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Related Experiment Videos

Double and multiple looped suture tendon repair

J B Tang1, D Shi, Y Q Gu

  • 1Department of Orthopaedics, Affiliated Hospital, Nantong Medical College, Jiangsu, China.

Journal of Hand Surgery (Edinburgh, Scotland)
|December 1, 1994
PubMed
Summary

Double or multiple looped sutures provide strong primary tenorrhaphy for flexor tendon repair, enabling early active mobilization. This technique leads to good or excellent functional outcomes in most patients with finger tendon injuries.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Biomedical Engineering

Background:

  • Flexor tendon lacerations require effective surgical repair to restore hand function.
  • Early active mobilization is crucial for optimal tendon healing and functional recovery.
  • Traditional tenorrhaphy techniques may limit the feasibility of early motion.

Purpose of the Study:

  • To evaluate the efficacy of double or multiple looped sutures for primary flexor tendon repair.
  • To assess the functional outcomes of tenorrhaphy combined with early active mobilization.
  • To determine the strength and circulatory impact of novel looped suture techniques.

Main Methods:

  • Surgical repair of flexor digitorum profundus (FDP) or flexor digitorum superficialis (FDS) tendons using double or triple looped nylon sutures.

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  • Involved 46 patients with 51 finger flexor tendon lacerations.
  • Functional outcomes assessed using White's (1956) criteria.

    • Main Results:

    • Good or excellent results were achieved in 76.5% of repaired fingers.
    • The looped suture techniques demonstrated sufficient strength to support early motion.
    • Minimal disturbance to local circulation was observed.

    Conclusions:

    • Double and multiple looped sutures are a viable and effective method for primary tenorrhaphy.
    • These techniques facilitate early active mobilization, leading to satisfactory functional recovery.
    • The described suture methods offer a promising approach for flexor tendon repair.