Comparison of a multifilament stainless steel suture with FiberWire for flexor tendon repairs - an in vitro biomechanical study

被引：21

作者：

McDonald, E. ^{[1
]}

Gordon, J. A. ^{[2
]}

Buckley, J. M. ^{[3
]}

Gordon, L. ^{[4
,5
]}

机构：

[1] UCSF SFGH Orthopaed Trauma Inst, San Francisco, CA USA

[2] Univ Penn, Philadelphia, PA 19104 USA

[3] Univ Delaware, Dept Mech Engn, Newark, DE 19716 USA

[4] Univ Calif San Francisco, Dept Anat, San Francisco, CA 94143 USA

[5] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA USA

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2013年 / 38E卷 / 04期

关键词：

Biomechanics; FiberWire; flexor tendon; mechanical properties; stainless steel; suture; STRENGTH; LOCKING; CALIBER; KNOTS; MODEL;

D O I：

10.1177/1753193412452074

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Our goal was to investigate and compare the mechanical properties of multifilament stainless steel suture (MFSS) and polyethylene multi-filament core FiberWire in flexor tendon repairs. Flexor digitorum profundus tendons were repaired in human cadaver hands with either a 4-strand cruciate cross-lock repair or 6-strand modified Savage repair using 4-0 and 3-0 multifilament stainless steel or FiberWire. The multifilament stainless steel repairs were as strong as those performed with FiberWire in terms of ultimate load and load at 2 mm gap. This study suggests that MFSS provides as strong a repair as FiberWire. The mode of failure of the MFSS occurred by the suture pulling through the tendon, which suggests an advantage in terms of suture strength.

引用

页码：418 / 423

页数：6

共 25 条

[1]

Amadio Peter C, 2005, J Hand Ther, V18, P112, DOI 10.1197/j.jht.2005.01.005

[2] Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs [J].

Barrie, KA ;

Tomak, SL ;

Cholewicki, J ;

Merrell, GA ;

Wolfe, SW .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2001, 26A (02) :340-346

[3] A biomechanical comparison of multistrand flexor tendon repairs using an in situ testing model [J].

Barrie, KA ;

Wolfe, SW ;

Shean, C ;

Shenbagamurthi, D ;

Slade, FF ;

Panjabi, MM .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2000, 25A (03) :499-506

[4] FACTORS AFFECTING THE STRENGTH OF FLEXOR TENDON REPAIR [J].

BHATIA, D ;

TANNER, KE ;

BONFIELD, W ;

CITRON, ND .

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1992, 17B (05) :550-552

[5]

Bunnell S, 1929, Cal West Med, V30, P1

[6]

BUNNELL S, 1940, AM J SURG, V47, P502, DOI DOI 10.1016/S0002-9610(40)90160-X

[7] Optimizing biomechanical performance of the 4-strand cruciate flexor tendon repair [J].

Dona, E ;

Gianoutsos, MP ;

Walsh, WR .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2004, 29A (04) :571-580

[8] The effect of gap formation at the repair site on the strength and excursion of intrasynovial flexor tendons - An experimental study on the early stages of tendon-healing in dogs [J].

Gelberman, RH ;

Boyer, MI ;

Brodt, MD ;

Winters, SC ;

Silva, MJ .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1999, 81A (07) :975-982

[9] A comparative analysis of the six-strand double-loop flexor tendon repair and three other techniques: A human cadaveric study [J].

Gill, RS ;

Lim, BH ;

Shatford, RA ;

Toth, E ;

Voor, MJ ;

Tsai, TM .

JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1999, 24A (06) :1315-1322

[10] MECHANICAL COMPARISON OF 10 SUTURE MATERIALS BEFORE AND AFTER IN-VIVO INCUBATION [J].

GREENWALD, D ;

SHUMWAY, S ;

ALBEAR, P ;

GOTTLIEB, L .

JOURNAL OF SURGICAL RESEARCH, 1994, 56 (04) :372-377

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