What suture is used for tendon repair?
Suture type for tendon repair traditionally consisted of non-absorbable braided synthetic polyester material, such as ethibond suture. More recent tendon repair descriptions have employed non-absorbable monofilament material as the suture of choice.
How do you suture a cut tendon?
Apply delicate tension to the sutures and gently approximate the two tendon ends. Tie the suture ends with a square knot that remains buried between the tendon ends. Place a single suture into the lateral distal end of the cut skin, and include a bite from the proximal skin wound.
What is Kessler technique?
In the Kessler-loop lock suture technique, the tendon is locked by friction between loop sutures and the tendon, with the objective of withstanding greater tensile force and preventing gap formation ( 20.
Do stitches in tendons dissolve?
The tendon and skin are repaired with stitches. Some surgeons use stitches in the skin which dissolve after two to three weeks, whilst other surgeons will use stitches in the skin that will need to be removed after two weeks.
What is a krackow stitch?
The Krackow whip stitch uses 2 or more locking loops inserted into each side of the patellar tendon. The Krackow whip stitch is stronger than the Kessler, or Bunnell, stitches that are used for repairing smaller tendons. Open the patellar tendon retinaculum longitudinally.
How are common extensor tendons repaired?
Your surgeon will move aside soft tissues to view the common extensor tendon and its attachment on the lateral epicondyle and then trims or releases the tendon and reattaches it to the bone. Any scar tissue present will be removed as well as any bone spurs.
What is a Kessler suture?
In the Kessler repair, the suture is anchored to the tendon at all 4 corners with a knot. This knot prevents the suture from moving within the tendon substance. In the variant of Urbaniak et al, a loop is used at each corner, instead of a knot.
How long does a hand tendon take to heal?
The repaired tendon will usually be back to full strength after about 12 weeks, but it can take up to 6 months to regain the full range of movement. Some people may never be able to move the affected finger or thumb as much as before it was damaged.
What is the Bunnell suture used to repair a total tendon?
Tendons in the Bunnell group ( n = 20) were repaired using a two-strand Bunnell suture (PDS 1; Z631; Ethicon; Somerville; NJ, USA) and an additional epitendinous suture (PDS 5–0; Z3030; Ethicon).
What happened to Bunnell’s finger?
In 1918, Bunnell described his experiences in attempting primary repair of severed flexor tendons in Zone II of the finger. Adhesions formed as the repair healed, resulting in total loss of movement in the digit. Primary repair was deemed unsuitable which led to recommendations to graft, principally to regain finger function3.
How are tendons in the cross-lock Bunnell group repaired?
Tendons in the cross-lock Bunnell group ( n = 20) were repaired using a two-strand cross-lock Bunnell suture (PDS 1) and an additional epitendinous suture (PDS 5–0). Finally, tendons in the tensioned cross-lock Bunnell group ( n = 20) were repaired with the cross-lock Bunnell suture, and pretension was applied as described above.
What is the history of the Bunnell repair?
History: primary repair In 1918, Bunnell described his experiences in attempting primary repair of severed flexor tendons in Zone II of the finger. Adhesions formed as the repair healed, resulting in total loss of movement in the digit.