Original communication
Two new methods of tendon repair: An in vitro evaluation of tensile strength and gap formation

https://doi.org/10.1016/0363-5023(93)90246-YGet rights and content

Abstract

A new tendon repair design incorporating a mesh sleeve was, together with a new epitendinal suture technique (cross-stitch), tested biomechanically on sheep tendons. The mean breaking strength with a 6-0 suture was 103 N for the mesh sleeve repair and 63 N for the cross-stitch alone, both significantly greater than the 48 N recorded for the modified Kessler repair performed with a 4-0 polyester suture and reinforced with a circumferential conventional 6-0 epitendinal stitch. The cross-stitch grasp was 117% stronger than the conventional epitendinal grasp reinforced by a core stitch. The new techniques effectively prevented the large gaps that occurred in the modified Kessler repair.

References (35)

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The study was supported by grants from The Gothenburg Medical Society, The Swedish Medical Society, The University of Gothenburg, The Greta and Einar Asker Foundation and The Bertha and Felix Neubergh Foundation.

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