensile strength, stiffness and bulking. |
| doi_str_mv | 10.1177/1753193411409840 |
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H. ; Ahmad, T. S. ; Ng, E. S.</creator><creatorcontrib>Low, T. H. ; Ahmad, T. S. ; Ng, E. S.</creatorcontrib><description>We have compared a simple four-strand flexor tendon repair, the single cross-stitch locked repair using a double-stranded suture (dsSCL) against two other four-strand repairs: the Pennington modified Kessler with double-stranded suture (dsPMK); and the cruciate cross-stitch locked repair with single-stranded suture (Modified Sandow). Thirty fresh frozen cadaveric flexor digitorum profundus tendons were transected and repaired with one of the core repair techniques using identical suture material and reinforced with identical peripheral sutures. Bulking at the repair site and tendon–suture junctions was measured. The tendons were subjected to linear load-to-failure testing. Results showed no significant difference in ultimate tensile strength between the Modified Sandow (36.8 N) and dsSCL (32.6 N) whereas the dsPMK was significantly weaker (26.8 N). There were no significant differences in 2 mm gap force, stiffness or bulk between the three repairs. We concluded that the simpler dsSCL repair is comparable to the modified Sandow repair in tensile strength, stiffness and bulking.</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1177/1753193411409840</identifier><identifier>PMID: 21636621</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Biological and medical sciences ; Biomechanical Phenomena - physiology ; Diseases of the osteoarticular system ; Finger Injuries - physiopathology ; Finger Injuries - surgery ; Humans ; In Vitro Techniques ; Medical sciences ; Suture Techniques ; Tendon Injuries - physiopathology ; Tendon Injuries - surgery ; Tensile Strength - physiology ; Weight-Bearing - physiology</subject><ispartof>The Journal of hand surgery, European volume, 2012-02, Vol.37 (2), p.101-108</ispartof><rights>The British Society for Surgery of the Hand 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-48df4fef71e9393d5dc50613f893923c1edcd3b9473bcbde09ae2ea847af15853</citedby><cites>FETCH-LOGICAL-c366t-48df4fef71e9393d5dc50613f893923c1edcd3b9473bcbde09ae2ea847af15853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1753193411409840$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1753193411409840$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25395722$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21636621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Low, T. H.</creatorcontrib><creatorcontrib>Ahmad, T. S.</creatorcontrib><creatorcontrib>Ng, E. S.</creatorcontrib><title>Simplifying four-strand flexor tendon repair using double-stranded suture: a comparative ex vivo study on tensile strength and bulking</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>We have compared a simple four-strand flexor tendon repair, the single cross-stitch locked repair using a double-stranded suture (dsSCL) against two other four-strand repairs: the Pennington modified Kessler with double-stranded suture (dsPMK); and the cruciate cross-stitch locked repair with single-stranded suture (Modified Sandow). Thirty fresh frozen cadaveric flexor digitorum profundus tendons were transected and repaired with one of the core repair techniques using identical suture material and reinforced with identical peripheral sutures. Bulking at the repair site and tendon–suture junctions was measured. The tendons were subjected to linear load-to-failure testing. Results showed no significant difference in ultimate tensile strength between the Modified Sandow (36.8 N) and dsSCL (32.6 N) whereas the dsPMK was significantly weaker (26.8 N). There were no significant differences in 2 mm gap force, stiffness or bulk between the three repairs. We concluded that the simpler dsSCL repair is comparable to the modified Sandow repair in tensile strength, stiffness and bulking.</description><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Diseases of the osteoarticular system</subject><subject>Finger Injuries - physiopathology</subject><subject>Finger Injuries - surgery</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Medical sciences</subject><subject>Suture Techniques</subject><subject>Tendon Injuries - physiopathology</subject><subject>Tendon Injuries - surgery</subject><subject>Tensile Strength - physiology</subject><subject>Weight-Bearing - physiology</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUGP1CAUx4nRuLOrd0-Gi_FUhQKleDMbdU028aCeGwqPkZWWCmWy8wX83NLMqImJJwLv937v5Q9Czyh5RamUr6kUjCrGKeVE9Zw8QLuWcNZ0ba8eot1Wbrb6BbrM-Y4Q0SvaPUYXLe1Y17V0h35-9tMSvDv6eY9dLKnJa9KzxS7AfUx4hdnGGSdYtE-45A2zsYwBziBYnMtaErzBGps4LTrp1R8Awz0--EPEeS32iKujqrIPUB8SzPv1G97GjCV8r84n6JHTIcPT83mFvr5_9-X6prn99OHj9dvbxtR914b31nEHTlJQTDErrBGko8z19doyQ8Eay0bFJRvNaIEoDS3onkvtqOgFu0IvT94lxR8F8jpMPhsIQc8QSx4U7YXsJaeVJCfSpJhzAjcsyU86HQdKhi384d_wa8vzs7yME9g_Db_TrsCLM6Cz0cHV_IzPfznBlJBtW7nmxGW9h-Gu_spcQ_n_4F-gbpxZ</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Low, T. 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S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-48df4fef71e9393d5dc50613f893923c1edcd3b9473bcbde09ae2ea847af15853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Diseases of the osteoarticular system</topic><topic>Finger Injuries - physiopathology</topic><topic>Finger Injuries - surgery</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Medical sciences</topic><topic>Suture Techniques</topic><topic>Tendon Injuries - physiopathology</topic><topic>Tendon Injuries - surgery</topic><topic>Tensile Strength - physiology</topic><topic>Weight-Bearing - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Low, T. H.</creatorcontrib><creatorcontrib>Ahmad, T. S.</creatorcontrib><creatorcontrib>Ng, E. 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S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simplifying four-strand flexor tendon repair using double-stranded suture: a comparative ex vivo study on tensile strength and bulking</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>37</volume><issue>2</issue><spage>101</spage><epage>108</epage><pages>101-108</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>We have compared a simple four-strand flexor tendon repair, the single cross-stitch locked repair using a double-stranded suture (dsSCL) against two other four-strand repairs: the Pennington modified Kessler with double-stranded suture (dsPMK); and the cruciate cross-stitch locked repair with single-stranded suture (Modified Sandow). Thirty fresh frozen cadaveric flexor digitorum profundus tendons were transected and repaired with one of the core repair techniques using identical suture material and reinforced with identical peripheral sutures. Bulking at the repair site and tendon–suture junctions was measured. The tendons were subjected to linear load-to-failure testing. Results showed no significant difference in ultimate tensile strength between the Modified Sandow (36.8 N) and dsSCL (32.6 N) whereas the dsPMK was significantly weaker (26.8 N). There were no significant differences in 2 mm gap force, stiffness or bulk between the three repairs. We concluded that the simpler dsSCL repair is comparable to the modified Sandow repair in tensile strength, stiffness and bulking.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21636621</pmid><doi>10.1177/1753193411409840</doi><tpages>8</tpages></addata></record> |
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| subjects | Biological and medical sciences Biomechanical Phenomena - physiology Diseases of the osteoarticular system Finger Injuries - physiopathology Finger Injuries - surgery Humans In Vitro Techniques Medical sciences Suture Techniques Tendon Injuries - physiopathology Tendon Injuries - surgery Tensile Strength - physiology Weight-Bearing - physiology |
| title | Simplifying four-strand flexor tendon repair using double-stranded suture: a comparative ex vivo study on tensile strength and bulking |
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