Flexor tendon repair: Significant gain in strength from the halsted peripheral suture technique
1989; SAGE Publishing; Volume: 14; Issue: 2 Linguagem: Inglês
10.1016/0266-7681(89)90135-6
ISSN1532-2211
AutoresP. Wade, R. G. Wetherell, Andrew A. Amis,
Tópico(s)Tendon Structure and Treatment
ResumoA biomechanical study in vitro has evaluated a new modification of the core and peripheral suture technique for flexor tendon repair. Groups of repairs were conducted in cadaver tendons, using a core suture alone, a core suture with a simple running surface suture and a new modification involving a 'Halsted' horizontal mattress technique for the peripheral stitch. The Halsted modification increased the load at which a visible gap formed by 93%, the load at which a 2 mm gap formed by 77%, and the maximum strength by 89%. This increase was due to the technique; it did not depend on the suture material used. The bulk of the tendon repair was not significantly greater with the Halsted modification.
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