Anchor Suture Technique for Muscle Belly Repair

Julien, Terrill P.; Mudgal, Chaitanya S.

doi:10.1097/bth.0b013e318220e75a

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…3 Suturing the muscle also promoted better healing and minimized deep scar tissue from developing in the lacerated muscle. 7,8 However, Julien and Mudgal 9 demonstrated in a small powered study that muscle injuries <25% of their width may not need repair.…”

Section: Discussionmentioning

confidence: 99%

Comparing 3 Suture Techniques After Muscle Laceration Repair

Castillo

Kaltwasser

Sanchez

et al. 2019

Hand (New York, N,Y.)

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Background: Skeletal muscle lacerations are a relatively common injury. Compared with nonrepaired lacerations, surgically repaired muscle lacerations regenerate faster, develop less scar tissue, have a higher return to baseline strength, and have lower incidence of hematomas. Despite the benefits of repair, the optimal repair technique is still unknown. The purpose of this study was to examine the biomechanical properties of common muscle repair techniques to determine the optimal repair. Methods: Forty-two fusiform porcine muscle specimens were dissected and used for this study. Three suture techniques were used for comparative analysis: Figure-eight, Mason Allen, and Perimeter. Each muscle was transected and then repaired using one of the 3 techniques. Fourteen muscle-tendon specimens were prepared for each group and tested for tensile failure using a material testing system. Biomechanical properties, including peak failure point and stiffness, were compared for differences between the suture groups by 1-way analysis of variance. The average time per repair technique was also recorded. Results: The Perimeter technique showed a statistically significant higher peak failure point than the Mason Allen technique (P = .03). Both the Figure-eight (P = .047) and Perimeter techniques (P < .001) were significantly stiffer than the Mason Allen technique. The repair time was comparable across all 3 techniques. Conclusions: The Figure-eight and Perimeter repairs were found to be similar in peak failure point and stiffness, whereas the Mason Allen technique showed significantly lower stiffness and peak failure point. The Figure-eight was the quickest repair to perform. The Figure-eight technique may be strongly considered for muscle laceration repairs due to its simplicity and efficiency.

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Section: Discussionmentioning

confidence: 99%

Comparing 3 Suture Techniques After Muscle Laceration Repair

Castillo

Kaltwasser

Sanchez

et al. 2019

Hand (New York, N,Y.)

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“…The brachialis muscle was repaired first with the elbow in 90 degrees of flexion and using an anchor suture technique described by Julien and Mudgal. 6 The biceps was repaired in the same fashion and augmented with a semitendinosus and gracilis allograft measuring 4.5 mm x 240 mm and 5 mm x 240 mm, respectively [Figure 1D ]. We chose to augment the repair given the delay in presentation and the poor integrity of the avulsed tissue.…”

Section: Case Reportmentioning

confidence: 99%

Closed Midsubstance Rupture of the Biceps Brachii and Brachialis: A Case Report

Fones,

Nemirov,

Tosti

et al. 2024

SurgiColl

Self Cite

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Closed rupture of the biceps brachii muscle belly should be considered in patients who experience arm pain and weakness after a forceful extension of the elbow against a fixed point of compression in the mid-arm. A delayed or missed diagnosis may portend inferior outcomes. Magnetic resonance imaging (MRI) can confirm the diagnosis but may not fully define the lesion. Therefore, the treating physician should be fully prepared to encounter a greater magnitude of muscular injury than that defined by the MRI. In young, active patients, early surgical repair can be considered to optimize the strength and cosmetic appearance of the limb. The repair technique should consist of a self-grasping suture technique, which may need to be augmented by fascial flaps or allograft tissue.

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“…Therefore, the indications for surgical repair of an intrasubstance muscle laceration generally include a partial or full transection that, left unrepaired, could result in weakness and/or loss of function. 30 …”

Section: Muscle Injury and Direct Repairmentioning

confidence: 99%

“…Trauma to the intrasubstance of a muscle, in particular, often impairs functional capacity by disrupting the musculotendinous complex. 30 In the setting of volumetric muscle loss greater than 20%, the defect typically is not repaired through intrinsic healing mechanisms, resulting in a decrease in function. 1 In such cases, surgery may be the only intervention capable of restoring partial or full function.…”

Section: Muscle Injury and Direct Repairmentioning

confidence: 99%

Therapeutic Approaches to Skeletal Muscle Repair and Healing

et al. 2013

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Context:Skeletal muscle is comprised of a highly organized network of cells, neurovascular structures, and connective tissue. Muscle injury is typically followed by a well-orchestrated healing response that consists of the following phases: inflammation, regeneration, and fibrosis. This review presents the mechanisms of action and evidence supporting the effectiveness of various traditional and novel therapies at each phase of the skeletal muscle healing process.Evidence Acquisition:Relevant published articles were identified using MEDLINE (1978-2013).Study Design:Clinical review.Level of Evidence:Level 3.Results:To facilitate muscle healing, surgical techniques involving direct suture repair, as well as the implantation of innovative biologic scaffolds, have been developed. Nonsteroidal anti-inflammatory drugs may be potentially supplanted by nitric oxide and curcumin in modulating the inflammatory pathway. Studies in muscle regeneration have identified stem cells, myogenic factors, and β-agonists capable of enhancing the regenerative capabilities of injured tissue. Furthermore, transforming growth factor-β1 (TGF-β1) and, more recently, myostatin and the rennin-angiotensin system have been implicated in fibrous tissue formation; several antifibrotic agents have demonstrated the ability to disrupt these systems.Conclusion:Effective repair of skeletal muscle after severe injury is unlikely to be achieved with a single intervention. For full functional recovery of muscle there is a need to control inflammation, stimulate regeneration, and limit fibrosis.Strength-of-Recommendation Taxonomy (SORT):B

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Anchor Suture Technique for Muscle Belly Repair

Cited by 8 publications

References 16 publications

Comparing 3 Suture Techniques After Muscle Laceration Repair

Comparing 3 Suture Techniques After Muscle Laceration Repair

Closed Midsubstance Rupture of the Biceps Brachii and Brachialis: A Case Report

Therapeutic Approaches to Skeletal Muscle Repair and Healing

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