Flexor Tenorrhaphy Using Absorbable Suture Materials

BackgroundNonabsorbable sutures are favorable for repairing flexor tendons. However, absorbable sutures have performed favorably in an animal model.MethodsTwo-strand sutures using the interlocking modified Kessler method with polydioxanone absorbable sutures 4-0 were used to repair completely ruptur...

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Main Authors: Hyung Joo Kang, Dong Chul Lee, Jin Soo Kim, Sae Hwi Ki, Si Young Roh, Jae Won Yang
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-07-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.e-aps.org/upload/pdf/aps-39-397.pdf
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author Hyung Joo Kang
Dong Chul Lee
Jin Soo Kim
Sae Hwi Ki
Si Young Roh
Jae Won Yang
author_facet Hyung Joo Kang
Dong Chul Lee
Jin Soo Kim
Sae Hwi Ki
Si Young Roh
Jae Won Yang
author_sort Hyung Joo Kang
collection DOAJ
description BackgroundNonabsorbable sutures are favorable for repairing flexor tendons. However, absorbable sutures have performed favorably in an animal model.MethodsTwo-strand sutures using the interlocking modified Kessler method with polydioxanone absorbable sutures 4-0 were used to repair completely ruptured flexor tendons in 55 fingers from 41 consecutive patients. The medical records of average 42 follow up weeks were analyzed retrospectively. The data analyzed using the chi-squared test, and Fisher's exact test was used for postoperative complications. The results were compared with those of other studies.ResultsAmong the index, middle, ring, and little fingers were injured in 9, 17, 16, and 13 fingers, respectively. The injury levels varied from zone 1 to 5. Of the 55 digits in our study, there were 26 (47%) isolated flexor digitorum profundus (FDP) injuries and 29 (53%) combined FDP and with flexor digitorum superficialis injuries. Pulley repair was also conducted. Concomitant injuries of blood vessels and nerves were found in 17 patients (23 fingers); nerve injuries occurred in 5 patients (10 fingers). Two patients had ruptures (3.6%), and one patient had two adhesions (3.6%). Using the original Strickland criteria, all the patients were assessed to be excellent or good. Also, fibrosis and long-term foreign body tissue reactions such as stitch granuloma were less likely occurred in our study. Compared to the Cullen's report that used nonabsorbable sutures, there was no significant difference in the rupture or adhesion rates.ConclusionsTherefore, this study suggests that appropriate absorbable core sutures can be used safely for flexor tendon repairs.
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spelling doaj.art-90258ec46ab1489396d385dc9585749a2022-12-22T04:19:56ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-07-0139439740362Flexor Tenorrhaphy Using Absorbable Suture MaterialsHyung Joo Kang0Dong Chul Lee1Jin Soo Kim2Sae Hwi Ki3Si Young Roh4Jae Won Yang5Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Korea.BackgroundNonabsorbable sutures are favorable for repairing flexor tendons. However, absorbable sutures have performed favorably in an animal model.MethodsTwo-strand sutures using the interlocking modified Kessler method with polydioxanone absorbable sutures 4-0 were used to repair completely ruptured flexor tendons in 55 fingers from 41 consecutive patients. The medical records of average 42 follow up weeks were analyzed retrospectively. The data analyzed using the chi-squared test, and Fisher's exact test was used for postoperative complications. The results were compared with those of other studies.ResultsAmong the index, middle, ring, and little fingers were injured in 9, 17, 16, and 13 fingers, respectively. The injury levels varied from zone 1 to 5. Of the 55 digits in our study, there were 26 (47%) isolated flexor digitorum profundus (FDP) injuries and 29 (53%) combined FDP and with flexor digitorum superficialis injuries. Pulley repair was also conducted. Concomitant injuries of blood vessels and nerves were found in 17 patients (23 fingers); nerve injuries occurred in 5 patients (10 fingers). Two patients had ruptures (3.6%), and one patient had two adhesions (3.6%). Using the original Strickland criteria, all the patients were assessed to be excellent or good. Also, fibrosis and long-term foreign body tissue reactions such as stitch granuloma were less likely occurred in our study. Compared to the Cullen's report that used nonabsorbable sutures, there was no significant difference in the rupture or adhesion rates.ConclusionsTherefore, this study suggests that appropriate absorbable core sutures can be used safely for flexor tendon repairs.http://www.e-aps.org/upload/pdf/aps-39-397.pdfHandPolydioxanoneRuptureTendon Injuries
spellingShingle Hyung Joo Kang
Dong Chul Lee
Jin Soo Kim
Sae Hwi Ki
Si Young Roh
Jae Won Yang
Flexor Tenorrhaphy Using Absorbable Suture Materials
Archives of Plastic Surgery
Hand
Polydioxanone
Rupture
Tendon Injuries
title Flexor Tenorrhaphy Using Absorbable Suture Materials
title_full Flexor Tenorrhaphy Using Absorbable Suture Materials
title_fullStr Flexor Tenorrhaphy Using Absorbable Suture Materials
title_full_unstemmed Flexor Tenorrhaphy Using Absorbable Suture Materials
title_short Flexor Tenorrhaphy Using Absorbable Suture Materials
title_sort flexor tenorrhaphy using absorbable suture materials
topic Hand
Polydioxanone
Rupture
Tendon Injuries
url http://www.e-aps.org/upload/pdf/aps-39-397.pdf
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