Positioning of the cross-stitch on the modified Kessler core tendon suture

[EN] Cryopreserved human tendons were sutured with different variations of a modified Kessler-type grasping suture in a series of different designs in order to assess the influence of the distance between the cross-stitch on the core suture (5 and 10 mm from the cut tendon edge) on the peripheral su...

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Authors: GIL SANTOS, LUIS; Gomar-Sancho, F.; Monleón Pradas, Manuel|||0000-0001-6457-0414; Más Estellés, Jorge|||0000-0001-8446-6737
Format: Article
Publication date:2018
Country:España
Institution:Universitat Politècnica de València (UPV)
Repository:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Language:English
OAI Identifier:oai:riunet.upv.es:10251/125679
Online Access:https://riunet.upv.es/handle/10251/125679
Access Level:Open access
Keyword:Biomechanics
Core and peripheral suture
Flexor tendon
Repair
Resistance
MAQUINAS Y MOTORES TERMICOS
FISICA APLICADA
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author GIL SANTOS, LUIS
author2 Gomar-Sancho, F.
Monleón Pradas, Manuel|||0000-0001-6457-0414
Más Estellés, Jorge|||0000-0001-8446-6737
author2_role author
author
author
author_browse GIL SANTOS, LUIS
Gomar-Sancho, F.
Monleón Pradas, Manuel|||0000-0001-6457-0414
Más Estellés, Jorge|||0000-0001-8446-6737
author_facet GIL SANTOS, LUIS
Gomar-Sancho, F.
Monleón Pradas, Manuel|||0000-0001-6457-0414
Más Estellés, Jorge|||0000-0001-8446-6737
author_role author
collection RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
description [EN] Cryopreserved human tendons were sutured with different variations of a modified Kessler-type grasping suture in a series of different designs in order to assess the influence of the distance between the cross-stitch on the core suture (5 and 10 mm from the cut tendon edge) on the peripheral suture. An original mathematical model was employed to explain the mechanical behavior (strength, deformation, and distribution of load) of the different suture designs. The effect of the peripheral epitendinous suture, combined with the distance of the core suture, was evaluated. The variation of core suture distance had no relevant consequences on the overall resilience of the design. However, increasing the distance between the cross-stitches of the core suture reduces the deformation that is absorbed not only by the core suture itself but also by the peripheral suture. Adding a peripheral epitendinous suture to a 10-mm design almost doubles the breaking load in absolute values. The mathematical model predicts that the peripheral suture will support a greater load when the distance of the core suture cross-stitches is increased. The evidence level is II.
eu_rights_str_mv openAccess
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institution Universitat Politècnica de València (UPV)
instname_str Universitat Politècnica de València (UPV)
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:riunet.upv.es:10251/125679
publishDate 2018
publishDateSort 2018
publisher Elsevier
publisherStr Elsevier
reponame_str RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
spelling Positioning of the cross-stitch on the modified Kessler core tendon suture GIL SANTOS, LUIS Gomar-Sancho, F. Monleón Pradas, Manuel|||0000-0001-6457-0414 Más Estellés, Jorge|||0000-0001-8446-6737 Biomechanics Core and peripheral suture Flexor tendon Repair Resistance MAQUINAS Y MOTORES TERMICOS FISICA APLICADA [EN] Cryopreserved human tendons were sutured with different variations of a modified Kessler-type grasping suture in a series of different designs in order to assess the influence of the distance between the cross-stitch on the core suture (5 and 10 mm from the cut tendon edge) on the peripheral suture. An original mathematical model was employed to explain the mechanical behavior (strength, deformation, and distribution of load) of the different suture designs. The effect of the peripheral epitendinous suture, combined with the distance of the core suture, was evaluated. The variation of core suture distance had no relevant consequences on the overall resilience of the design. However, increasing the distance between the cross-stitches of the core suture reduces the deformation that is absorbed not only by the core suture itself but also by the peripheral suture. Adding a peripheral epitendinous suture to a 10-mm design almost doubles the breaking load in absolute values. The mathematical model predicts that the peripheral suture will support a greater load when the distance of the core suture cross-stitches is increased. The evidence level is II. Elsevier https://riunet.upv.es/handle/10251/125679
spellingShingle Positioning of the cross-stitch on the modified Kessler core tendon suture
GIL SANTOS, LUIS
Biomechanics
Core and peripheral suture
Flexor tendon
Repair
Resistance
MAQUINAS Y MOTORES TERMICOS
FISICA APLICADA
title Positioning of the cross-stitch on the modified Kessler core tendon suture
title_full Positioning of the cross-stitch on the modified Kessler core tendon suture
title_fullStr Positioning of the cross-stitch on the modified Kessler core tendon suture
title_full_unstemmed Positioning of the cross-stitch on the modified Kessler core tendon suture
title_short Positioning of the cross-stitch on the modified Kessler core tendon suture
title_sort Positioning of the cross-stitch on the modified Kessler core tendon suture
topic Biomechanics
Core and peripheral suture
Flexor tendon
Repair
Resistance
MAQUINAS Y MOTORES TERMICOS
FISICA APLICADA
topic_facet Biomechanics
Core and peripheral suture
Flexor tendon
Repair
Resistance
MAQUINAS Y MOTORES TERMICOS
FISICA APLICADA
url https://riunet.upv.es/handle/10251/125679