Ischaemic contracture of the hand

Stronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed loope...

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Bibliographic Details
Main Author: G. Balakrishnan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2006-01-01
Series:Indian Journal of Plastic Surgery
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699134
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Summary:Stronger flexor tendon repairs facilitate early active motion therapy protocols. Core sutures using looped suture material provide 1 ½ to twice the strength of Kessler′s technique (with four strand and six strand Tsuge technique respectively). The technique is well-described and uses preformed looped sutures (supramid). This is not available in many countries and we describe a technique whereby looped sutures can be introduced in flexor tendon repair by the use of 23 G hypodermic needle and conventional 4.0 or 5.0 sutures. This is an alternative when the custom made preformed sutures are not available. This can be practiced in zone 3 to zone 5 repairs. Technical difficulties limit its use in zone 2 repairs.
ISSN:0970-0358
1998-376X