Flexor tendons repair: Effect of core sutures caliber with increased number of suture strands and peripheral sutures. A sheep model

Uslu M., Isik C., Ozsahin M., Ozkan A., Yasar M., Orhan Z., ...More

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, vol.100, no.6, pp.611-616, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 100 Issue: 6
  • Publication Date: 2014
  • Doi Number: 10.1016/j.otsr.2014.05.009
  • Journal Name: ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.611-616
  • Keywords: Early active movement, Flexor tendon injury, Multi-strand saturation, Peripheral suture, Suture caliber, Flexor tendon laceration, EARLY ACTIVE MOBILIZATION, GAP FORMATION, BIOMECHANICAL ANALYSIS, STRENGTH, LOCKING
  • Kocaeli University Affiliated: No

Abstract

Background: Surgeons have aimed to achieve strong repair so as to begin early active rehabilitation programs for flexor tendon injury. Multi-strand suture techniques were developed to gain improved gap resistance and ultimate force compared with the respective two-strand techniques. In vivo studies indicate that multiple strands may cause ischemia during the intrinsic healing process by decreasing the total cross-sectional area of the injured site, unless the total cross-sectional area of the sutures is not decreased.