1.
J Hand Surg Eur Vol
; 38(3): 334-5, 2013 Mar.
Article
in English
| MEDLINE
| ID: mdl-23565523
2.
J Hand Surg Eur Vol
; 37(9): 826-31, 2012 Nov.
Article
in English
| MEDLINE
| ID: mdl-22618562
ABSTRACT
FiberWire is a popular suture in flexor tendon repair that allows for early mobilization, but its poor knot-holding properties have raised concerns over the potential effects on tendon healing and strength. We examined how the number of knot throws affects the 2 mm gap force, ultimate tensile strength, and mode of failure in a four-strand cruciate locked tendon repair in porcine flexor tendons in order to elucidate the optimal number of suture throws. There was no effect on the 2 mm gap force with increasing knot throws, but there was a significant increase in ultimate tensile strength. A minimum of six-knot throws prevents unravelling, whereas five out of 10 of repairs unravelled with less than six throws.