• Save
Barbed Suture Tendon Repair ASPS
Upcoming SlideShare
Loading in...5
×
 

Barbed Suture Tendon Repair ASPS

on

  • 1,514 views

This is a podium presentation given at the American Society of Plastic Surgeons on tendon repair without knots.

This is a podium presentation given at the American Society of Plastic Surgeons on tendon repair without knots.

Statistics

Views

Total Views
1,514
Views on SlideShare
1,513
Embed Views
1

Actions

Likes
1
Downloads
0
Comments
0

1 Embed 1

http://www.linkedin.com 1

Accessibility

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Barbed Suture Tendon Repair ASPS Barbed Suture Tendon Repair ASPS Presentation Transcript

  • Knotless flexor tendon repair using a barbed suture: An ex vivo comparison.
    W. Thomas McClellan
    Matt Schessler
    David Ruch
    L. Scott Levin
    Richard Goldner
    Kauai HI 2010
  • Disclosures
    No disclosures
  • Hypothesis
    Knotless flexor tendon repair is as strong as a traditional knot based repair with reduced cross sectional area at the repair site.
  • Methods
    66 fresh adult pig FDP tendons
    3 points established – cross-sectional area
    1cm proximal, transection site, 1cm distal
  • Methods
    Divided into 3 groups, transected, repaired
    Group A (n=22) –
    2 strand modified Kessler 3-0 ethibond
    Group B (n=22) –
    4 strand modified Savage 3.0 ethibond
    Group C (n=22) –
    4 strand Knotless Repair 0 barbed
  • Knotless Technique
  • Measured the x-sectional area at all 3 sites after repair and before insitron testing
    Results – X-Sectional Area(mm2)
    (p<0.0001)
  • Results - Strength
    (p<0.0001)
  • Summary
    A 4 strand Knotless repair is as strong as a 4 strand Savage and stronger than a 2 strand Kessler
    Must maximize # of barbs within the tendon
    Must incorporate grasps of the epitenon for increased repair strength
  • Summary
    Knotless repair has significantly reduced cross sectional area, at the repair site, compared to the Savage and Kessler
    This may reduce resistance within the pulley system.
  • Summary
    however
    Knotless repair is technically difficult and time consuming
    Increased handling of the tendon required
    must place limbs upstream
    Manipulation of larger core suture is more cumbersome
    Difficult to remove suture if needed
    Additional research should be performed to address shortcomings and limitations
  • Thank you