title: Biomechanical properties of a new multilocking loop peripheral suture technique for the repair of flexor tendons: a comparative experimental study.
abstract: We aimed to evaluate the biomechanical properties of a new multilocking loop peripheral suture technique. For this aim, 40-deep digital flexor tendons of adult male sheep front limb were divided and then repaired using one of the following methods: simple peripheral suture plus 2- or 4-strand Kessler core suture or a new multilocking loop peripheral suture combined with either 2- or 4-strand Kessler core suture. Intact tendons were used as controls. The following biomechanical parameters were tested: ultimate tensile strength, energy to failure, 2-mm gap formation force, stiffness, and mechanism of failure. Regardless of the number of core suture strands, the new technique resulted in greater ultimate tensile strength, energy to failure, 2-mm gap formation force, and stiffness values, compared with simple running peripheral suture. In conclusion, the new multilocking loop peripheral suture technique represents a biomechanically strong and technically suitable method for flexor tendon repair.
authors.affiliation: Department of Orthopedics and Traumatology, Erciyes University, Kayseri, Turkey.
authors.forename: Yildirim C
authors.initials: YC
authors.lastname: Turk
authors.forename: Ahmet
authors.initials: A
authors.lastname: Guney
authors.forename: Mithat
authors.initials: M
authors.lastname: Oner
authors.forename: Mehmet
authors.initials: M
authors.lastname: Halici
mesh_terms: D000704:Analysis of Variance; D000818:Animals; D001696:Biomechanical Phenomena; D004195:Disease Models, Animal; D008297:Male; D008422:Materials Testing; D011897:Random Allocation; D019651:Plastic Surgery Procedures / Q000379:methods; D012016:Reference Values; D012756:Sheep; D013314:Stress, Mechanical; D013536:Suture Techniques; D013537:Sutures; D013708:Tendon Injuries / Q000601:surgery*; D013718:Tensile Strength