CYCLIC STRESS-ANALYSIS OF FLEXOR TENDON REPAIR

被引:107
作者
PRUITT, DL
MANSKE, PR
FINK, B
机构
[1] Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1991年 / 16A卷 / 04期
关键词
D O I
10.1016/0363-5023(91)90197-J
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 method of evaluating flexor tendon repair techniques with the use of cyclic testing is presented. This type of evaluation complements the presently used load-to-failure tests by providing more detailed information about gap formation at the repair site. During load-to-failure testing in this study, core sutures alone demonstrated initial gap formation at 0.85 kg tensile force or more; yet on cyclic testing all techniques demonstrated gap formation of 1.9 mm or greater at 0.5 kg tensile force. Thus cyclic testing demonstrated gap formation not readily apparent on load-to-failure testing. An epitenon stitch placed circumferentially around the laceration site added strength in both load-to-failure and cyclic tests, and significantly reduced gap formation regardless of the core suture technique.
引用
收藏
页码:701 / 707
页数:7
相关论文
共 30 条
[1]  
Strickland, Flexor tendon repair, Hand Clin North Am, 1, pp. 55-67, (1985)
[2]  
Strickland, Flexor tendon injuries: part 2. Flexor tendon repair, Orthop Rev, 15, pp. 49-69, (1986)
[3]  
Potenza, Philosophy of flexor tendon surgery, Orthop Clin North Am, 17, pp. 349-352, (1986)
[4]  
Peacock, Biological principles in the healing of long tendons, Surg Clin North Am, 45, pp. 461-475, (1965)
[5]  
Potenza, Effect of associated trauma on healing of divided tendons, J Trauma, 2, pp. 175-184, (1962)
[6]  
Potenza, Critical evaluation of flexor tendon healing and adhesion formation within artificial digital sheaths, J Bone Joint Surg, 45 A, pp. 1217-1233, (1963)
[7]  
Kleinert, Kutz, Ashbell, Martinez, Primary repair of lacerated flexor tendons in “no man's land”, J Bone Joint Surg, 49 A, (1967)
[8]  
Lister, Kleinert, Kutz, Atasoy, Primary flexor tendon repair followed by immediate controlled mobilization, J Hand Surg, 2, pp. 441-451, (1977)
[9]  
Duran, Houser, Coleman, Postlewaite, A preliminary report in the use of controlled passive motion following flexor tendon repair in zones II and III, J Hand Surg, 1, (1976)
[10]  
Strickland, Glogovac, Digital function following flexor tendon repair in zone II. A comparison of immobilization and controlled passive motion techniques, J Hand Surg, 5, pp. 537-543, (1980)