A Novel Method for Reducing Gap Formation in Tendon Repair

Author Type(s)

Student

Document Type

Article

Publication Date

January 2018

DOI

10.1016/j.jor.2018.01.054

Journal Title

Journal of Orthopaedics

Department

Medicine

Keywords

Suture Techniques, Tendon Injuries--surgery Tendons--surgeryLR: 20180418; JID: 101233220; OTO: NOTNLM; PMCR: 2019/03/01 00:00; 2017/08/13 00:00 [received]; 2018/01/14 00:00 [accepted]; 2019/03/01 00:00 [pmc-release]; 2018/04/17 06:00 [entrez]; 2018/04/17 06:00 [pubmed]; 2018/04/17 06:01 [medline]; epublish

Disciplines

Medicine and Health Sciences

Abstract

Background: This study investigates gap formation in tendon repair using a novel tensioning method. Hypothesis: The novel stitch will demonstrate less gap formation than the other suture configurations tested. Methods: Porcine tendons stitched with classic Krackow stitch configurations were compared to a Krackow stitch modified with a proximal Tension-Assist Loop. Each group was cyclically loaded followed by analysis of the tendon-suture construct for gap formation. Results: The Tension-Assist Loop group produced significantly less gap formation than each of the other stitch groups. Conclusion: Decreasing early gap formation may be beneficial in allowing early rehabilitation and range of motion.

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