[논문]Flexor Tenorrhaphy Using Absorbable Suture Materials

Kang, Hyung Joo; Lee, Dong Chul; Kim, Jin Soo; Ki, Sae Hwi; Roh, Si Young; Yang, Jae Won

doi:10.5999/aps.2012.39.4.397

Flexor Tenorrhaphy Using Absorbable Suture Materials 원문보기

Archives of plastic surgery : APS, v.39 no.4, 2012년, pp.397 - 403

Kang, Hyung Joo (Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital) , Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital) , Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital) , Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital) , Roh, Si Young (Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital) , Yang, Jae Won (Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital)

Abstract ▼ AI-Helper

Background Nonabsorbable sutures are favorable for repairing flexor tendons. However, absorbable sutures have performed favorably in an animal model. Methods Two-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. Results Among 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. Conclusions Therefore, this study suggests that appropriate absorbable core sutures can be used safely for flexor tendon repairs.

주제어

참고문헌 (21)

1 Kleinert HE Spokevicius S Papas NH History of flexor tendon repair J Hand Surg Am 1995 20 S46 S52 7642949
2 David GW Mathes SJ Hentz VR Flexor tendon injuries and reconstruction Mathes plastic surgery 2006 2nd ed Philadelphia Saunders Elsevier 359 382
3 Trail IA Powell ES Noble J An evaluation of suture materials used in tendon surgery J Hand Surg Br 1989 14 422 427 2695589
4 Pabari A Iyer S Branford OA Palmar granuloma following flexor tendon repair using Ticron: a case for absorbable suture material? J Plast Reconstr Aesthet Surg 2011 64 409 411 20471933
5 O'Broin ES Earley MJ Smyth H Absorbable sutures in tendon repair: a comparison of PDS with prolene in rabbit tendon repair J Hand Surg Br 1995 20 505 508 7594994
6 Cullen KW Tolhurst P Lang D Flexor tendon repair in zone 2 followed by controlled active mobilisation J Hand Surg Br 1989 14 392 395 2621397
7 Small JO Brennen MD Colville J Early active mobilisation following flexor tendon repair in zone 2 J Hand Surg Br 1989 14 383 391 2621396
8 Strickland JW Glogovac SV Digital function following flexor tendon repair in Zone II: a comparison of immobilization and controlled passive motion techniques J Hand Surg Am 1980 5 537 543 7430595
9 Tang JB Clinical outcomes associated with flexor tendon repair Hand Clin 2005 21 199 210 15882599

상세보기
10 Caulfield RH Maleki-Tabrizi A Patel H Comparison of zones 1 to 4 flexor tendon repairs using absorbable and unabsorbable four-strand core sutures J Hand Surg Eur Vol 2008 33 412 417 18687826

상세보기
11 Elliot D Moiemen NS Flemming AF The rupture rate of acute flexor tendon repairs mobilized by the controlled active motion regimen J Hand Surg Br 1994 19 607 612 7822920
12 Moiemen NS Elliot D Primary flexor tendon repair in zone 1 J Hand Surg Br 2000 25 78 84 10763731
13 Siler VE Primary tenorrhaphy of the flexor tendons in the hand J Bone Joint Surg Am 1950 32A 218 225 15401735
14 Miller JM A new era of non-absorbable sutures Exp Med Surg 1970 28 274 280 5525356

상세보기
15 Strickland JW Development of flexor tendon surgery: twenty-five years of progress J Hand Surg Am 2000 25 214 235 10722813
16 Ikuta Y Tsuge K Postoperative results of looped nylon suture used in injuries of the digital flexor tendons J Hand Surg Br 1985 10 67 72 3889198
17 Chusak RB Dibbell DG Clinical experience with polydioxanone monofilament absorbable sutures in plastic surgery Plast Reconstr Surg 1983 72 217 221 6410425

상세보기
18 Bourne RB Bitar H Andreae PR In-vivo comparison of four absorbable sutures: Vicryl, Dexon Plus, Maxon and PDS Can J Surg 1988 31 43 45 2827875

상세보기
19 Wada A Kubota H Akiyama T Effect of absorbable polydioxanone flexor tendon repair and restricted active mobilization in a canine model J Hand Surg Am 2001 26 398 406 11418899
20 Momeni A Grauel E Chang J Complications after flexor tendon injuries Hand Clin 2010 26 179 189 20494744

상세보기
21 Mashadi ZB Amis AA The effect of locking loops on the strength of tendon repair J Hand Surg Br 1991 16 35 39 2007811

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Flexor Tenorrhaphy Using Absorbable Suture Materials 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (21)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트