Research Article| Volume 13, ISSUE 4, P553-558, July 1988

Download started.


Biomechanical studies of running suture for flexor tendon repair in dogs

      This paper is only available as a PDF. To read, Please Download here.
      A new running-locking loop suture technique has been developed to increase tendon repair strength and to provide better tendon edge inversion. Biomechanical analysis documented the failure mechanism and the failure strength of various circumferential repair techniques. When compared with two well-known techniques, the simple circumferential running suture and Lembert running suture, the locking suture technique was shown to have 3.77 and 1.68 times greater tensile failure strength and 1.73 and 1.26 times greater stiffness than these traditional suture methods. A running peripheral locking suture may help augment the strength of tendon repair.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Ejeskär A
        • Irstam L
        Elongation in profundus tendon repair. A clinical and radiological study.
        Scand J Plast Reconstr Surg. 1981; 15: 61-68
        • von Fraunhofer JA
        • Storey RS
        • Stone IK
        • Masterson BJ
        Tensile strength of suture materials.
        J Biomed Mater Res. 1985; 19: 595-600
        • Hitchcock TF
        • Light TR
        • Bunch WH
        • Knight GW
        • Patwardhan AG
        • Hollyfield RL
        The effect of immediate controlled digital motion on the strength of flexor tendon repairs.
        Orthop Trans. 1986; 9: 270-271
        • Holmlund DEW
        Knot properties of surgical suture materials.
        Acta Chir Scand. 1974; 140: 355-362
        • Lister GD
        • Kleinert HE
        • Kutz JE
        • Atasoy E
        Primary flexor tendon repair followed by immediate controlled mobilization.
        J Hand Surg. 1977; 2: 441
        • Ketchum LD
        Suture materials and suture techniques used in tendon repair.
        Hand Clinics. 1985; 1: 43-53
        • Ketchum LD
        • Martin NL
        • Kappel DA
        Experimental evaluation of factors affecting the strength of tendon repairs.
        Plast Reconstr Surg. 1977; 59: 708-719
        • Kim SK
        Further evolution of the grasping technique for tendon repair.
        Ann Plast Surg. 1981; 7: 113-119
        • Krackow KA
        • Thomas SC
        • Jones LC
        A new ligament-tendon fixation stitch.
        Trans Orth Res Soc. 1986; 11: 125
        • Okuda Y
        • Gorski JP
        • An KN
        • Amadio PC
        Biochemical histological and biomechanical analysis of canine tendon.
        J Orth Res. 1987; 5: 60-68
        • Pennington DG
        The locking loop tendon suture.
        Plast Recon Surg. 1979; 63: 648-652
        • Seradge H
        Elongation of the repair configuration following flexor tendon repair.
        J Hand Surg. 1983; 8: 182-185
        • Tera H
        • Aberg C
        Tensile strengths of twelve types of knot employed in surgery using different suture materials.
        Acta Chir Scand. 1976; 142: 1-7
        • Tera H
        • Aberg C
        The strength of suture knots after one week in vivo.
        Acta Chir Scand. 1976; 142: 301-307
        • Tera H
        • Aberg C
        Strength of knots in surgery in relation to type of knot , type of suture material and dimension of suture thread.
        Acta Chir Scand. 1977; 143: 75-83
        • Wade PJF
        • Muir IFK
        • Hutcheon LL
        Primary flexor tendon repair: the mechanical limitations of the modified Kessler technique.
        J Hand Surg. 1986; 11B: 71-76