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Journal of Hand Surgery (British and European Volume)
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Articles

Flexor Tendon-Pulley Interaction afterTendon Repair

A biomechanical study

J. H. COERT
S. UCHIYAMA
P. C. AMADIO
L. J. BERGLUND
NK AN

From the Orthopedic Biomechanics Laboratory, Department of Orthopedics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

Correspondence: Peter C. Amadio, MD, Mayo Clinic Biomechanics Laboratory, Rochester, MN 55905 USA.

Ten normal ring fingers from ten donors were used to determine the effect of flexor tendon repair on the gliding resistance between the tendon and the A2 pulley. Gliding resistance was measured for the intact FDP tendon and for the same tendon after it was cut transversely and repaired with a 4/0 Ticron core suture and a 6/0 running epitendinous nylon suture. After repair, the gliding pattern of the tendon through the A2 pulley changed significantly. The resistance and the friction coefficient were approximately doubled (P<0.005).

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 5, 573-577 (1995)
DOI: 10.1016/S0266-7681(05)80113-5
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