Flexor Tendon Repair With a Knotless Barbed Suture: A.
Introduction. Injuries to the hand are common, and poor functional outcomes can have significant long-term consequences affecting both work and social activities. Good outcomes following flexor tendon lacerations in the hand are dependent on a sound surgical repair allowing early active mobilisation. Materials and Methods. We reviewed the literature regarding the choice of suture material.
Patellar tendon ruptures are rare but potentially devastating injuries. Acute repair after patellar tendon rupture affords the best opportunity for tension-free restoration of the extensor mechanism. Biological augmentation of primary repair is believed to decrease strain across the repair site and reduce the risk of rerupture. We present a technique for primary patellar tendon repair with.
CHAPTER52 293 TENDONREEFING ORSHORTENING Hoffa described a simplistic method for shortening a tendon.Thismethodisperformedbyrunningsuturealong.
Read more about how hand tendon repair is performed. Recovering from surgery. Both types of tendon surgery require a lengthy period of recovery (rehabilitation) because the repaired tendons will be weak until the ends heal together. Depending on the location of the injury, it can take up to 3 months for the repaired tendon to regain its previous strength. Rehabilitation involves protecting.
As such, a synthetic suture such as ethibond or mersilene is a good choice. Depending on the size of the tendon at the site of injury, 3-0 or 4-0 would likely be the appropriate size. Repair Techniques. Suturing through and through the lacerated ends of a tendon to re-approximate the tendon is referred to as core suture placement.
Tenorrhaphy is the medical term meaning suture of a tendon, and myoplasty is the medical term meaning surgical repair of a muscle.
The addition of a circumferential suture may increase the strength of core repairs by 10% to 50%, reduce gapping between tendon ends, and smooth the repair site. 11 Other variables shown to have a positive effect on the repair strength include a dorsovolar location of the core suture, adding locking or grasping stitches, and increasing the cross-sectional area of tendon that is grasped or.