Optimizing biomechanical performance of the 4-strand cruciate flexor tendon repair

Influence of Locking Stitch Size in a Four-Strand Cross-Locked Cruciate Flexor Tendon Repair

“…Dona et al 36 investigated the effect of the size of locking stitches in 4-strand cruciate repairs. This repair technique consists of the same 4-strand cruciate core configuration used in the cross-locked cruciate repair, but uses simple loop-locks instead of the more stable cross-locks.…”

Biomechanical Comparison of Modified Kessler and Running Suture Repair in 3 Different Animal Tendons and in Human Flexor Tendons

“…These where chosen because they are similar to human flexor tendons in diameter and are easy to obtain in most countries. 4,6,9,32 Dogs were excluded because of possible resource and ethical problems. Human tendons served as the control group.…”

“…The flexor tendon diameter of all adult animals has generally been found to be slightly greater than that of human flexor tendons (mean surface areas were as follows: sheep, 19 mm 2 , SDM 1.2; pigs, 25.5 mm 2 , SDM 2; calves, 17 mm 2 , SDM 1.4). 6,9 Therefore, only young animals were selected for testing. The distal 10 cm of the calf flexor tendon was found to have 2 ends, both with nearly an identical diameter as that of the human flexor tendon.…”

Investigation of Locking Configurations for Tendon Repair

“…[15][16][17][18][19][20] Previous investigators have explored the effects of locking area on repair strength. 21 More recently the span of core-locking repairs was shown to affect the strength of obliquely lacerated tendons. 18,22 In this study we investigated the effects of different locking configurations on the repair strength of the tendons by using 4-strand repair techniques.…”