In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400445 |
Resumo: | Abstract Objective To evaluate the biomechanical properties of the “figure-of-eight” and Kessler suture techniques for tendons. Methods Flexor tendons of porcine fingers were divided into two groups with triple central “figure of eight” sutures (six passages) and Kessler sutures (two passages) associated with simple and continuous peripheral sutures, and submitted to continuous longitudinal mechanical tests, to obtain the mechanical properties of maximum load and energy at maximum load. Results The mean maximum load and energy at maximum load in the “figure-of-8” suture were of 63.4 N and 217.3 N.mm respectively; in the Kessler suture, the values were of 34.19 N and 100.9 N.mm respectively. The statistical analysis indicated that the “figure-of-eight” suture is mechanically superior to the Kessler technique. Conclusion Under the conditions of this experiment and in the flexor tendon of porcine fingers, the triple “figure-of-eight” suture (six passages) is more resistant than the Kessler suture (two passages). The “figure-of-eight” suture with six passages enables active movement in the immediate rehabilitation of the flexor tendon repair of the finger, with little risk of rupture or suture spacing. |
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In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendonsorthopedic proceduresbiomechanical phenomenontendon injuriesfinger injuriessuture techniquesAbstract Objective To evaluate the biomechanical properties of the “figure-of-eight” and Kessler suture techniques for tendons. Methods Flexor tendons of porcine fingers were divided into two groups with triple central “figure of eight” sutures (six passages) and Kessler sutures (two passages) associated with simple and continuous peripheral sutures, and submitted to continuous longitudinal mechanical tests, to obtain the mechanical properties of maximum load and energy at maximum load. Results The mean maximum load and energy at maximum load in the “figure-of-8” suture were of 63.4 N and 217.3 N.mm respectively; in the Kessler suture, the values were of 34.19 N and 100.9 N.mm respectively. The statistical analysis indicated that the “figure-of-eight” suture is mechanically superior to the Kessler technique. Conclusion Under the conditions of this experiment and in the flexor tendon of porcine fingers, the triple “figure-of-eight” suture (six passages) is more resistant than the Kessler suture (two passages). The “figure-of-eight” suture with six passages enables active movement in the immediate rehabilitation of the flexor tendon repair of the finger, with little risk of rupture or suture spacing.Sociedade Brasileira de Ortopedia e Traumatologia2020-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400445Revista Brasileira de Ortopedia v.55 n.4 2020reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0039-1700828info:eu-repo/semantics/openAccessKawachi,Diogo ThomazDeienno,Francisco SimõesVaranda,DenisCortopassi,Andrea ChristinaSardenberg,Trajanoeng2020-09-28T00:00:00Zoai:scielo:S0102-36162020000400445Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2020-09-28T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
title |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
spellingShingle |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons Kawachi,Diogo Thomaz orthopedic procedures biomechanical phenomenon tendon injuries finger injuries suture techniques |
title_short |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
title_full |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
title_fullStr |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
title_full_unstemmed |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
title_sort |
In Vitro Biomechanical Study on the “Figure-of-Eight” and Kessler Sutures in Swine Flexor Tendons |
author |
Kawachi,Diogo Thomaz |
author_facet |
Kawachi,Diogo Thomaz Deienno,Francisco Simões Varanda,Denis Cortopassi,Andrea Christina Sardenberg,Trajano |
author_role |
author |
author2 |
Deienno,Francisco Simões Varanda,Denis Cortopassi,Andrea Christina Sardenberg,Trajano |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Kawachi,Diogo Thomaz Deienno,Francisco Simões Varanda,Denis Cortopassi,Andrea Christina Sardenberg,Trajano |
dc.subject.por.fl_str_mv |
orthopedic procedures biomechanical phenomenon tendon injuries finger injuries suture techniques |
topic |
orthopedic procedures biomechanical phenomenon tendon injuries finger injuries suture techniques |
description |
Abstract Objective To evaluate the biomechanical properties of the “figure-of-eight” and Kessler suture techniques for tendons. Methods Flexor tendons of porcine fingers were divided into two groups with triple central “figure of eight” sutures (six passages) and Kessler sutures (two passages) associated with simple and continuous peripheral sutures, and submitted to continuous longitudinal mechanical tests, to obtain the mechanical properties of maximum load and energy at maximum load. Results The mean maximum load and energy at maximum load in the “figure-of-8” suture were of 63.4 N and 217.3 N.mm respectively; in the Kessler suture, the values were of 34.19 N and 100.9 N.mm respectively. The statistical analysis indicated that the “figure-of-eight” suture is mechanically superior to the Kessler technique. Conclusion Under the conditions of this experiment and in the flexor tendon of porcine fingers, the triple “figure-of-eight” suture (six passages) is more resistant than the Kessler suture (two passages). The “figure-of-eight” suture with six passages enables active movement in the immediate rehabilitation of the flexor tendon repair of the finger, with little risk of rupture or suture spacing. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400445 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000400445 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0039-1700828 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.55 n.4 2020 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
_version_ |
1752122362462994432 |