The effect of suture technique on adhesion formation after flexor tendon repair for partial lacerations in a canine model

Chunfeng D Zhao, Peter C Amadio, T. Momose, P. Couvreur, M. E. Zobitz, K. N. An

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

Background: Adhesion formation is a serious problem after flexor tendon repair. Many repair techniques have been developed to increase the suture strength after tendon repair surgery. The purpose of this study was to assess adhesion formation with different suture techniques in an in vivo canine model. Methods: Sixty flexor digitorum profundus tendons were partially lacerated (80%) and repaired with either a modified Kessler (MK) or Becker (MGH) suture technique and supplemented with a simple running suture. The dogs were sacrificed at 1 week, 3 weeks, or 6 weeks after surgery and the repaired tendons were evaluated for adhesion breaking strength. Results: At 1 week there was no significant difference between the two repair groups (p > 0.05). At 3 and 6 weeks, the adhesion breaking strength in the MK suture group was significantly less than that of the MGH suture group (p < 0.05). Conclusion: High friction suture techniques may cause more adhesion formation than the lower friction suture techniques under passive postoperative therapy.

Original languageEnglish (US)
Pages (from-to)917-921
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume51
Issue number5
StatePublished - 2001

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Suture Techniques
Lacerations
Tendons
Sutures
Canidae
Friction
Dogs
Therapeutics

Keywords

  • Adhesion
  • Dogs in vivo
  • Flexor tendon
  • Friction
  • Tendon repair

ASJC Scopus subject areas

  • Surgery

Cite this

The effect of suture technique on adhesion formation after flexor tendon repair for partial lacerations in a canine model. / Zhao, Chunfeng D; Amadio, Peter C; Momose, T.; Couvreur, P.; Zobitz, M. E.; An, K. N.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 51, No. 5, 2001, p. 917-921.

Research output: Contribution to journalArticle

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AU - Zobitz, M. E.

AU - An, K. N.

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N2 - Background: Adhesion formation is a serious problem after flexor tendon repair. Many repair techniques have been developed to increase the suture strength after tendon repair surgery. The purpose of this study was to assess adhesion formation with different suture techniques in an in vivo canine model. Methods: Sixty flexor digitorum profundus tendons were partially lacerated (80%) and repaired with either a modified Kessler (MK) or Becker (MGH) suture technique and supplemented with a simple running suture. The dogs were sacrificed at 1 week, 3 weeks, or 6 weeks after surgery and the repaired tendons were evaluated for adhesion breaking strength. Results: At 1 week there was no significant difference between the two repair groups (p > 0.05). At 3 and 6 weeks, the adhesion breaking strength in the MK suture group was significantly less than that of the MGH suture group (p < 0.05). Conclusion: High friction suture techniques may cause more adhesion formation than the lower friction suture techniques under passive postoperative therapy.

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