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Updated: Feb 26, 2026

Using Q Suture to Enhance Resistance to Gap Formation and Tensile Strength of Repaired Flexor Tendons
Published on: June 3, 2020
A Biomechanical Study of a Novel Asymmetric 6-Strand Flexor Tendon Repair Using Porcine Tendons
Yoke Rung Wong1, Shian Chao Tay1,2,3
11 Biomechanics Laboratory, Singapore General Hospital, Singapore.
Background:
This study evaluated the biomechanical performance of a novel asymmetric 6-strand flexor tendon repair technique without locking loops.
Methods:
Twenty porcine flexor tendons were equally repaired by using the asymmetric technique and compared with the modified Lim-Tsai repair technique. The ultimate tensile strength, load to 1-mm gap force, stiffness, and mechanism of failure were measured.
Results:
The asymmetric repair technique had significantly higher tensile strength (63.3 ± 3.7 N) than the modified Lim-Tsai repairs (46.7 ± 8.3 N).
Conclusions:
A novel flexor tendon repair technique with improved biomechanical performance may be available for use in flexor tendon repairs.

