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Journal of Hand Surgery (British and European Volume)
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Articles

The Role of an Adhesive (Histoacryl) in Tendon Repair

I. A. TRAIL
E. S. POWELL
J. NOBLE
S. CRANK

From the University of Manchester, Manchester

Correspondence: Mr I. A. Trail, MD, FRCS, Senior Registrar in Orthopaedic Surgery, Department of Orthopaedic Surgery, University of Manchester, Hope Hospital, Clinical Sciences Building, Eccles Old Road, Salford, Manchester M6 8HD.

Two in vitro experiments have been done comparing various techniques of tendon repair. These include repairs using an adhesive, 2-butyl cyanoacrylate (Histoacryl), and repairs by the modified Kessler technique, using 4/0 braided polyester and 4/0 stainless steel. Mechanical analysis has shown that by replacing the circumferential suture of a modified Kessler tendon repair with Histoacryl, the tensile strength of the repair and the force needed to produce a gap can be increased by 30% to 40%. This improvement was statistically significant (P < 0.05).

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 5, 544-549 (1992)
DOI: 10.1016/S0266-7681(05)80239-6
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