This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by KUSANO, N. Articles by SILVA, M. J. Search for Related Content PubMed PubMed Citation Articles by KUSANO, N. Articles by SILVA, M. J. Social Bookmarking                         What's this?

Supplementary Core Sutures Increase Resistance to Gapping for Flexor Digitorum Profundus Tendon to Bone Surface Repair – An in vitro Biomechanical Analysis

From the Department of Orthopaedic Surgery, Barnes-Jewish Hospital at Washington University, St. Louis, Missouri, USA

Correspondence: *Prof Matthew J. Silva, Ph.D., Department of Orthopaedic Surgery, Barnes-Jewish Hospital at Washington University, One Barnes-Jewish Hospital Plaza, Suite 11300 WP, St. Louis, MO 63110, USA. Tel.: +1 314 362 8597; fax: +1 314 362 0334. E-mail: silvam{at}wustl.edu

We evaluated the effects of two types of supplementary core sutures on the tensile properties and resistance to gap formation of flexor digitorum profundus (FDP) tendon-bone repairs. Forty-five human cadaver FDP tendons were sharply released from their insertion sites and repaired to bone utilizing one of three repair techniques: four-strand modified Becker core suture (Becker only), modified Becker plus a figure-of-eight supplementary core suture (Becker plus figure-of-eight), and modified Becker plus a supplementary core suture using a bone anchor (Becker plus anchor). Ultimate (maximum) force did not differ between repair groups. However, addition of a supplementary suture significantly increased repair-site stiffness and the 1, 2 and 3 mm gap forces, while decreasing the gap at 20 N compared to the Becker only suture (P<0.05). The only difference between the two supplementary suture groups was that the Becker plus anchor group had increased stiffness compared to the Becker plus figure-of-eight group. In conclusion, a supplementary figure-of-eight suture and a supplementary suture using a bone anchor provide enhanced resistance to gap formation for FDP tendon–bone repairs.

Key Words: FDP tendon • tendon-bone repair • gap formation

Journal of Hand Surgery (British and European Volume), Vol. 30, No. 3, 288-293 (2005)
DOI: 10.1016/J.JHSB.2005.01.002


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?