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Related Experiment Video

Updated: May 19, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
06:36

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

Flexor tenorrhaphy using absorbable suture materials.

Hyung Joo Kang1, Dong Chul Lee, Jin Soo Kim

  • 1Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.

Archives of Plastic Surgery
|August 9, 2012
PubMed
Summary

Absorbable sutures, specifically polydioxanone, can be safely used for flexor tendon repair in humans, showing excellent outcomes comparable to nonabsorbable sutures. This study found low rates of rupture and adhesion, supporting their clinical use.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Biomaterials Science

Background:

  • Nonabsorbable sutures are traditionally favored for flexor tendon repair.
  • Absorbable sutures have shown promise in animal models for tendon repair.

Purpose of the Study:

  • To evaluate the safety and efficacy of absorbable polydioxanone sutures for flexor tendon repair in a human cohort.
  • To compare outcomes of absorbable sutures with historical data using nonabsorbable sutures.

Main Methods:

  • Retrospective analysis of 55 flexor tendon repairs in 41 patients using a two-strand interlocking modified Kessler technique with 4-0 polydioxanone sutures.
  • Follow-up averaged 42 weeks, with data analyzed for complications and functional outcomes using Strickland criteria.
  • Outcomes were compared to studies utilizing nonabsorbable sutures.
Keywords:
HandPolydioxanoneRuptureTendon Injuries

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Main Results:

  • The study included various finger injuries (zones 1-5) and tendon configurations (isolated FDP or combined FDP/FDS).
  • Low rates of complications were observed: 3.6% rupture and 3.6% adhesions.
  • All patients achieved excellent or good outcomes per Strickland criteria, with minimal fibrosis or foreign body reactions.

Conclusions:

  • Polydioxanone absorbable sutures are a safe and effective option for flexor tendon core repair.
  • The functional outcomes and complication rates are comparable to those achieved with nonabsorbable sutures.
  • This supports the broader clinical application of absorbable sutures in flexor tendon repair.