Comparative biomechanical performances of 4-strand core suture repairs for zone II flexor tendon lacerations

Angeles, Jovito; Heminger, Heather; Mass, Daniel P.

doi:10.1053/jhsu.2002.32619

Cited by 90 publications

(88 citation statements)

References 37 publications

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“…Restoration of function after flexor tendon injuries has long been a challenge and a frustration to hand and orthopedic surgeons. In recent decades, laboratory and clinical investigations focused on flexor tendon biomechanics, refinement of repair methods, and optimization of rehabilitation regimens have remarkably improved functional outcomes [1][2][3][4][5][6][7][8]. Repair ruptures and adhesion formation are still unpredictable in some cases [8][9][10][11][12][13][14][15], however, and are believed to be attributed to inherent weakness in the healing capacity of tendons, particularly those in intrasynovial areas.…”

mentioning

confidence: 99%

Clinical Outcomes Associated with Flexor Tendon Repair

2005

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confidence: 99%

Clinical Outcomes Associated with Flexor Tendon Repair

2005

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“…After four-strand repair, Angeles et al [21] found slightly higher values for ultimate tensile strength for the Becker suture (mean, 69 ± 8 N), the locked cruciate suture (mean, 64 ± 16 N) and the modified double Tsuge suture (mean, 60 ± 15 N). Barrie et al [18] recorded in an in situ testing model even higher values for ultimate tensile strength after four-strand repairs with the Kessler suture (mean, 66 N), the cruciate (mean, 70 N) and the locked cruciate suture (mean, 79 N).…”

Section: Discussionmentioning

confidence: 96%

“…On the other hand multistranded core sutures are in discussion because of problems with tendon gliding, bulking at the repair site and increased tissue handling which can lead to increased adhesions [20]. Four-strand repairs are considered most advantageous since they provide adequate tensile strength while minimizing interference with tendon gliding [18,21]. We wished to compare our own four-strand suture techniques with three clinically proven techniques (Kessler, Tsuge, Bunnell) which are all two-strand.…”

Section: Discussionmentioning

confidence: 99%

Flexor tendon repair using a new suture technique: a comparative in vitro biomechanical study

Schädel-Höpfner

Windolf

Lögters

et al. 2010

Eur J Trauma Emerg Surg

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“…Also, rehabilitation therapy aims to prevent tendon adhesions of both extrinsic flexor and extensor tendons. The strength of flexor and extensor tendon repair using modified Becker's technique is strong enough to bear the active motion at the early postoperative period [1,14]. Based on the strong repair of the tendons, it was possible to start assisted active motion with crane-typed dynamic splint [20].…”

Section: Discussionmentioning

confidence: 99%

Hand Replantation with Proximal Row Carpectomy

Woo¹,

Lee²,

Lee³

et al. 2008

Hand (New York, N,Y.)

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The purpose of this study is to present our operative technique and postoperative results of the hand replantation with proximal row carpectomy in cases of complete amputation at the level of wrist joint. From May 2003 to April 2005, five patients suffered from complete amputation of the hand due to industrial trauma. Amputation level was radiocarpal joint in three cases and midcarpal joint in two cases. Three cases represented guillotine type and two cases with local crush type injuries. All were men and the mean age was 26.6 years. The mean follow-up period was 26.8 months. At the time of replantation, the wrist joint was stabilized with transarticular fixation using three to four Kirschner's wires after performing proximal row carpectomy. Postoperatively, functional results such as muscle strength, range of motion of the wrist and fingers, and sensory recovery were assessed according to Chen's criteria. Joint width and arthritic changes of the radiocapitate joint were evaluated with radiologic tools. According to Chen's criteria, the overall results in five cases were classified as grade II. Intrinsic muscle power of hands was found to be grade 4. The mean grip and pinch powers were 41% and 45%, respectively, compared to contralateral hand. The mean arc of flexion-extension of wrist was 53°. Total mean active motion of fingers was 215 degrees. Static twopoint discrimination of fingertip ranged from 8 to 13 mm. On the follow-up, computerized tomography showed wellpreserved radio-capitate joint space without any arthritic changes. While performing hand replantation after amputation at the radiocarpal or midcarpal level, proximal row carpectomy is a useful procedure to preserve joint motion of the wrist in selected cases.

show abstract

Comparative biomechanical performances of 4-strand core suture repairs for zone II flexor tendon lacerations

Cited by 90 publications

References 37 publications

Clinical Outcomes Associated with Flexor Tendon Repair

Clinical Outcomes Associated with Flexor Tendon Repair

Flexor tendon repair using a new suture technique: a comparative in vitro biomechanical study

Hand Replantation with Proximal Row Carpectomy

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