Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique

Introduction: To determine and biomechanically evaluate the tensile strength, stiffness and mode of failure, of two well established tendon repair techniques, which are the modified Kessler and cruciate technique with the lesser known figure of 8 technique Methodology: Twenty four Achilles tendon...

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Main Author:	Raghu, Shashank
Format:	Thesis
Language:	English
Published:	2018
Subjects:	RD Surgery
Online Access:	http://eprints.usm.my/48308/1/Dr.%20Shashank%20Raghu-24%20pages.pdf
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spelling	my-usm-ep.483082021-02-16T01:51:10Z Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique 2018 Raghu, Shashank RD Surgery Introduction: To determine and biomechanically evaluate the tensile strength, stiffness and mode of failure, of two well established tendon repair techniques, which are the modified Kessler and cruciate technique with the lesser known figure of 8 technique Methodology: Twenty four Achilles tendon of adult chickens were randomized into three groups which were a modified four strand Modified Kessler technique, a four strand cruciate technique, and a double figure of eight technique in order to obtain a four strand core suture. An additional twenty four Achilles tendons of adult chickens were obtained and randomized into the same three groups but with an additional running epitendinous repair. All repairs were performed using a synthetic, non-absorbable, monofilament polypropylene suture material Results: The double figure of eight technique had the highest mean ultimate tensile strength, followed by the modified four strand Modified Kessler technique and the four strand cruciate technique. Analyzing the test with an epitendinous suture significantly affected the results positively. Conclusion: The double figure of eight, four strand suture technique was the strongest and relatively less technically demanding technique to perform in this study. The importance and additional strength provided by epitendinous suture was evident. This may be a clinically acceptable technique to perform in flexor tendon injuries of hand in humans. 2018 Thesis http://eprints.usm.my/48308/ http://eprints.usm.my/48308/1/Dr.%20Shashank%20Raghu-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RD Surgery
spellingShingle	RD Surgery Raghu, Shashank Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
description	Introduction: To determine and biomechanically evaluate the tensile strength, stiffness and mode of failure, of two well established tendon repair techniques, which are the modified Kessler and cruciate technique with the lesser known figure of 8 technique Methodology: Twenty four Achilles tendon of adult chickens were randomized into three groups which were a modified four strand Modified Kessler technique, a four strand cruciate technique, and a double figure of eight technique in order to obtain a four strand core suture. An additional twenty four Achilles tendons of adult chickens were obtained and randomized into the same three groups but with an additional running epitendinous repair. All repairs were performed using a synthetic, non-absorbable, monofilament polypropylene suture material Results: The double figure of eight technique had the highest mean ultimate tensile strength, followed by the modified four strand Modified Kessler technique and the four strand cruciate technique. Analyzing the test with an epitendinous suture significantly affected the results positively. Conclusion: The double figure of eight, four strand suture technique was the strongest and relatively less technically demanding technique to perform in this study. The importance and additional strength provided by epitendinous suture was evident. This may be a clinically acceptable technique to perform in flexor tendon injuries of hand in humans.
format	Thesis
qualification_level	Master's degree
author	Raghu, Shashank
author_facet	Raghu, Shashank
author_sort	Raghu, Shashank
title	Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
title_short	Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
title_full	Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
title_fullStr	Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
title_full_unstemmed	Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
title_sort	biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/48308/1/Dr.%20Shashank%20Raghu-24%20pages.pdf
_version_	1747821914563280896

Biomechanical evaluation of four strand flexor tendon repair techniques, using a double figure of 8 technique

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