A biomechanical comparison of techniques of flexor tendon repair. ³
Á Wagner WF Jr. Carroll C 4th. Strickland JW. Heck DA. Toombs JP. Department of Orthopaedic Surgery, University of Washington School of Journal of Hand Surgery - American Volume. 19(6):979-83, 1994 Nov. Achieving satisfactory digital motion after suturing severed flexor tendons remains a challenge. Although a suture technique proposed by Savage is stronger in vitro than a true Kessler repair, the Savage technique has not been previously tested in vivo. We repaired 96 severed canine tendons using either of two modifications of the Kessler technique Á or the Savage technique. The tensile strength of these repairs were compared at 0, 1, 3, and 6 weeks after suturing. The Savage technique provided a significantly stronger repair than the "suture locking" method in vitro and at 1 and 3 weeks after repair. We found no significant differences between the tensile strengths of the Kessler-Tajima and suture-locking methods at any time. *
Original Text by Clifford R. Wheeless, III, MD.
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