Abstract
Introduction: All previous experimental and clinical repairs of flexor tendons in zone II have used either a grasping or a locking technique. In this article, a combined (grasping and locking) repair was compared biomechanically to its grasping and locking components.
Methods: Using fresh flexor profundus adult sheep tendons, three techniques of tendon repair were tested biomechanically: the 'three figure-of-eight sutures' (a six-strand grasping technique), the 'locked cruciate repair' (a four-strand locked technique) and the 'combined technique' (a 10-strand repair using both the figure-of-eight and cruciate sutures). All repairs were tested to single-cycle tensile failure using a computerised tensometer. For each repair, the 2-mm gap force and the ultimate breaking (failure) force were recorded.
Results: Biomechanically, the combined repair was found to be the strongest regarding both gap and failure (P < 0.025; two-tailed by the Mann-Whitney test).
Conclusion: The combined 10-strand repair is stronger biomechanically than its grasping and locking components. (C) 2011 Elsevier Ltd. All rights reserved.