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:Subscribe to Journal of Hand Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Elongation in profundus tendon repair. A clinical and radiological study.Scand J Plast Reconstr Surg. 1981; 15: 61-68
- Tensile strength of suture materials.J Biomed Mater Res. 1985; 19: 595-600
- The effect of immediate controlled digital motion on the strength of flexor tendon repairs.Orthop Trans. 1986; 9: 270-271
- Knot properties of surgical suture materials.Acta Chir Scand. 1974; 140: 355-362
- Primary flexor tendon repair followed by immediate controlled mobilization.J Hand Surg. 1977; 2: 441
- Suture materials and suture techniques used in tendon repair.Hand Clinics. 1985; 1: 43-53
- Experimental evaluation of factors affecting the strength of tendon repairs.Plast Reconstr Surg. 1977; 59: 708-719
- Further evolution of the grasping technique for tendon repair.Ann Plast Surg. 1981; 7: 113-119
- A new ligament-tendon fixation stitch.Trans Orth Res Soc. 1986; 11: 125
- Biochemical histological and biomechanical analysis of canine tendon.J Orth Res. 1987; 5: 60-68
- The locking loop tendon suture.Plast Recon Surg. 1979; 63: 648-652
- Elongation of the repair configuration following flexor tendon repair.J Hand Surg. 1983; 8: 182-185
- Tensile strengths of twelve types of knot employed in surgery using different suture materials.Acta Chir Scand. 1976; 142: 1-7
- The strength of suture knots after one week in vivo.Acta Chir Scand. 1976; 142: 301-307
- 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
- Primary flexor tendon repair: the mechanical limitations of the modified Kessler technique.J Hand Surg. 1986; 11B: 71-76
Accepted: November 6, 1987
Received: August 7, 1987
*This study was supported by National Institutes of Health (NIH) grant AR 17172.
**No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.