Biomechanical Analysis of the Modified Kessler, Lahey, Adelaide, and Becker Sutures for Flexor Tendon Repair

Response of Dermal Fibroblasts to Biochemical and Physical Cues in Aligned Polycaprolactone/Silk Fibroin Nanofiber Scaffolds for Application in Tendon Tissue Engineering

“…For each of the experimental group, the cell-seeded scaffold was placed on top of a SF microfibrous membrane of the same size (30 mm × 30 mm × 0.2 mm), wrapped and tied to form a cord-shape implant (3-mm diameter) that mimicked the tendon size. The implants were inserted into the defect and a modified Kessler core pattern suture was anchored at both ends of the remaining tendon by using a 4-0 polydioxanone suture (PDS) [ 50 ]. The implantation of acellular scaffolds without RDFBs was performed in the same way as a control.…”

Eight-strand Cross-locked Cruciate Flexor Tendon Repair Using Double-stranded Suture: A Description of the Surgical Technique

“…The Adelaide repair is recommended because of its technical simplicity and practical mechanical strength. 2–4 Also, it has a smooth geometric configuration with only 4 cross-locked anchors at the tendon surface. However, it is not sufficient to withstand early postoperative active motion exercise.…”

A 3-Dimensional Suture Technique for Flexor Tendon Repair: A Biomechanical Study

“…This study follows the design of published biomechanical evaluations of in vitro porcine flexor tendon repair techniques. 4,9,17,19 The sample size was estimated based on similar in vitro studies. A convenience sample of 10 tendons for each group was studied.…”

“…Repaired tendons were stored in a freezer at À80 C to preserve their mechanical properties before testing. 19,20 Surgical technique: the 3D repair The basic pattern of 3D repair is a 3D figure of 8 with 4 anchors in the 3 planes of space. This pattern is repeated using 2 sliding sutures on both ends of the tendon, forming a 4-strand repair.…”