Comparison of a suture technique with the modified Kessler method: resistance to gap formation.
We performed an in vitro study using canine flexor tendons to compare the tensile properties of a suture technique for flexor tendon repair with the standard modified Kessler technique. The technique employs a central wire loop that connects the two transverse limbs of the modified Kessler suture. Both techniques were studied with and without a Lembert epitendinous stitch. The technique combined with an epitendinous suture provided the strongest resistance to gap formation, and its load at gap initiation was 100% greater than the load in tendons repaired with the modified Kessler and an epitendinous suture. Because of its increased resistance to gap formation, this suture technique may provide a safer margin for controlled early active motion after flexor tendon repair.
Barmakian
J T
JT
Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, NY.
Lin
H
H
Green
S M
SM
Posner
M A
MA
Casar
R S
RS
D000818:Animals; D004285:Dogs; D013536:Suture Techniques; D013710:Tendons / Q000503:physiopathology / Q000601:surgery*; D013718:Tensile Strength