Comparison of a suture technique with the modified Kessler method: Resistance to gap formation

Joseph T. Barmakian, Hua Lin, Steven M. Green, Martin A. Posner, Robert S. Casar

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

We performed an in vitro study using canine flexor tendons to compare the tensile properties of a suture technique for flexor tendon repair with the standard modified Kessler technique. The technique employs a central wire loop that connects the two transverse limbs of the modified Kessler suture. Both techniques were studied with and without a Lembert epitendinous stitch. The technique combined with an epitendinous suture provided the strongest resistance to gap formation, and its load at gap initiation was 100% greater than the load in tendons repaired with the modified Kessler and an epitendinous suture. Because of its increased resistance to gap formation, this suture technique may provide a safer margin for controlled early active motion after flexor tendon repair.

Original languageEnglish
Pages (from-to)777-781
Number of pages5
JournalJournal of Hand Surgery
Volume19
Issue number5
DOIs
StatePublished - Sep 1994
Externally publishedYes

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