Increased Suture Embedment in Tendons: An Effective Method to Improve Repair Strength

2002 ◽  
Vol 27 (4) ◽  
pp. 333-336 ◽  
Author(s):  
B. WANG ◽  
J. B. TANG

We evaluated the effect of length of suture embedment within tendons on the tensile strength of repaired tendons. Thirty fresh pig flexor tendons were divided into three groups and subjected to repairs with the Halsted tendon sutures in which 1/3, 1/2, and 2/3 of the length of the longitudinal sutures was embedded within the tendons. The repaired tendons were pulled to complete failure by an Instron tensile testing machine. The 2 mm gap-formation force, ultimate strength, stiffness, and energy to failure were greatest when 2/3 of the suture length was embedded within the tendon. The results indicate that suture embedment is an important contributor to the tensile properties of the repair, and that increase in length of suture embedment is an effective way to strengthen tendon repairs.

2002 ◽  
Vol 27 (2) ◽  
pp. 161-164 ◽  
Author(s):  
Y. CAO ◽  
R. G. XIE ◽  
J. B. TANG

Thirty-six fresh pig flexor tendons were repaired using either the modified Kessler method or the Tang method. Nine tendons from each group were tested in an Instron tensile testing machine with the tendons passing 90° around a pulley. The other nine tendons from each group were pulled linearly by the testing machine. The 2mm gap formation force of the tendons repaired with the modified Kessler and Tang methods and pulled at 90° were 64%±5% and 79%±9% respectively of those forces recorded during linear testing. The ultimate strengths of tendons repaired by the modified Kessler and Tang methods and pulled at 90° were 76%±6% and 81%±8% respectively of the forces measured during linear testing. The percentage gap formation and ultimate strength of the Tang method was significantly higher than that of the modified Kessler suture when the tendons were pulled around a pulley. This demonstrates that the Tang suture, with its main components in the dorsal part of the repaired tendon, has greater tension resistance capacity than conventional tendon sutures which are placed in the middle of the tendon. This study suggests that dorsally-enhanced multiple tendon sutures are better placed to sustain the tension generated during active finger flexion.


Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Nanette L. A. Vincken ◽  
Thomas M. A. S. Lauwers ◽  
Rene R. W. J. van der Hulst

Background: In this study, biomechanical strength and bulkiness of the cow-hitch technique and Pulvertaft weave were compared. Our goal was to investigate whether the cow hitch can withstand equal strength in comparison with the Pulvertaft and to see if there is a difference in bulk, which could enhance gliding function and reduce friction and adhesion formation. Methods: Sheep tendons were used to perform 10 cow-hitch and 10 Pulvertaft repairs. Tensile strength was obtained with a cyclic loading tensile testing machine and tendon width and height measurements were obtained through digital analysis by photographs of the repairs. Results: The cow hitch showed significantly better ultimate strength and had less bulk. There was no statistical difference in displacement, defined as gain in total length of the tendon. Conclusions: The results in this study show that the cow hitch outperforms the Pulvertaft weave in both ultimate strength and bulk.


2010 ◽  
Vol 654-656 ◽  
pp. 194-197
Author(s):  
Wei Fen Li ◽  
Wei Niu ◽  
Zhi Ming Hao ◽  
Ming Hai Li

Experiments of tensile mechanical properties of steel 0Cr18Ni9 are done on the MTS 810 tensile testing machine, and the temperature range is from 20°C to 1200°C. The stress vs. strain curves are obtained. Results show that the elastic modulus, yield stress and tensile strength decrease with increasing temperature .Based on the experiment results, the functions of the elastic modulus, yield strength and tensile strength versus temperature are represented by polynomial.


2021 ◽  
Vol 410 ◽  
pp. 617-623
Author(s):  
Elena N. Gryadynova ◽  
Andrey V. Gorin ◽  
Alexey Yu. Rodichev

The article contains the analysis of thermoplastics used in prototyping machine parts. We used several types of experimental samples with different filling percentages. The equipment on which the experimental studies were carried out is shown. During the experiment, a specialized tensile testing machine was used. The experimental samples were installed in the developed centering device. Normal conditions were observed during the tests. The results of an experimental tensile study of PLA-plastic specimens are presented. The typical stress-strain diagram of an experimental sample is described, which describes the dependence of stress on relative deformation. An equation of the linear dependence of the tensile strength on the percentage of filament filling has been compiled, which makes it possible to determine the tensile strength of the product at any percentage of the filling of the plastic filament. The assessment is adequately verified by Fisher's criterion. Recommendations for filament filling in prototyping machine parts are given.


2005 ◽  
Vol 30 (4) ◽  
pp. 374-378 ◽  
Author(s):  
Y. CAO ◽  
J. B. TANG

We report a four-strand modification of the Tang technique of tendon repair that uses fewer sutures and fewer knots on the tendon surface. This repair consists of four longitudinal and two horizontal strands that form a “U” configuration within the tendon made with a single looped suture. Thirty-four fresh pig flexor tendons were divided into 3 groups and repaired with the four-strand modified Tang method, a double-looped four-strand method or a double Kessler repair (four-strand). The tendons were subjected to a single cycle of load-to-failure test in a tensile testing machine. The initial force, 2-mm gap formation force and ultimate strength of the four-strand modified Tang repair were statistically identical to those of the double looped suture and were superior to those of the double Kessler repair. Ultimate strength was 43.4 ± 4.3 N for the four-strand modified Tang method, 45.2 ± 4.0 N for the double-looped method and 39.1 ± 4.0 N for the double Kessler repair. The four-strand modification of the Tang method appears to have strength sufficient for protected active finger motion. Given our preliminary clinical experience with this method, we recommend this new and simplified technique for clinical flexor tendon repairs.


2003 ◽  
Vol 28 (5) ◽  
pp. 478-482 ◽  
Author(s):  
J. TAN ◽  
B. WANG ◽  
B. TAN ◽  
Y. XU ◽  
J. B. TANG

We performed a study to evaluate the tensile properties of partial tendon lacerations and the effects of peripheral sutures on the tendon strength. Seventy-two fresh pig flexor digitorum profundus tendons were divided equally into eight groups. Tendons in four of the groups were subjected to partial lacerations (60%, 70%, 80%, and 90%) and were not repaired. In the other four similar groups partial lacerations were repaired with running peripheral sutures. The tendons were subjected to load-to-failure tests in an Instron tensile machine to determine the initial, 1 mm, 2 mm gap formation forces and the ultimate strength. The tendons with lacerations of 80% and 90% had a remarkably lower tensile strength than those 60% and 70% lacerations. Running peripheral sutures increased the gap formation forces and the ultimate strength of all the tendons, though particularly those with 80% and 90% lacerations.


2014 ◽  
Vol 931-932 ◽  
pp. 1308-1312
Author(s):  
Paiboon Limpitipanich ◽  
Anucha Promwungkwa

Tensile strength of some natural fibers such as hemp is higher than that of steel. To determine tensile properties of hemp fiber, a fiber or bundle is tensile tested with universal testing machine that is controlled by personal computer. This paper presents a small tensile testing equipment that is controlled by Raspberry Pi (RPi), a credit-card-sized single-board computer. General Purpose Input Output (GPIO) pins on RPi were used for controlling the machine crosshead and receiving the tensile load that apply to a hemp bundle. A stepper motor was used to drive the crosshead. Tensile load was measured by using a load measurement system included load-cell, instrument amplifier, and analog-to-digital converter. The applied load and extension were real-time displayed and continuously recorded throughout the test. Testing hemp-fiber bundles with the proposed equipment found that their tensile strength and Youngs modulus were 446.75±184.36 MPa and 18.23±8.26 GPa, respectively. These results were in good agreement with the properties founded in other publications. Test results also found that hemp-fiber bundle with smaller diameter showed higher tensile strength than that of larger one.


2020 ◽  
Vol 12 (9) ◽  
pp. 3745 ◽  
Author(s):  
Yao-Tang Hsu ◽  
Wen-Hsin Wang ◽  
Wei-Hsi Hung

This study successfully synthesized fluorinated silicon-containing waterborne polyurethanes (FSWPUs) by using polycaprolactone (PCL) diol, 2,2,3,3-Tetrafluoro-1,4-butanediol, and [3-(2-Aminoethylamino)propyl] trimethoxysilane (AEAPTES ). The FSWPU’s particle size was examined using dynamic light scattering. After the FSWPUs were processed into a dry film, their molecular weight and basic properties were analyzed using gel permeation chromatography (GPC), Fourier-transform infrared spectroscopy (FTIR), and energy-dispersive X-ray spectroscopy (EDS). Additionally, the thermal stability of the FSWPUs was inspected by thermogravimetric analysis and dynamic mechanical analysis. The tensile strength and elongation at the break of the FSWPUs before and after hydrolysis were also analyzed, using a tensile testing machine. Subsequently, FSWPU emulsions were cast between the tiles, and hydrophilicity, hydrophobicity, and surface tension were then measured on a contact-angle measurement instrument. The tensile testing machine was again employed to test the sheer strength of the FSWPUs between the tiles, and a tape test was conducted to analyze their adhesion to the tiles. The results revealed that AEAPTES functional groups can reinforce the thermal stability, tensile strength, and water resistance of FSWPUs. Moreover, the AEAPTES functional groups increased the adhesion of FSWPUs to the tiles and reduced the surface energy of the tiles.


2021 ◽  
Vol 1035 ◽  
pp. 114-118
Author(s):  
Chang Liang Shi ◽  
Yan Ping Niu ◽  
Yi Min Lin ◽  
Quan Hu ◽  
Xin Zhang

The effects of coarse-grained ring on the mechanical properties and cutting performance of 2011 aluminum alloy extruded bars were studied by metallographic microscope, scanning electron microscope, tensile testing machine and high-speed lathe. The results show that the microstructure of aluminum alloy extruded bar was composed of α-Al phase, Al7Cu2Fe phase, CuAl2 phase and SnBi eutectic phase. There was a coarse-grained ring in the aluminum alloy extruded bar. The coarse-grained ring reduced the mechanical properties and cutting performance of the aluminum alloy extruded bar. The aluminum alloy extruded bar with a diameter of 30 mm had a coarse-grained ring depth of 9 mm and lower mechanical properties, whose the tensile strength was 287.9 MPa, the elongation was 17%, the cutting performance was poor and the chips were long. The aluminum alloy extruded bar with a diameter of 40 mm had a coarse-grained ring depth of 1 mm, higher mechanical properties and better cutting performance, whose the tensile strength was 394.5 MPa, the elongation was 23.5%, the chips were fine and uniform.


2001 ◽  
Vol 26 (4) ◽  
pp. 301-306 ◽  
Author(s):  
A. WADA ◽  
H. KUBOTA ◽  
K. MIYANISHI ◽  
H. HATANAKA ◽  
H. MIURA ◽  
...  

We evaluated a technique of four-strand double-modified locking Kessler flexor tendon repair in healing tendons. Seventy-two canine flexor digitorum profundus tendons in Zone 2 were repaired and evaluated following either active mobilization or immobilization at 0, 7, 14, 28 and 42 days after surgery. Fifty-six tendons were examined for gap and ultimate strength using a tensile testing machine and 16 were evaluated with standard hematoxylin and eosin, and Masson’s trichrome staining. All tendons healed without rupture or gap formation of more than 1 mm, thus demonstrating that this repair technique has enough tensile strength to withstand early active mobilization. The gap and ultimate strength of actively mobilized tendons did not decrease significantly during the first 7 days, and were significantly greater than those of immobilized tendons throughout the 42-day study period. Actively mobilized tendons healed without the extrinsic adhesions and large tendon calluses that were found in immobilized tendons.


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