Biomechanical Study of Cross-Locked Cruciate Versus Strickland Flexor Tendon Repair

Epitendinous Suture Techniques in Extensor Tendon Repairs—An Experimental Evaluation

“…2 The other techniques were selected for evaluation because they had been found to be superior to Silfverskiöld for flexor tendon repairs. [15][16][17][18] Our findings with the extensor tendon model are consistent with those of these authors. Although not reaching significance, the buried Silfverskiöld was stronger than the conventional Silfverskiöld, and the IHM was significantly stronger than the conventional Halsted as well as the other repairs.…”

“…1D), a circumferential form of which has been validated for flexor tendon repairs. 17 A buried Silfverskiöld repair was stiffer and stronger than conventional Silfverskiöld or Halsted epitendinous repairs in a flexor tendon model, 18 although no significant difference in strength was found between simple running, locking, Halsted, Lin, or Lembert techniques. 19 Deeper epitendinous sutures are significantly stronger than superficially placed sutures.…”

How much does a Pennington lock add to strength of a tendon repair?

“…The 4-0 or 3-0 sutures remain the most popularly used suture materials currently (Brockardt et al, 2009;Giesen et al, 2009;Hirpara et al, 2009;Kim et al, 2009;Tang, 2005;Vigler et al, 2008). The differences in the Kessler repairs with and without the original Pennington locks with 3-0 suture were actually (Cao et al, 2006;Tang et al, 2005;Taras et al, 2001;Thurman et al, 1998;.…”

Strength of Tendon Repair Decreases in the Presence of an Intact A2 Pulley: Biomechanical Study in a Chicken Model

“…Previously, strength of tendon repairs has been typically tested under straight pulling conditions [12][13][14][15][16][17] ; occasionally, strength has been tested with the fingers completely flexed. 18,19 Here, we measured the failure forces of tendon repairs at designated positions along the digital flexion arc.…”