Biomechanical Evaluation of Flexor Tendon Repair: Double Loop Technique with Epitendinous Suture
References
- Schöffl V, Heid A, Küpper T. Tendon injuries of the hand. World J Orthop. 2012; 3(6): 62-9. doi: 10.5312/wjo.v3.i6.62
- van Leerdam RH, Krijnen P, Panneman MJ, Schipper IB. Incidence and treatment of hand and wrist injuries in Dutch emergency departments. Eur J Trauma Emerg Surg. 2022; 48(6): 4327-32. doi: 10.1007/s00068-021-01732-x
- Buschmann J, Bürgisser GM. Role of cellular response in the healing process of tendons and ligaments. Biomech Tendons Ligaments. 2017; 301-17. doi: 10.1016/B978-0-08-100489-0.00011-9
- Griffin M, Hindocha S, Jordan D, Saleh M, Khan W. An overview of the management of flexor tendon injuries. Open Orthop J. 2012; 6: 28-35. doi: 10.2174/1874325001206010028
- Sebastin SJ, Ho A, Karjalainen T, Chung KC. History and evolution of the Kessler repair. J Hand Surg Am. 2013; 38(3): 552-61. doi: 10.1016/j.jhsa.2012.11.033
- Pişkin A, Yücetürk A, Tomak Y, Ozer M, Gülman B, Ataman A, et al. Tendon tamirinde güçlendirilmiş modifiye Kessler, modifiye Kessler ve Savage yöntemlerinin karşilaştirilmasi: Biyomekanik çalişma [Tendon repair with the strengthened modified Kessler, modified Kessler, and Savage suture techniques: a biomechanical comparison]. Acta Orthop Traumatol Turc. 2007; 41(3): 238-43. Turkish.
- Namazi H, Mozaffarian K, Golmakani MR. Comparison of Roll Stitch Technique and Core Suture Technique for Extensor Tendon Repair at the Metacarpophalangeal Joint level. Trauma Mon. 2016; 21(1): e24563. doi: 10.5812/traumamon.24563
- McLarney E, Hoffman H, Wolfe SW. Biomechanical analysis of the cruciate four-strand flexor tendon repair. J Hand Surg Am. 1999; 24(2): 295-301. doi: 10.1053/jhsu.1999.0295
- Lindsay WK, Thomson HG, Walker FG. Digital flexor tendons: an experimental study. Part II. The significance of a gap occurring at the line of suture. Br J Plast Surg. 1960; 3: 1-9. doi: 10.1016/s0007-1226(60)80003-3
- Ejeskär A, Irstam L. Elongation in profundus tendon repair. A clinical and radiological study. Scand J Plast Reconstr Surg. 1981; 15(1): 61-8. doi: 10.3109/02844318109103414
- Seradge H. Elongation of the repair configuration following flexor tendon repair. J Hand Surg Am. 1983; 8(2): 182-5. doi: 10.1016/s0363-5023(83)80012-4
- Silfverskiöld KL, May EJ, Törnvall AH. Gap formation during controlled motion after flexor tendon repair in zone II: a prospective clinical study. J Hand Surg Am. 1992; 17(3): 539-46. doi: 10.1016/0363-5023(92)90368-y
- Ruan H, Liu S, Li F, Li X, Fan C. Prevention of Tendon Adhesions by ERK2 Small Interfering RNAs. Int J Mol Sci. 2013; 14(2): 4361-71. doi: 10.3390/ijms14024361
- Dona E, Gianoutsos MP, Walsh WR. Optimizing biomechanical performance of the 4-strand cruciate flexor tendon repair. J Hand Surg Am. 2004; 29(4): 571-80. doi: 10.1016/j.jhsa.2004.04.007
- Yang W, Li J, Su Y, Liang W, Ren Y, Dong Y, et al. A Modified Flexor Tendon Suture Technique Combining Kessler and Loop Lock Flexor Tendon Sutures. Clinics (Sao Paulo). 2021; 76: e2358. doi: 10.6061/clinics/2021/e2358
- Wang JH, Guo Q, Li B. Tendon biomechanics and mechanobiology--a minireview of basic concepts and recent advancements. J Hand Ther. 2012; 25(2): 133-40; quiz 141. doi: 10.1016/j.jht.2011.07.004
- Lawrence TM, Davis TR. A biomechanical analysis of suture materials and their influence on a four-strand flexor tendon repair. J Hand Surg Am. 2005; 30(4): 836-41. doi: 10.1016/j.jhsa.2005.03.011
- Aoki M, Kubota H, Pruitt DL, Manske PR. Biomechanical and histologic characteristics of canine flexor tendon repair using early postoperative mobilization. J Hand Surg Am. 1997; 22(1): 107-14. doi: 10.1016/S0363-5023(05)80189-3
- Kubota H, Manske PR, Aoki M, Pruitt DL, Larson BJ. Effect of motion and tension on injured flexor tendons in chickens. J Hand Surg Am. 1996; 21(3): 456-63. doi: 10.1016/S0363-5023(96)80363-7
- Bainbridge LC, Robertson C, Gillies D, Elliot D. A comparison of post-operative mobilization of flexor tendon repairs with "passive flexion-active extension" and "controlled active motion" techniques. J Hand Surg Br. 1994; 19(4): 517-21. doi: 10.1016/0266-7681(94)90219-4
- Le SV, Chiu S, Meineke RC, Williams P, Wongworawat MD. Number of suture throws and its impact on the biomechanical properties of the four-strand cruciate locked flexor tendon repair with FiberWire. J Hand Surg Eur Vol. 2012; 37(9): 826-31. doi: 10.1177/1753193412447503
- Lee SK, Goldstein RY, Zingman A, Terranova C, Nasser P, Hausman MR. The effects of core suture purchase on the biomechanical characteristics of a multistrand locking flexor tendon repair: a cadaveric study. J Hand Surg Am. 2010; 35(7): 1165-71. doi: 10.1016/j.jhsa.2010.04.003
- Trail IA, Powell ES, Noble J. The mechanical strength of various suture techniques. J Hand Surg Br. 1992; 17(1): 89-91. doi: 10.1016/0266-7681(92)90019-x
- Rose J, Tuma F. Sutures And Needles. 2023 Aug 28. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025 Jan–.
- Labana N, Messer T, Lautenschlager E, Nagda S, Nagle D. A biomechanical analysis of the modified Tsuge suture technique for repair of flexor tendon lacerations. J Hand Surg Br. 2001; 26(4): 297-300. doi: 10.1054/jhsb.2001.0597
- Shalimar A, Lim CH, Wong SK, Lau SY, Anizar FA, Shukri S. A Survey of Zone II Flexor Tendon Repair Techniques and Rehabilitation Protocols Preferred by Malaysian Orthopaedic Practitioners. Malays Orthop J. 2022; 16(2): 87-94. doi: 10.5704/MOJ.2207.011
- Castoldi M, Solla F, Camuzard O, Pithioux M, Rampal V, Rosello O. A 3-Dimensional Suture Technique for Flexor Tendon Repair: A Biomechanical Study. J Hand Surg Am. 2023; 48(2): 194.e1-194.e9. doi: 10.1016/j.jhsa.2021.09.030
- Ishak A, Rajangam A, Khajuria A. The evidence-base for the management of flexor tendon injuries of the hand: Review. Ann Med Surg (Lond). 2019; 48: 1-6. doi: 10.1016/j.amsu.2019.10.006
- Taras JS. Primary flexor tendon repair. Oper Tech Orthop. 1993; 3(4): 270-7. doi: 10.1016/S1048-6666(06)80014-5
- Soejima O, Diao E, Lotz JC, Hariharan JS. Comparative mechanical analysis of dorsal versus palmar placement of core suture for flexor tendon repairs. J Hand Surg Am. 1995; 20(5): 801-7. doi: 10.1016/S0363-5023(05)80435-6
- Diao E, Hariharan JS, Soejima O, Lotz JC. Effect of peripheral suture depth on strength of tendon repairs. J Hand Surg Am. 1996; 21(2): 234-9. doi: 10.1016/S0363-5023(96)80106-7
- Dogramaci Y, Kalaci A, Sevinç TT, Esen E, Komurcu M, Yanat AN. Does strand configuration and number of purchase points affect the biomechanical behavior of a tendon repair? A biomechanical evaluation using different kessler methods of flexor tendon repair. Hand (N Y). 2008; 3(3): 266-70. doi: 10.1007/s11552-008-9095-1
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