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Journal of Hand Surgery (European Volume)
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Article

Strength enhancement of the interlocking mechanism in cross-stitch peripheral sutures for flexor tendon repair: biomechanical comparisons by cyclic loading

N Takeuchi, Hiromichi Mitsuyasu, Mr.*, S Hotokezaka, H Miura, H Higaki, and Y Iwamoto

* To whom correspondence should be addressed. E-mail: hiro{at}ortho.med.kyushu-u.ac.jp.


   Abstract

The fatigue strength of three peripheral suture techniques for flexor tendon repair was compared by cyclic loading of repairs in a cotton dental roll tendon model. Thirty pairs of dental roll were sutured using only peripheral sutures with 6-0 polypropylene. An initial cyclic load of 5 N for 500 cycles was applied and increased by 5 N for an additional 500 cycles at each new load until rupture. The fatigue strength of an interlocking cross-stitch suture was 113% greater than a running suture and 36% greater than a standard cross-stitch suture. Interlocking the cross-stitch prevented shortening of the transverse portions under load and appears to be a useful technique for increasing the strength of the peripheral suture.

First published on September 28, 2009
Journal of Hand Surgery (European Volume) 2009, doi:10.1177/1753193409345804


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