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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
Current practice in acute flexor tendon repair in Israel.
Oren Sarig1, Abraham Hass, Amir Oron
1Department of Hand Surgery, Kaplan Medical Center, Rehovot, Israel. orens@clalit.org.il
The Israel Medical Association Journal : IMAJ
|July 26, 2013
Summary
The modified Kessler core suture technique is preferred by Israeli hand surgeons for acute flexor tendon repair. This method is associated with a lower risk of adhesions and ruptures, aligning with global practices.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Surgical Techniques
Background:
- Acute flexor tendon repair utilizes various core suture methods and materials.
- Successful outcomes are documented across different techniques.
Purpose of the Study:
- To evaluate the current practices of Israeli hand surgeons in acute flexor tendon repair.
- To identify preferred suture methods and materials.
Main Methods:
- A survey was distributed to certified hand surgeons in Israel.
- The survey focused on preferred materials and methods for acute flexor tendon repair.
Main Results:
- The modified Kessler core suture was the most common technique in zones 2, 3, and 4.
- Nylon was the preferred suture material, and all surgeons used epitendinous sutures.
- 48 hand surgeons participated in the survey.
Conclusions:
- The modified Kessler technique is the predominant method for acute flexor tendon repair in Israel.
- This technique aligns with international trends and shows promise in reducing complications.
- The Kessler technique remains highly practiced due to its effectiveness.

