Tendon repair using flexor tendon splints: an experimental study. 1994

M Aoki, and P R Manske, and D L Pruitt, and B J Larson
Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO 63110.

Mechanical strength of tendon repair using Dacron tendon splints across the laceration site were evaluated in human cadaver profundus tendons; the splints were placed both on the dorsal surface and internally within the tendon substance. Comparison was made to modified Kessler, Becker, and Savage repair techniques. Ultimate tensile strength was 2.55 kgf for the Kessler, 3.00 kgf for the Becker, 8.29 kgf for the Savage, 8.46 kgf for the internal tendon splint, and 8.10 kgf for the dorsal tendon splint; the Savage and both Tendon Splints techniques had significant higher tensile strength than the Kessler and Becker. Gap strength was 1.44 kgf for the Kessler, 2.22 kgf for the Becker, 2.45 kgf for the Savage, 2.05 kgf for internal tendon splint, and 3.15 kgf for the dorsal tendon splint. The dorsal tendon splint technique showed significant greater gap strength than the other four techniques. There was no significant difference in the magnitude of the gap during cyclic testing of these techniques; however, three of seven Kessler repairs failed and one of six Becker repairs failed. The results of these cadaver studies suggest that both tendon splint repair techniques are comparable to the Savage and may have sufficient strength to allow postoperative active motion against minimal resistance. Further in vivo testing is in order.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D011093 Polyethylene Terephthalates Polyester polymers formed from terephthalic acid or its esters and ethylene glycol. They can be formed into tapes, films or pulled into fibers that are pressed into meshes or woven into fabrics. Dacron,Nalophan,PET Polymer,Poly(Ethylene Terephtalate),Polyethylene Terephthalate,Tedlar,Dacrons,Nalophans,PET Polymers,Tedlars,Terephthalate, Polyethylene,Terephthalates, Polyethylene
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012421 Rupture Forcible or traumatic tear or break of an organ or other soft part of the body. Ruptures
D013165 Splints Rigid or flexible appliances that are used to maintain a displaced or movable part in position, or to maintain the position of and protect an injured part. Dynamic Orthoses,Dynamic Splint,Dynamic Splinting,Dynamic Splints,Static Orthoses,Static Splint,Static Splinting,Static Splints,Dynamic Splintings,Splint,Splint, Dynamic,Splint, Static,Splinting, Dynamic,Splinting, Static,Splints, Dynamic,Splints, Static,Static Orthose
D013536 Suture Techniques Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES). Suture Technics,Suture Technic,Suture Technique,Technic, Suture,Technics, Suture,Technique, Suture,Techniques, Suture
D013537 Sutures Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed) Staples, Surgical,Surgical Staples,Staple, Surgical,Surgical Staple,Suture
D013708 Tendon Injuries Injuries to the fibrous cords of connective tissue which attach muscles to bones or other structures. Injuries, Tendon,Injury, Tendon,Tendon Injury

Related Publications

M Aoki, and P R Manske, and D L Pruitt, and B J Larson
December 2014, European journal of orthopaedic surgery & traumatology : orthopedie traumatologie,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
June 1977, The Hand,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
November 2014, The Journal of hand surgery,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
May 1991, Journal of hand surgery (Edinburgh, Scotland),
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
January 2008, The Journal of hand surgery,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
January 1986, Journal of orthopaedic research : official publication of the Orthopaedic Research Society,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
February 1985, Hand clinics,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
December 2018, The journal of hand surgery Asian-Pacific volume,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
November 1986, Orthopaedic review,
M Aoki, and P R Manske, and D L Pruitt, and B J Larson
January 1984, Clinical orthopaedics and related research,
Copied contents to your clipboard!