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A Clove-Hitch Suture Method for Small-Caliber Tendon Ends

A Clove-Hitch Suture Method for Small-Caliber Tendon Ends Background: The choices of suture methods used to secure the end of a small-caliber tendon with a combination of suture materials passing through and looping around the tendon are not well documented. A secure stitch-tendon unit may be an important factor in preserving muscle function, by facilitating healing without gapping or failure. Methods: Five types of suture methods utilizing four or fewer passes through the tendon end were mechanically tested on 178 canine flexor digitorum profundus tendons. An Instron apparatus was used to test the load to failure. Results: The single and double clove-hitch suture methods demonstrated improved repair strength when compared with the three other methods studied in this small-caliber canine tendon model. Conclusions: The single and double clove-hitch suture method better secured the end of a small-caliber tendon compared with other methods. Clinical Relevance: The single (pull-out) and double (non-pull-out) clove-hitch suture methods are reliable alternatives for the repair of small-caliber tendons. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery Wolters Kluwer Health

A Clove-Hitch Suture Method for Small-Caliber Tendon Ends

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
Subject
Scientific Articles
ISSN
0021-9355
eISSN
1535-1386
DOI
10.2106/JBJS.K.00414
pmid
22810401
Publisher site
See Article on Publisher Site

Abstract

Background: The choices of suture methods used to secure the end of a small-caliber tendon with a combination of suture materials passing through and looping around the tendon are not well documented. A secure stitch-tendon unit may be an important factor in preserving muscle function, by facilitating healing without gapping or failure. Methods: Five types of suture methods utilizing four or fewer passes through the tendon end were mechanically tested on 178 canine flexor digitorum profundus tendons. An Instron apparatus was used to test the load to failure. Results: The single and double clove-hitch suture methods demonstrated improved repair strength when compared with the three other methods studied in this small-caliber canine tendon model. Conclusions: The single and double clove-hitch suture method better secured the end of a small-caliber tendon compared with other methods. Clinical Relevance: The single (pull-out) and double (non-pull-out) clove-hitch suture methods are reliable alternatives for the repair of small-caliber tendons.

Journal

Journal of Bone and Joint SurgeryWolters Kluwer Health

Published: Jul 18, 2012

References