Comparing 3 Suture Techniques After Muscle Laceration Repair. (January 2021)

• Record Type: Journal Article
• Authors: Castillo, Alexander C.; Kaltwasser, Kyle; Morris, Randal; Sanchez, Erick R.; Rai, Surjit; Lombana, Nicholas; Tran, Dat; Branski, Ludwik; Zhang, Andrew Y.
• Is Part Of: Hand. Volume 16:Number 1(2021)
• Page Start: 67
• Page End: 72
• Publication Date: 2021-01
• Subjects: muscle -- basic science -- forearm -- anatomy -- trauma -- diagnosis -- wound management -- biomechanics; Hand -- Surgery -- Periodicals; Hand -- Surgery; Periodicals; 617.57005
• DOI: 10.1177/1558944719837021
• Languages: English
• ISSNs: 1558-9447

Abstract

Background: Skeletal muscle lacerations are a relatively common injury. Compared with nonrepaired lacerations, surgically repaired muscle lacerations regenerate faster, develop less scar tissue, have a higher return to baseline strength, and have lower incidence of hematomas. Despite the benefits of repair, the optimal repair technique is still unknown. The purpose of this study was to examine the biomechanical properties of common muscle repair techniques to determine the optimal repair.Methods: Forty-two fusiform porcine muscle specimens were dissected and used for this study. Three suture techniques were used for comparative analysis: Figure-eight, Mason Allen, and Perimeter. Each muscle was transected and then repaired using one of the 3 techniques. Fourteen muscle-tendon specimens were prepared for each group and tested for tensile failure using a material testing system. Biomechanical properties, including peak failure point and stiffness, were compared for differences between the suture groups by 1-way analysis of variance. The average time per repair technique was also recorded.Results: The Perimeter technique showed a statistically significant higher peak failure point than the Mason Allen technique ( P = .03). Both the Figure-eight ( P = .047) and Perimeter techniques ( P < .001) were significantly stiffer than the Mason Allen technique. The repair time was comparable across all 3 techniques.Conclusions: The Figure-eight and Perimeter repairs were found to be similar in peak failure point and stiffness, whereas the Mason Allen technique showed significantly lower stiffness and peak failure point. The Figure-eight was the quickest repair to perform. The Figure-eight technique may be strongly considered for muscle laceration repairs due to its simplicity and efficiency.