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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Colak, Ozlem (Department of Plastic, Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital) Kankaya, Yuksel (Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital) Sungur, Nezih (Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital) Ozer, Kadri (Department of Plastic, Reconstructive and Aesthetic Surgery, Aydin State Hospital) Gursoy, Koray (Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital) Serbetci, Kemal (Department of Biomedical Engineering, Izmir Democracy University) Kocer, Ugur (Department of Plastic, Reconstructive and Aesthetic Surgery, Ankara Training and Research Hospital)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제3호
발행연도
2019.1
수록면
228 - 234 (7page)

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Background The management of flexor tendon injuries has evolved in recent years through industrial improvements in suture materials, refinements of repair methods, and early rehabilitation protocols. However, there is no consensus on the ideal suture material and technique. This study was conducted to compare the tensile strength, repair time, and characteristics of 4-strand cruciate, modified Kessler, and 4-strand horizontal intrafiber barbed sutures for flexor tenorrhaphy with a 12-mm suture purchase length in an animal model. Methods The right third deep flexors of 60 adult Leghorn chicken feet were isolated and repaired with a 12-mm suture purchase length. The tendons were randomly assigned to three groups of equal number (n=20 each). Groups 1 and 2 received 4-strand cruciate and modified Kessler repair with conventional suture materials, respectively. A 4-strand horizontal intrafiber barbed suture technique was used in group 3. The repaired tendons were biomechanically tested for tensile strength, 2-mm gap resistance, and mode of failure. Repair times were also recorded. Results The maximum tensile strength until failure was $44.6{\pm}4.3N$ in group 1, $35.7{\pm}5.2N$ in group 2, and $56.7{\pm}17.3N$ in group 3. The barbed sutures were superior to the other sutures in terms of the load needed for 2-mm gap formation (P<0.05). Furthermore, the barbed sutures showed the shortest repair time (P<0.05). Conclusions This study found that 4-strand horizontal intrafiber barbed suture repair with a 12-mm purchase length in a chicken flexor tendon injury model showed promising biomechanical properties and took less time to perform than other options.
#Suture techniques #Instrumentation #Tendon injuries #Surgery

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참고문헌 (19)

참고문헌 신청
Parikh PM / 2009 / Barbed suture tenorrhaphy : an ex vivo biomechanical analysis / Plast Reconstr Surg 124:1551~1558 google schola Sull A / 2016 / Comparison of barbed sutures in porcine flexor tenorrhaphy / Hand 11:475~478 google schola Engel JL / 2017 / In vitro comparison of two barbed suture configurations for flexor tendon repair / J Hand Microsurg 9:126~130 google schola Cortez R / 2015 / Barbed sutures and wound complications in plastic surgery : an analysis of outcomes / Aesthet Surg J 35:178~188 google schola Shin JY / 2016 / Biomechanical analysis of barbed suture in flexor tendon repair versus conventional method: systematic review and meta-analysis / Plast Reconstr Surg 138:666e~674e google schola

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