Asymmetric six-strand core sutures enhance tendon fatigue strength and the optimal asymmetry

N Kozono, T Okada, N Takeuchi… - Journal of Hand …, 2016 - journals.sagepub.com
N Kozono, T Okada, N Takeuchi, M Hanada, T Shimoto, Y Iwamoto
Journal of Hand Surgery (European Volume), 2016journals.sagepub.com
Under cyclic loading, we recorded the fatigue strength of a six-strand tendon repair with
different symmetry in the lengths of suture purchase in two stumps of 120 dental rolls and in
30 porcine tendons. First, the strengths of the repairs with 1, 2, 3, 4 and 5 mm asymmetry
were screened using the dental rolls. The asymmetric core suture repairs were then made
with a Kessler repair of equal suture purchase (10 mm) in two tendon stumps, and shifting
two other Kessler repairs by 1, 3 or 5 mm, respectively, along the longitudinal axis of the …
Under cyclic loading, we recorded the fatigue strength of a six-strand tendon repair with different symmetry in the lengths of suture purchase in two stumps of 120 dental rolls and in 30 porcine tendons. First, the strengths of the repairs with 1, 2, 3, 4 and 5 mm asymmetry were screened using the dental rolls. The asymmetric core suture repairs were then made with a Kessler repair of equal suture purchase (10 mm) in two tendon stumps, and shifting two other Kessler repairs by 1, 3 or 5 mm, respectively, along the longitudinal axis of the tendon in relation to the first (symmetric) Kessler repair. The core repairs with 3 mm or more asymmetry in suture purchases in two tendon ends showed significantly greater fatigue strength and significantly smaller gaps compared with 1 mm asymmetry in core suture repair. Our results support that asymmetric placement of core sutures in two tendon ends favour resisting gapping at the repair site and 3 mm or more asymmetry is needed to produce such beneficial effects.
Sage Journals
以上显示的是最相近的搜索结果。 查看全部搜索结果

Google学术搜索按钮

example.edu/paper.pdf
搜索
获取 PDF 文件
引用
References