Double and Multiple Looped Suture Tendon Repair

Abstract

We report our experience of using double or multiple looped sutures for primary tenorrhaphy combined with early active mobilization. In 46 patients involving 51 fingers with flexor tendon lacerations, double threads of the looped nylon suture were placed to repair injured FDP or FDS tendons, or three threads of looped nylon suture were made to repair the FDP tendons. Using White's (1956) criteria, the results were good or excellent in 76.5% of fingers. The double and multiple looped sutures are of sufficient strength to sustain early motion, and cause little disturbance in the circulation. Satisfactory function following primary tendon repair can be expected with these new techniques.

Primary Flexor Tendon Repair Techniques

“…2D, g) (23,38), and Tsuge ( Fig. 3A, B) (39,40) repairs have demonstrated improved gap and ultimate forces compared to the respective 2-strand techniques (Table 1). Increasing the number of strands also improved the yield force and stiffness in the Pennington modified Kessler and Savage repairs (23, 41) (Table 1).…”

Clinical Outcomes Associated with Flexor Tendon Repair

“…Emphasis on the needs and application of fouror six-strand core repairs in clinical tendon repairs appeared first in Savage and Risitano's report [11] in the late 1980s, followed by the report of Tang et al [20] in 1994, and then a series of reports in Atlas of Hand Clinics by Taras [21], Sandow and McMahon [22], and Lim and Tsai [23] in 1996. Tang et al [20] reported using double-or multiplelooped sutures for primary tendon repairs with combined early active and passive mobilization for 3 weeks.…”

A varrattechnika fejlődése a kéz hajlítóín-sérüléseiben az elmúlt tizenöt esztendő során

“…Wang és mtsai [7] módosították az eredeti, 6 öltéses Tang-módszert [8], a varrathoz egy harántöl-tést hozzáadva, így egy "M" konfigurációt formálva az öltéssel, amely kevesebb öltést és csomót jelentett az ín felszínén (1. ábra). Kutatók másik csoportja ugyanakkor újabb varratformákat fejlesztett ki annak érdekében, hogy csökkentsék az ínvégek között, a mozgatás hatására kialakult résképződést.…”