The resistance of a four- and eight-strand suture technique to gap formation during tensile testing: an experimental study of repaired canine flexor tendons after 10 days of in vivo healing

Tendons fléchisseurs : plaies récentes sans perte de substance tendineuse

“…Dans un travail personnel, nous avions retrouvé une résistance en traction moyenne de 1 620 g avec un Kessler modifié à deux brins, contre une résistance moyenne de 2 744 g avec un Kessler modifié à quatre brins (10). Les brins peuvent être : parallèles (9), réalisés dans deux plans orthogonaux (10,11), croisés (12, 13)… La technique de McLarney semble proche de la technique idéale car, pour Strickland (14), elle semble plus solide que les autres techniques à quatre brins.…”

Die primäre Naht der Fingerbeugesehnen

“…Eine zusätzlich angelegte epitendinöse zirkuläre Naht erhöht die Stabilität signifikant. Dabei sind kreuzstichartig gestochene Nähte den einfach fortlaufenden epitendinösen Nähten überlegen [1,3,12,14,18,21,[25][26][27][28][29].…”

The effect of a collagen-elastin matrix on adhesion formation after flexor tendon repair in a rabbit model

“…Different suture techniques involving multiple suture strands and modern suture materials are used to improve the strength of the tendon repair to allow for active early motion of the injured digit [1][2][3][4][5][6]. Some studies have shown that an increased gliding resistance due to the suture material and suture technique cannot be overcome by passive mobilization alone, probably due to buckling up of the tendons inside the flexor sheath, or possibly as a result of post-injury oedema and exudative fluid reactions [7].…”

“…A large series of studies deal with biomechanical testing of different suture materials and techniques, yet there are few statements on their in vivo performance [1,4,7]. A multistrand interlocking suture technique leads to greater solidity of the tendon-suture construct [1,5,8].…”

“…A multistrand interlocking suture technique leads to greater solidity of the tendon-suture construct [1,5,8]. At the same time, the volume of the repaired tendon increases which may cause disturbances during the process of tendon healing [9,10].…”