Four-Strand Core Suture Improves Flexor Tendon Repair Compared to Two-Strand Technique in a Rabbit Model release_aezxcmqxnvhpjaorsaum2f5flu

by Alice Wichelhaus, Sascha Tobias Beyersdoerfer, Brigitte Vollmar, Thomas Mittlmeier, Philip Gierer

Published in BioMed Research International by Hindawi Limited.

2016   Volume 2016, p1-6


<jats:italic>Introduction</jats:italic>. This study was designed to investigate the influence of the amount of suture material on the formation of peritendinous adhesions of intrasynovial flexor tendon repairs.<jats:italic>Materials and Methods</jats:italic>. In 14 rabbits, the flexor tendons of the third and the fourth digit of the right hind leg were cut and repaired using a 2- or 4-strand core suture technique. The repaired tendons were harvested after three and eight weeks. The range of motion of the affected toes was measured and the tendons were processed histologically. The distance between the transected tendon ends, the changes in the peritendinous space, and cellular and extracellular inflammatory reaction were quantified by different staining.<jats:italic>Results</jats:italic>. A 4-strand core suture resulted in significantly less gap formation. The 2-strand core suture showed a tendency to less adhesion formation. Doubling of the intratendinous suture material was accompanied by an initial increase in leukocyte infiltration and showed a greater amount of formation of myofibroblasts. From the third to the eighth week after flexor tendon repair, both the cellular and the extracellular inflammation decreased significantly.<jats:italic>Conclusion</jats:italic>. A 4-strand core suture repair leads to a significantly better tendon healing process with less diastasis between the sutured tendon ends despite initially pronounced inflammatory response.
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Year   2016
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DOI  10.1155/2016/4063137
PubMed  27446949
PMC  PMC4944031
Wikidata  Q37092828
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