0
Scientific Articles   |    
A Clove-Hitch Suture Method for Small-Caliber Tendon Ends
Edward Abraham, MD1; Alan League, MD1; Farid Amirouche, PhD2; Nikhil Kulkarni, MS Eng2
1 Department of Orthopaedics, University osf Illinois College of Medicine, 835 South Wolcott Avenue, E270, Chicago, IL 60612. E-mail address for E. Abraham: Eda@uic.edu. E-mail address for A. League: Leag0002@yahoo.com
2 Department of Mechanical and Industrial Engineering, University of Illinois at Chicago, 2039 Engineering Research Facility, 842 West Taylor Street, Chicago, IL 60607. E-mail address for F. Amirouche: amirouch@uic.edu. E-mail address for N. Kulkarni: nikhil80@gmail.com
View Disclosures and Other Information
Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

  • Disclosure statement for author(s): PDF

Investigation performed at the Department of Orthopaedics, University of Illinois College of Medicine, and the Department of Mechanical and Industrial Engineering, University of Illinois at Chicago, Chicago, Illinois


Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Jul 18;94(14):1303-1307. doi: 10.2106/JBJS.K.00414
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Abstract

Background: 

The choices of suture methods used to secure the end of a small-caliber tendon with a combination of suture materials passing through and looping around the tendon are not well documented. A secure stitch-tendon unit may be an important factor in preserving muscle function, by facilitating healing without gapping or failure.

Methods: 

Five types of suture methods utilizing four or fewer passes through the tendon end were mechanically tested on 178 canine flexor digitorum profundus tendons. An Instron apparatus was used to test the load to failure.

Results: 

The single and double clove-hitch suture methods demonstrated improved repair strength when compared with the three other methods studied in this small-caliber canine tendon model.

Conclusions: 

The single and double clove-hitch suture method better secured the end of a small-caliber tendon compared with other methods.

Clinical Relevance: 

The single (pull-out) and double (non-pull-out) clove-hitch suture methods are reliable alternatives for the repair of small-caliber tendons.

Figures in this Article

    Topics

    clove ; sutures ; tendon
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    11/15/2013
    LA - Ochsner Health System
    03/05/2014
    OK - The University of Oklahoma
    04/02/2014
    LA - Louisiana State University Health Sciences Center-Shreveport
    03/27/2014
    MA - Boston Medical Center and Boston University School of Medicine