2 NEW METHODS OF TENDON REPAIR - AN INVITRO EVALUATION OF TENSILE-STRENGTH AND GAP FORMATION

被引:126
作者
SILFVERSKIOLD, KL
ANDERSSON, CH
机构
[1] Division of Hand Surgery, Department of Orthopaedic Surgery, Sahlgren Hospital, University of Gothenburg and The Swedish Institute of Textile Research, Gothenburg
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 01期
关键词
D O I
10.1016/0363-5023(93)90246-Y
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A new tendon repair design incorporating a mesh sleeve was, together with a new epitendinal suture technique (cross-stitch), tested biomechanically on sheep tendons. The mean breaking strength with a 6-0 suture was 103 N for the mesh sleeve repair and 63 N for the cross-stitch alone, both significantly greater than the 48 N recorded for the modified Kessler repair performed with a 4-0 polyester suture and reinforced with a circumferential conventional 6-0 epitendinal stitch. The cross-stitch grasp was 117% stronger than the conventional epitendinal grasp reinforced by a core stitch. The new techniques effectively prevented the large gaps that occurred in the modified Kessler repair.
引用
收藏
页码:58 / 65
页数:8
相关论文
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