The “Grasping” Technique for Tendon Repair

Kessler, I

doi:10.1016/0072-968x(73)90038-7

Cited by 193 publications

(66 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Kessler method, 1 Kleinert method, 2 Tsuge method, 3 and modified Kessler technique 4 are widely used in flexor tendon repair. Newer methods include the augmented Becker 6,7 and double Tsuge 8 repairs.…”

Section: Introductionmentioning

confidence: 99%

The effect of knot location, suture material, and suture size on the gliding resistance of flexor tendons

Momose

Amadio

Zhao

et al. 2000

J. Biomed. Mater. Res.

View full text Add to dashboard Cite

The effect of knot location, suture material, and suture size on gliding resistance between the pulley and flexor tendon was investigated in a canine model. Different suture materials [monofilament nylon (Ethilon), braided polyester suture coated with silicone (Ticron) and uncoated braided polyester suture (Mersilene)] and suture sizes (4-0, 5-0) were tested. A knot was made on either the volar surface, on one lateral side, or on both lateral sides of canine hind-paw tendons, and gliding resistance was measured. In addition, the frictional coefficient between three suture materials (4-0 nylon, 4-0 Ticron, 4-0 Mersilene) and a nylon rod were measured. The gliding resistance of the tendon with knots on both sides was highest, while tendons with one lateral knot had the lowest resistance (p < 0.01). The gliding resistance of 4-0 suture size was higher than that of 5-0 size (p < 0.0001). The coefficient of friction of nylon was lower than that of braided polyester suture (Ticron or Mersilene) (p < 0.001). The placement of knots and choice of suture material affect gliding resistance after tendon repair, and may, therefore, have an effect on the result of tendon repair.

show abstract

Section: Introductionmentioning

confidence: 99%

The effect of knot location, suture material, and suture size on the gliding resistance of flexor tendons

Momose

Amadio

Zhao

et al. 2000

J. Biomed. Mater. Res.

View full text Add to dashboard Cite

show abstract

“…Striking a proper balance between protection and mobilization has long been a difficult problem after flexor tendon injury and repair, especially in Zone 2, a region in the fingers where the flexor digitorum profundus and superficialis tendons reside within a fibro-osseous pulley system. [1][2][3][4][5] A repaired tendon requires protection for several months after repair. 6 -8 Immobilization permits tendon union but often results in adhesions that impair gliding, resulting in dysfunction of the tendon; early mobilization poses a risk of repair rupture.…”

Section: Introductionmentioning

confidence: 99%

Tendon surface modification by chemically modified HA coating after flexor digitorum profundus tendon repair

Yang¹,

Amadio²,

Sun³

et al. 2003

J Biomed Mater Res

View full text Add to dashboard Cite

Carbodiimide derivatized HA (cd-HA) is less soluble in water than normal HA, and therefore has an increased tissue residence time. The purpose of this study was to study the effect of cd-HA gel on gliding and repair integrity during simulated repetitive motion of a repaired tendon in vitro. A total of 36 flexor digitorum profundus (FDP) tendons from six adult mongrel dogs were used and divided into three groups of control, simple HA, and cd-HA. The gliding resistance between the FDP and the proximal pulley, FDS, and bone was measured before laceration and after modified Kessler technique repair at 1, 5, 10, 50, 100, 200, 300, 400, and 500 cycles. After gliding testing, failure load, tendon stiffness, and resistance to gap formation were measured. The results showed from the first cycle to the 10th cycle, there were no significant differences in gliding resistance between the three testing groups (p > 0.05). From the 50th cycle onwards, the friction was significantly lower in the cd-HA gel group than in the control group (p < 0.05). Neither breaking strength, nor tendon stiffness, nor resistance to gap formation of the repairs were significantly different between the three groups (p > 0.05).

show abstract

“…Although there has been a marked improvement in the outcomes after flexor tendon laceration with new regimens of direct repair and postoperative controlled mobilization [1][2][3][4][5] , adhesion formation continues to be a difficult problem after flexor tendon repair, especially in zone II [6][7][8][9][10][11] . A tendon graft is still indicated when a flexor tendon repair fails or when tendon rupture or tendon transfer requires elongation of the muscle-tendon unit 10,[12][13][14] .…”

mentioning

confidence: 99%

Surface Treatment of Flexor Tendon Autografts with Carbodiimide-Derivatized Hyaluronic Acid<sbt aid="1047845">An in Vivo Canine Model</sbt>

Zhao

Sun

Amadio

et al. 2006

J Bone Joint Surg Am

View full text Add to dashboard Cite

Background-Clinical and experimental studies have demonstrated that restrictive adhesions and poor digital motion are common complications after extrasynovial tendon grafting in an intrasynovial environment. The purpose of this study was to test the hypothesis that surface modification of an extrasynovial tendon with use of a carbodiimide-derivatized hyaluronic acidgelatin polymer (cd-HA) improves gliding ability and digital function after tendon grafting in a canine model in vivo.

show abstract

The “Grasping” Technique for Tendon Repair

Cited by 193 publications

References 1 publication

The effect of knot location, suture material, and suture size on the gliding resistance of flexor tendons

The effect of knot location, suture material, and suture size on the gliding resistance of flexor tendons

Tendon surface modification by chemically modified HA coating after flexor digitorum profundus tendon repair

Surface Treatment of Flexor Tendon Autografts with Carbodiimide-Derivatized Hyaluronic Acid<sbt aid="1047845">An in Vivo Canine Model</sbt>

Contact Info

Product

Resources

About