COMPARISON OF A SUTURE TECHNIQUE WITH THE MODIFIED KESSLER METHOD - RESISTANCE TO GAP FORMATION

We performed an in vitro study using canine flexor tendons to compare the tensile properties of a suture technique for flexor tendon repair with the standard modified Kessler technique. The technique employs a central wire loop that connects the two transverse limbs of the modifi ed Kessler suture. Both techniques were studied with and without a Lem bert epitendinous stitch. The technique combined with an epitendinous suture provided the strongest resistance to gap formation, and its loa d al gap initiation was 100% greater than the load in tendons repaired with the modified Kessler and an epitendinous suture. Because of its increased resistance to gap formation, this suture technique may provi de a safer margin for controlled early active motion after flexor tend on repair.