Yalcin, Levent, Demirci, M. Selman, Alp, Mehmet, Akkin, Salih Murat, Sener, Burak and Koebke, Jurgen (2011). Biomechanical assessment of suture techniques used for tendon repair. Acta Orthop. Traumatol. Turc., 45 (6). S. 453 - 458. ISTANBUL: TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY. ISSN 1017-995X
Full text not available from this repository.Abstract
Objective: The aim of this study was to assess different tendon suture techniques from the perspectives of both tensile strength and early active mobilization. Methods: In this study, we implemented repairs on 40 flexor digitorum profundus (FDP) tendons, acquired from fresh frozen cadavers. The tendons were divided into 5 groups of 8 tendons each. We applied the 2-strand modified Kessler suture technique in the first group, the 4-strand Strickland suture technique in the second group, the 4-strand modified Kessler (without epitenon suture) suture technique in the third group, and the 4-strand modified Kessler (with epitenon sutures) suture technique in the fourth group. The remaining 8 intact tendons were set aside as the control group. The strength of the different tendon suture techniques were measured using the Instron (R) device. Results: The average tolerance strength of the first group was determined as 39.89 +/- 9.65 Newtons (N), the average tolerance strength of the second group was 39.64 +/- 9.14 N, the average tolerance strength of the third group was 50.29 +/- 11.24 N, the average tolerance strength of the fourth group was 54.47 +/- 6.83 N, and the average tolerance strength of the control group was 119 +/- 17.59 N. The tensile strength of the fourth group was significantly higher (p<0.05) than the first group, and the tensile strength of the third group was also significantly higher (p<0.05) than the first group. No significant difference was observed between the tensile strengths of the second and first groups (p>0.05). Conclusion: According to our findings, the tensile strength of 4-strand sutures, with or without epitenon sutures, are significantly higher than the tensile strength of 2-strand sutures. All suture techniques applied had sufficient tensile strength to promote early mobilization.
Item Type: | Journal Article | ||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-485617 | ||||||||||||||||||||||||||||
DOI: | 10.3944/AOTT.2011.2379 | ||||||||||||||||||||||||||||
Journal or Publication Title: | Acta Orthop. Traumatol. Turc. | ||||||||||||||||||||||||||||
Volume: | 45 | ||||||||||||||||||||||||||||
Number: | 6 | ||||||||||||||||||||||||||||
Page Range: | S. 453 - 458 | ||||||||||||||||||||||||||||
Date: | 2011 | ||||||||||||||||||||||||||||
Publisher: | TURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGY | ||||||||||||||||||||||||||||
Place of Publication: | ISTANBUL | ||||||||||||||||||||||||||||
ISSN: | 1017-995X | ||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/48561 |
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