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Related Experiment Videos

Flexor sheath closure during delayed primary tendon repair

J B Tang1, S Ishii, M Usui

  • 1Department of Orthopedic Surgery, Sapporo Medical College, Japan.

The Journal of Hand Surgery
|July 1, 1994
PubMed
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Closing the flexor tendon sheath after delayed suture did not improve tendon function in chickens. Sutured sheaths were associated with poor tendon healing and disappeared over time.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Veterinary medicine

Background:

  • Delayed primary flexor tendon suture is a common surgical procedure.
  • Flexor tendon sheath integrity is crucial for tendon gliding and healing.
  • The role of sheath closure in delayed repairs remains unclear.

Purpose of the Study:

  • To investigate the effect of flexor tendon sheath closure on flexor tendon function after delayed primary suture in a chicken model.
  • To evaluate tendon gliding, joint motion, peritendinous adhesions, and tendon healing following sheath closure versus excision.

Main Methods:

  • White Leghorn chickens underwent flexor tendon laceration and delayed primary suture.
  • In one foot, the tendon sheath was closed post-suture; in the other, it was excised.

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  • Outcomes assessed included tendon gliding, joint motion, sheath fate, adhesions, and healing.
  • Main Results:

    • The sutured tendon sheath disappeared after the procedure.
    • Sheath closure was associated with impaired tendon healing.
    • No functional improvement in flexor tendon gliding or joint motion was observed with sheath closure.

    Conclusions:

    • Flexor tendon sheath closure does not enhance flexor tendon function in delayed primary repairs.
    • Suturing the tendon sheath may negatively impact tendon healing and should be avoided.