ISSN 2458-7834
 
2023, Vol: 12, Issue: 3
12 / 3Current Issue Online First Archive Aims and Scope Abstracting & Indexing Most Accessed Articles Most Downloaded Articles Most Cited Articles
Required files to be uploaded

Conflict of Interest Disclosure Statement
Copyright Transfer Form
Ethical Approval
Title Page

Original Article 


Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru.

Abstract
Objective: The purpose of this study was to evaluate the biomechanical characteristics of two different suture-passing techniques with different suture materials and thicknesses and assess whether they could with stand passive and/or active mobilization in the very early post-operative period.
Materials and Method: 192 flexor digitorum profundus communis tendons of similar diameters were obtained from sheep front limbs. Each tendon was transected completely at a point 6 cm from the distal end and each repaired by one of the following suture materials: polyester suture (Ethilon 3.0 and 4.0 (Ethicon, U.S.)) and polypropylene monofilament (Polypropylene 3.0 and 4.0 (Ethicon, U.S.)). The repair of the tendons was performed through employing two different techniques with each suture material - the Bunnel and Modified Kessler. The primary outcome measures for each repair combination was suture material, suture-passing type and suture thickness. Regarding post-operative early motion, the yield point differences between the suture materials and techniques were compared.
Results: There was a statistically significant difference between suture materials used for the repair. Tendons repaired with Ethibond needed significantly greater amounts of force for rupture compared with tendons repaired with Polypropylene. There was a statistically significant difference between Ethibond and Prolene for all study groups.
Conclusion: The yield points with higher forces is expected to be preferred, but their thicknesses can be 3-0 or 4-0. Oblique suture passing should be preferred rather than longitudinal passing. Obviously, suture strengthening methods, like epitendineous running sutures and core sutures, should be used. Without these measures, even passive wrist motion can result in gap formation at the repair site. The results of this study showed that tensile properties of the repaired vary considerably with differences in suture material and design.

Key words: Biomechanical study, suture technique, tendon repair


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Volkan Ergan
Articles by Ozal Ozcan
Articles by Baris Kafa
Articles by Gokhan Maralcan
Articles by Ilhami Kuru
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. Hand Microsurg. 2016; 5(3): 130-136. doi:10.5455/handmicrosurg.211006

Web Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. https://handmicrosurgeryjournal.com/?mno=211006 [Access: January 10, 2024]. doi:10.5455/handmicrosurg.211006

AMA (American Medical Association) Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. Hand Microsurg. 2016; 5(3): 130-136. doi:10.5455/handmicrosurg.211006


Vancouver/ICMJE Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. Hand Microsurg. (2016), [cited January 10, 2024]; 5(3): 130-136. doi:10.5455/handmicrosurg.211006


Harvard Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru (2016) Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. Hand Microsurg, 5 (3), 130-136. doi:10.5455/handmicrosurg.211006


Turabian Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. 2016. Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. Hand and Microsurgery, 5 (3), 130-136. doi:10.5455/handmicrosurg.211006


Chicago Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. "Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status." Hand and Microsurgery 5 (2016), 130-136. doi:10.5455/handmicrosurg.211006


MLA (The Modern Language Association) Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru. "Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status." Hand and Microsurgery 5.3 (2016), 130-136. Print. doi:10.5455/handmicrosurg.211006


APA (American Psychological Association) Style

Volkan Ergan, Ozal Ozcan, Baris Kafa, Gokhan Maralcan, Ilhami Kuru (2016) Comparison of two different suture-passing techniques with different suture materials and thicknesses: Biomechanical study of flexor tendons for yield points, gap formation and early post-operative status. Hand and Microsurgery, 5 (3), 130-136. doi:10.5455/handmicrosurg.211006




Most Viewed Articles
Most Accessed Articles

  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract » doi: 10.5455/handmicrosurg.172436

    •
    Most Downloaded
    Top Downloaded Articles

  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

    •
    Most Cited Articles
    Most Cited Articles

    About Hand and Microsurgery

    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



    For best results, please use Internet Explorer or Google Chrome.

    Contact Information
    POLICIES & JOURNAL LINKS
    Author Login
    Reviewer Login
    About Publisher
    Advertising Policy
    Author's Rights and Obligations
    Conflict of Interest Policy
    Copyright Information
    Digital Archiving & Preservation Policies
    Editorial Policies
    Peer Review Policy
    Editorial & Peer Review Process
    License Information
    Open Access Policy
    Plagiarism Policy
    Privacy Policy
    Protection of Research Participants (Statement On Human And Animal Rights)
    Publication Ethics and Publication Malpractice Statement
    Corrections, Retractions & Expressions of Concern
    Self-Archiving Policies
    Statement of Informed Consent
    Terms of Use