<i>In Vitro</i> Comparison of the Three Loop Pulley and Locking Loop Suture Patterns for Repair of Canine Weightbearing Tendons and Collateral Ligaments

Berg, Robert J.; Egger, Erick L.

doi:10.1111/j.1532-950x.1986.tb00187.x

Cited by 60 publications

(105 citation statements)

References 10 publications

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“…Monofilament suture is recommended as it glides through tissue, enabling the suture to be tightened to bring the ends of the tendon together (Berg and Egger 1986). It has been shown that the development of a gap of more than 3 mm in size during healing results in slower healing and lower resistance to tension by six weeks (Gelberman and others 1999).…”

Section: Discussionmentioning

confidence: 99%

Retrospective study of Achilles mechanism disruption in 45 dogs

Draffan²,

et al. 2010

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Forty-five cases of canine Achilles mechanism disruption were reviewed, mostly involving medium-sized dogs, among which dobermanns, labradors and border collies were most commonly represented. Most cases were acute in onset (66.7 per cent), and were usually closed injuries (75.6 per cent). In the majority of cases, the damage involved all tendons (26.7 per cent), all tendons except the superficial digital flexor tendon (22.2 per cent), or the gastrocnemius alone (20 per cent). Damage most commonly occurred at the tendo-osseous junction (60 per cent), with injury occurring less commonly at the musculotendinous junction (20 per cent) or in the body of the tendon (13.3 per cent). A plantigrade posture was not predictive of involvement of specific tendons, but was more likely if the injury involved the musculotendinous junction. The most common method of treatment was a primary tendon repair using polydioxanone suture in a locking-loop pattern, with placement of a temporary calcaneotibial screw and cast. The outcome was not significantly influenced by whether the injury was open or closed, the duration of the injury, the tendons involved, or the method of repair. Complications were recorded in 16 cases (35 per cent), of which 10 were minor and six major. Complications were significantly more likely if the damage involved the body of the tendon. Long-term follow-up was available for 19 dogs; the outcome of surgery was considered to be good to excellent in 18 dogs.

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Section: Discussionmentioning

confidence: 99%

Retrospective study of Achilles mechanism disruption in 45 dogs

Draffan²,

et al. 2010

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“…Healing depends mostly on the extrinsic blood supply from the paratenon; however, only prevention of gap formation enables fast revascularisation. Several methods for tendon repair are described including the locking loop (Kessler‐Mason‐Allen) suture technique (Tomlinson and Moore 1982), the modified Kessler suture (Aron 1981), the Krackow suture pattern (Krackow and others 1986), and the three‐loop pulley suture (Berg and Egger 1986). A modification of these techniques seemed necessary in the present case taking into account that the injury the cat sustained consisted of an avulsion of the triceps tendon from the olecranon and not of a true tendon rupture, leaving the bone and only minimal tendinous material for the surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Traumatic triceps tendon avulsion in a cat

Liehmann

Lorinson

2006

J of Small Animal Practice

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Traumatic avulsion of the triceps tendon was diagnosed in a 15-month-old, male, neutered European shorthair cat. Diagnosis was established clinically by palpation of a transverse groove proximal to the olecranon and by radiography. The avulsed end of the tendon was surgically reapposed using a modified three-loop pulley suture and horizontal mattress sutures. Postoperatively, elbow flexion was limited for three weeks with the aid of a spica splint and by exercise restriction for six weeks. The cat showed no lameness after bandage removal up to the time of writing (seven months). Although rare, triceps tendon injuries can occur after a blunt trauma and should be included in the differential diagnosis of foreleg lameness in the cat. The modified three-loop pulley suture in combination with subsequent immobilisation of the limb with a splinted bandage resulted in a successful outcome in this cat with a triceps tendon avulsion.

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“…Após a síntese da fratura, procedeu-se à tenorrafia do tríceps adotando-se técnica de polia de três alças (Berg e Egger, 1986) associado à sutura epitendínea com pontos interrompidos simples, usando fio de sutura inabsorvível sintético, tipo poliamida 2-09. As fáscias musculares e o tecido subcutâneo foram aproximadas empregando-se fio de poliglactina 91 Oh em padrão de sutura contínuo simples.…”

Section: Methodsunclassified

Tenotomia do tríceps braquial na reparação das fraturas intercondilares em cães

Selmi¹,

Padilha²,

Dórea³

et al. 2003

RBCV

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ResumoForam avaliados os resultados clínicos e a técnica de abordagem por meio de tenotomia do músculo tríceps braquial para o tratamento de fraturas epifisárias distais do úmero em 19 cães. Vinte fraturas foram classificadas segundo a apresentação radiográfica. Seis eram fraturas do tipo I, cinco do tipo 11, quatro do tipo 111 e cinco do tipo IV. Foram aplicados pinos de "Rush" e parafusos intercondilares em 12 casos (quatro fraturas tipo I, quatro tipo 11, uma tipo 111 e três tipo IV). Foi utilizado parafuso intercondilar associado a pino de "Steinman" cruzados em forma de X em oito casos, sendo duas fraturas do tipo I, uma do tipo 11, três do tipo 111 e duas do tipo IV. Os animais apresentaram desconforto pós-operatório imediato, regredindo após curto período. Três animais apresentaram seroma até três dias pós-operatórios. As complicações observadas foram a fratura ou deformidade do implante metálico em dois casos e migração dos implantes metálicos em outros dois cães. Obtiveram-se resultados excelentes em 12 membros, bons em quatro, regular em três e um resultado ruim. Pode-se concluir que a abordagem por meio de tenotomia do tríceps braquial propiciou adequada exposição óssea, apresentando complicações comuns a outras abordagens, servindo como mais uma alternativa de acesso cirúrgico à epífise distai do úmero em cães. Palavras-chave: tenotomia, fraturas epifisárias, úmero, cães. AbstractClinicai results and the surgical approach by rrieans of tenotomy of the triceps brachii for repair of distai epiphyseal fractures of the humerus in 19 dogs were evaluated. Twenty fractures were classified according to its radiographic aspect. Six were a type I fracture, five, a type 11, four, a type 111 and five, a type IV fracture. "Rush".pins and intercondylar screws were used in 12 cases (4 type I, 4 type 11, 1 type 111 and 3 type IV fractures). Crossed "Steinman" pins and intercondylar screws were used in eight fractures, where two were type I, one type 11, three type 111 and two type IV. Dogs exhibited signs of discomfort postoperatively which disappeared within few days after surgery. Three dogs presented seroma formation until three days after surgery. Complications included fracture or deformity of the metallic implant in two dogs and pin migration in other two animais. Excellent results were observed in 12 dogs, good in four, satisfactory in three and one unsatisfactory result. lt is concluded that the surgical approach · by means of tenotomy of the triceps brachii allowed adequate exposure of the fractured fragments sharing complications with other surgical approaches, and coul.d be considered as an alternativa approach for the distai humerus epiphyses.

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In Vitro Comparison of the Three Loop Pulley and Locking Loop Suture Patterns for Repair of Canine Weightbearing Tendons and Collateral Ligaments

Cited by 60 publications

References 10 publications

Retrospective study of Achilles mechanism disruption in 45 dogs

Retrospective study of Achilles mechanism disruption in 45 dogs

Traumatic triceps tendon avulsion in a cat

Tenotomia do tríceps braquial na reparação das fraturas intercondilares em cães

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