Document Detail


Mechanical properties of various circumferential tendon suture techniques.
MedLine Citation:
PMID:  8856537     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the mechanical properties of six different circumferential tendon sutures with a variable number of suture strands. Seventy-two human cadaver flexor profundus tendons were cut and repaired using only a 6/0 polypropylene circumferential suture. The six running suture techniques were: Simple; Simple-locking; Lembert; Halsted; Cross-stitch; Lin-locking; using 10, 14 and 18 suture passes. The increased suture passes increased both tensile and gap strengths. The tensile strength of the Lin-locking technique (29 to 63 N) was significantly stronger than the others, followed by Cross-stitch (27 to 38 N), Halsted (21 to 27N), Lembert (20 to 27N), Simple (11 to 22 N) and Simple-locking (10 to 17 N). The gap strength values were between 3 to 14N, with no significant differences between the techniques. The resistance to gliding, as measured by work of flexion, was not affected by the number of strands. However, the Lin-locking significantly increased the resistance to gliding (33-36%) compared to the other techniques (6-21%); there were no significant differences between these five techniques.
Authors:
H Kubota; M Aoki; D L Pruitt; P R Manske
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hand surgery (Edinburgh, Scotland)     Volume:  21     ISSN:  0266-7681     ISO Abbreviation:  J Hand Surg Br     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1997-01-17     Completed Date:  1997-01-17     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  8403839     Medline TA:  J Hand Surg Br     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  474-80     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Biomechanics
Hand Injuries / physiopathology,  surgery*
Hand Strength / physiology
Humans
Postoperative Complications / physiopathology
Surgical Wound Dehiscence / physiopathology*
Suture Techniques*
Tendon Injuries / physiopathology,  surgery*
Tensile Strength
Weight-Bearing / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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