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BIOMECHANICS OF A NEW TECHNIQUE FOR FLEXOR TENDON TENORRAPHY OF THE HAND
Author(s) -
S García Cabeza,
M Lara Guerrero,
F Salinas Ramila,
G J Martínez Magide,
Susana Carnero Lopez,
Carolina Muñiz,
A Pérez Arias,
D Camporro Fernández
Publication year - 2021
Publication title -
british journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.202
H-Index - 201
eISSN - 1365-2168
pISSN - 0007-1323
DOI - 10.1093/bjs/znab160.003
Subject(s) - medicine , tenotomy , ultimate tensile strength , biomechanics , tendon , fibrous joint , flexor muscles , anatomy , orthodontics , universal testing machine , biomedical engineering , surgery , composite material , materials science
The present study compares ultimate tensile strength, gap strength (2, 4, 6 mm), distortion time and breaking time in a new flexor tendon suture, to a conventional technique. MATERIAL AND METHODS The flexor digitorum profundus tendons of 40 porcine forelimbs were repaired. The biomechanical analysis was carried out in a universal testing machine applying a constant speed. Tenotomy gap, the force applied and the rupture point were analysed. RESULTS The ultimate tensile strength, and 4 and 6 mm gap strength were significantly higher with the new technique compared with the conventional 4-strand cruciate technique. CONCLUSIONS The new technique is a higher provider of repair strength during early active mobilization when compared with the conventional 4-strand cruciate technique. These findings suggest that this new suture can be considered a biomechanically favourable technique for the repair of flexor tendon lacerations.

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