A barbed suture repair for flexor tendons: a novel technique with no exposed barbs
Joyce, Cormac W.
Chan, Jeffrey C.
Delgado Garoña, Luis María
Carroll, Seam M.
Kelly, Jack L.
Fecha de publicación2014-10-23
Background: Barbed suture technology has shown promise in flexor tendon repairs, as there is an even distribution of load and the need for a knot is eliminated. We propose that a quick and simple, novel, barbed technique without any exposed barbs on the tendon surface has comparable strength and a smaller cross-sectional area at the repair site than traditional methods of repair. Methods: Forty porcine flexor tendons were randomized to polybutester 4-strand barbed repair or to 4-strand Adelaide monofilament repair. The cross-sectional area was measured before and after repair. Biomechanical testing was carried out and 2-mm gap formation force, ultimate strength of repair, and method of failure were recorded. Results: The mean ultimate strength of the barbed repairs was 54.51 ± 17.9 while that of the Adelaide repairs was 53.17 ± 16.35. The mean 2-mm gap formation force for the barbed group was 44.71 ± 17.86 whereas that of the Adelaide group was 20.25 ± 4.99. The postrepair percentage change in cross-sectional area at the repair site for the Adelaide group and barbed group was 12.0 ± 2.3 and 4.6 ± 2.8, respectively. Conclusions: We demonstrated that a 4-strand knotless, barbed method attained comparable strength to that of the traditional Adelaide repair technique. The barbed method had a significantly reduced cross-sectional area at the repair site compared with the Adelaide group. The 2-mm gap formation force was less in the barbed group than the Adelaide group. Barbed repairs show promise for tendon repairs; this simple method warrants further study in an animal model.
Tipo de documento
Versión del documento
61 - Medicina
Lippincott, Williams & Wilkins
Plastic and Reconstructive Surgery Global Open
Joyce, Cormac W.; Sugrue, Conor; Chan, Jeffrey C.; Delgado Garoña, Luis María; Zeugolis, Dimitrios; Carroll, Seam M.; Kelly, Jack L. «A barbed suture repair for flexor tendons: a novel technique with no exposed barbs». Plastic and Reconstructive Surgery Global Open, 2014, vol. 2, núm. 10, art. e237. Disponible en: <https://journals.lww.com/prsgo/fulltext/2014/10000/A_Barbed_Suture_Repair_For_Flexor_Tendons___A.4.aspx#pdf-link>. Fecha de acceso: 22 jul. 2019. https://doi.org/10.1097/GOX.0000000000000203
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