A BIOMECHANICAL COMPARISON OF TECHNIQUES OF FLEXOR TENDON REPAIR

被引:56
作者
WAGNER, WF [1 ]
CARROLL, C [1 ]
STRICKLAND, JW [1 ]
HECK, DA [1 ]
TOOMBS, JP [1 ]
机构
[1] INDIANA UNIV,SCH MED,DIV ORTHOPAED SURG,INDIANAPOLIS,IN 46280
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 06期
关键词
D O I
10.1016/0363-5023(94)90101-5
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
Achieving satisfactory digital motion after suturing severed flexor tendons remains a challenge. Although a suture technique proposed by Savage is stronger in vitro than a true Kessler repair, the Savage technique has not been previously tested in vivo. We repaired 96 severed canine tendons using either of two modifications of the Kessler technique or the Savage technique. The tensile strength of these repairs were compared at 0, 1, 3, and 6 weeks after suturing. The Savage technique provided a significantly stronger repair than the ''suture locking'' method in vitro and at 1 and 3 weeks after repair. We found no significant differences between the tensile strengths of the Kessler-Tajima and suture-locking methods at any lime.
引用
收藏
页码:979 / 983
页数:5
相关论文
共 11 条
[1]  
Bishop, Cooney, Wood, Treatment of partial flexor tendon lacerations: the effect of tenorrhaphy and early protected mobilization, J Trauma, 26, pp. 301-331, (1986)
[2]  
Gelberman, Manske, Factors influencing flexor tendon adhesions, Hand Clinics, 1, pp. 35-42, (1985)
[3]  
Gelberman, Menon, Gonsalves, Et al., The effects of mobilization on the vascularization of healing flexor tendons in dogs, Clin Orthop, 153, pp. 283-289, (1980)
[4]  
Gelberman, Vande Berg, Lundborg, Et al., Flexor tendon healings and restoration of the gliding surface: an ultrastructural study in dogs, J Bone Joint Surg, 65 A, pp. 70-80, (1983)
[5]  
Gelberman, Woo, Lothringer, Et al., Effects of early intermittent passive mobilization on healing canine flexor tendons, J Hand Surg, 7, pp. 170-175, (1982)
[6]  
Mason, Allen, The rate of tendon healing, Ann Surg, 113, pp. 242-459, (1941)
[7]  
Strickland, Glogovac, Digital function following flexor tendon repair in zone 2: a comparison of immobilization and controlled passive motion techniques, J Hand Surg, 5, pp. 537-543, (1980)
[8]  
Urbaniak, Cahill, Mortensen, Tendon suturing methods: analysis of tensile strengths, American Academy of Orthopaedic Surgeons: Symposium on tendon surgery of the hand, pp. 70-80, (1975)
[9]  
Savage, In vitro studies of a new method of flexor tendon repair, The Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand, 10 B, pp. 125-141, (1985)
[10]  
Matthews, Richards, Factors in the adherence of flexor tendons after repair: An experimental study in the rabbit, J Bone Joint Surg, 58 B, pp. 230-236, (1976)