Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (European Volume)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by CAULFIELD, R. H.
Right arrow Articles by NANCHAHAL, J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by CAULFIELD, R. H.
Right arrow Articles by NANCHAHAL, J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Comparison of Zones 1 to 4 Flexor Tendon Repairs Using Absorbable and Unabsorbable Four-strand Core Sutures

R. H. CAULFIELD
A. MALEKI-TABRIZI
H. PATEL
F. COLDHAM
S. MEE
J. NANCHAHAL

From the Department of Plastic & Reconstructive Surgery, Chelsea and Westminster Hospital, London, the Department of Occupational Therapy, Chelsea and Westminster Hospital, London, the Department of Physiotherapy, Chelsea and Westminster Hospital, London and the Kennedy Institute of Rheumatology, Imperial College, London

Correspondence: Mr Robert H. Caulfield, Department of Plastic Surgery, Queen Victoria Hospital, NHS Foundation Trust, East Grinstead, West Sussex RH19 3DZ, UK. Mobile: 7904 115 961. E-mail: rcaulfield{at}talk21.com.

Absorbable sutures behave favourably in vitro and in an animal model. We report the outcome of flexor tendon injuries in a series of 272 consecutive patients treated over 45 months with a mean follow-up of 4 (range 3–12) months. Five hundred and seventy-six tendons were repaired in 416 digits. The patients were not randomised and all repairs were performed using a Strickland four-strand core technique. In 191 (73%) patients an absorbable core suture was used (Group 1) and in 81 (27%) a non-absorbable material was used (Group 2). There were six ruptures (2%) in Group 1 and two (2%) in Group 2. Using the original Strickland criteria, there were 72% excellent/good and 28% fair/poor results in the absorbable core suture group, and 73% and 27%, respectively, in the non-absorbable core suture group. This study suggests that appropriate absorbable core sutures can be used safely for flexor tendon repair.

Key Words: flexor tendon repair • absorbable sutures • non-absorbable sutures • four-strand core repair

Journal of Hand Surgery (European Volume), Vol. 33, No. 4, 412-417 (2008)
DOI: 10.1177/1753193408090758
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 Am. J. Pathol.Home page
J. K.F. Wong, Y. H. Lui, Z. Kapacee, K. E. Kadler, M. W. J. Ferguson, and D. A. McGrouther
The Cellular Biology of Flexor Tendon Adhesion Formation: An Old Problem in a New Paradigm
Am. J. Pathol., November 1, 2009; 175(5): 1938 - 1951.
[Abstract] [Full Text] [PDF]

Home page
 J Hand Surg Eur VolHome page
H. OMAE, C. ZHAO, Y.-L. SUN, M. E. ZOBITZ, S. L. MORAN, and P. C. AMADIO
The effect of tissue culture on suture holding strength and degradation in canine tendon
J Hand Surg Eur Vol., October 1, 2009; 34(5): 643 - 650.
[Abstract] [Full Text] [PDF]