Suture constructs for rehabilitation using early active motion after tendon transfer surgery. (November 2018)

• Record Type: Journal Article
• Authors: Fitzgerald, Michael G.; Hammond, Max A.; Yang, Patrick W.; Merrell, Gregory A.
• Is Part Of: Journal of hand surgery. Volume 43:Number 9(2018)
• Page Start: 931
• Page End: 935
• Publication Date: 2018-11
• Subjects: Tendon transfer -- tendon injuries -- rehabilitation -- suture techniques; 617.575059
• DOI: 10.1177/1753193418773262
• Languages: English
• ISSNs: 1753-1934

Abstract

The purpose of this study was to better define an ideal tendon transfer suture construct to allow for early active range of motion. A side-to-side tendon construct was used to test suture technique (cross stich vs. Krackow stitch), number of suture throws, and calibre of suture. A minimum load to failure of 100 N was used to comfortably allow early motion while minimizing rupture risk. All constructs tested, except the 4-0 Krackow construct, were strong enough to withstand 100 N of load. The choice of suture should be based on surgeon preference, patient compliance, and specific surgery, and 3-0 non-absorbable suture may be more suitable for tendon transfers from a yield force standpoint.