Comparison of 1- and 2-Knot, 4-Strand, Double-Modified Kessler Tendon Repairs in a Porcine Model
Purpose To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material would be stronger if it is possible for some movement to occur between strands on loading, redistributing forces such that the load is...
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| Published in: | The Journal of hand surgery (American ed.) Vol. 34; no. 4; pp. 705 - 709 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Inc
01-04-2009
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| Abstract | Purpose To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material would be stronger if it is possible for some movement to occur between strands on loading, redistributing forces such that the load is equally shared. Methods Fifty-six porcine flexor tendons were allocated to either a 1- or 2-knot, 4-strand, double-modified Kessler repair, and tested by incremental cyclical loading in vitro. Results The 1-knot technique was significantly stronger. Gap formation was initially greater in the 1-knot group, consistent with movement of strands, but with increasing physiological levels of applied force, there was no significant difference between the groups. Conclusions The 1-knot technique was significantly stronger than the 2-knot technique. |
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| AbstractList | PURPOSETo compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material would be stronger if it is possible for some movement to occur between strands on loading, redistributing forces such that the load is equally shared.METHODSFifty-six porcine flexor tendons were allocated to either a 1- or 2-knot, 4-strand, double-modified Kessler repair, and tested by incremental cyclical loading in vitro.RESULTSThe 1-knot technique was significantly stronger. Gap formation was initially greater in the 1-knot group, consistent with movement of strands, but with increasing physiological levels of applied force, there was no significant difference between the groups.CONCLUSIONSThe 1-knot technique was significantly stronger than the 2-knot technique. To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material would be stronger if it is possible for some movement to occur between strands on loading, redistributing forces such that the load is equally shared. Fifty-six porcine flexor tendons were allocated to either a 1- or 2-knot, 4-strand, double-modified Kessler repair, and tested by incremental cyclical loading in vitro. The 1-knot technique was significantly stronger. Gap formation was initially greater in the 1-knot group, consistent with movement of strands, but with increasing physiological levels of applied force, there was no significant difference between the groups. The 1-knot technique was significantly stronger than the 2-knot technique. Purpose To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material would be stronger if it is possible for some movement to occur between strands on loading, redistributing forces such that the load is equally shared. Methods Fifty-six porcine flexor tendons were allocated to either a 1- or 2-knot, 4-strand, double-modified Kessler repair, and tested by incremental cyclical loading in vitro. Results The 1-knot technique was significantly stronger. Gap formation was initially greater in the 1-knot group, consistent with movement of strands, but with increasing physiological levels of applied force, there was no significant difference between the groups. Conclusions The 1-knot technique was significantly stronger than the 2-knot technique. To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material would be stronger if it is possible for some movement to occur between strands on loading, redistributing forces such that the load is equally shared. Fifty-six porcine flexor tendons were allocated to either a 1- or 2-knot, 4-strand, double-modified Kessler repair, and tested by incremental cyclical loading in vitro. The 1-knot technique was significantly stronger. Gap formation was initially greater in the 1-knot group, consistent with movement of strands, but with increasing physiological levels of applied force, there was no significant difference between the groups. The 1-knot technique was significantly stronger than the 2-knot technique. |
| Author | Rees, Leila, BM BCh Haywood, Richard, MBBS Matthews, April, MB ChB Masouros, Spyridon D., PhD Bull, Anthony M.J., PhD |
| Author_xml | – sequence: 1 fullname: Rees, Leila, BM BCh – sequence: 2 fullname: Matthews, April, MB ChB – sequence: 3 fullname: Masouros, Spyridon D., PhD – sequence: 4 fullname: Bull, Anthony M.J., PhD – sequence: 5 fullname: Haywood, Richard, MBBS |
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| CitedBy_id | crossref_primary_10_1016_j_jhsa_2015_10_016 crossref_primary_10_1016_j_mporth_2023_01_006 crossref_primary_10_1007_s10039_015_0092_7 crossref_primary_10_1177_1753193413492914 crossref_primary_10_1097_GOX_0000000000000203 crossref_primary_10_1007_s00104_017_0383_6 crossref_primary_10_1016_j_jhsa_2013_01_018 crossref_primary_10_1007_s11552_014_9723_x crossref_primary_10_1016_j_jhsa_2012_06_008 crossref_primary_10_1007_s12593_012_0063_1 crossref_primary_10_1097_PRS_0b013e31826da1c7 crossref_primary_10_1016_j_mporth_2010_03_022 crossref_primary_10_1177_1753193413476607 crossref_primary_10_1007_s10039_020_00450_8 crossref_primary_10_1016_j_jhsa_2010_11_031 crossref_primary_10_1016_j_jhsa_2015_03_021 crossref_primary_10_4103_0019_5413_104183 crossref_primary_10_6061_clinics_2013_12_11 crossref_primary_10_1177_1753193416641624 crossref_primary_10_1016_j_jhsa_2011_05_040 |
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| Keywords | Cyclic loading tensile testing four-strand tendon repair flexor tendon Node Pig Vertebrata Mammalia Orthopedics Flexor muscle Models Artiodactyla Repair Ungulata Comparative study Tendon |
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| Snippet | Purpose To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture... To compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture material... PURPOSETo compare 1- and 2-knot, 4-strand, double-modified Kessler tendon repairs. It was our hypothesis that a 1-knot technique using an unbraided suture... |
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| SubjectTerms | Animals Biological and medical sciences Biomechanical Phenomena Cyclic loading Diseases of the osteoarticular system flexor tendon four-strand Medical sciences Orthopedics Postoperative Complications - physiopathology Rupture Suture Techniques Swine Tendon Injuries - surgery tendon repair Tenodesis - methods Tensile Strength - physiology tensile testing Weight-Bearing - physiology |
| Title | Comparison of 1- and 2-Knot, 4-Strand, Double-Modified Kessler Tendon Repairs in a Porcine Model |
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