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The effect of increasing the contact surface on tendon healing

BACKGROUND: The most common complication after tendon repair is the development of adhesion, with subsequent rupture. METHODS: In this study, we present a new method in which the tendon healing contact surface is increased to reduce these complications. The tendons of chickens in groups 1, 3, and 5...

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Autores principales: Bilgen, Fatma, Duman, Yakup, Bulut, Ömer, Bekerecioğlu, Mehmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062695/
https://www.ncbi.nlm.nih.gov/pubmed/30037197
http://dx.doi.org/10.5999/aps.2017.01284
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author Bilgen, Fatma
Duman, Yakup
Bulut, Ömer
Bekerecioğlu, Mehmet
author_facet Bilgen, Fatma
Duman, Yakup
Bulut, Ömer
Bekerecioğlu, Mehmet
author_sort Bilgen, Fatma
collection PubMed
description BACKGROUND: The most common complication after tendon repair is the development of adhesion, with subsequent rupture. METHODS: In this study, we present a new method in which the tendon healing contact surface is increased to reduce these complications. The tendons of chickens in groups 1, 3, and 5 were transversely cut and repaired with in the traditional fashion with double-modified Kessler method and 5/0 polypropylene. In the other groups, 3 mm of the tendon was removed from the proximal half of the upper end and from the distal half of the lower end of the tendon, and they were repaired with the modified Kessler method. The tendons of the chickens in groups 1 and 2 were evaluated immediatelly after surgery. Groups 3 and 4 were evaluated at 4 weeks after surgery. Groups 5 and 6 were evaluated at 6 weeks. RESULTS: Increases in transient inflammation and connective tissue formation were observed more clearly in the group treated with the new method in histopathological investigations at weeks 4 and 6. The stretching test showed statistically significant differences between groups 3 and 4 (P<0.05) and groups 5 and 6 (P<0.05). CONCLUSIONS: When repairing tendons with the new method, the healing surface increases and the direction of collagen fibers at the surface changes. Because of these effects, the strength of the tendon healing line increases; we therefore expect that this technique will enable patients to safely engage in early active exercise after the operation, with less risk of tendon rupture.
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spelling pubmed-60626952018-08-03 The effect of increasing the contact surface on tendon healing Bilgen, Fatma Duman, Yakup Bulut, Ömer Bekerecioğlu, Mehmet Arch Plast Surg Original Article BACKGROUND: The most common complication after tendon repair is the development of adhesion, with subsequent rupture. METHODS: In this study, we present a new method in which the tendon healing contact surface is increased to reduce these complications. The tendons of chickens in groups 1, 3, and 5 were transversely cut and repaired with in the traditional fashion with double-modified Kessler method and 5/0 polypropylene. In the other groups, 3 mm of the tendon was removed from the proximal half of the upper end and from the distal half of the lower end of the tendon, and they were repaired with the modified Kessler method. The tendons of the chickens in groups 1 and 2 were evaluated immediatelly after surgery. Groups 3 and 4 were evaluated at 4 weeks after surgery. Groups 5 and 6 were evaluated at 6 weeks. RESULTS: Increases in transient inflammation and connective tissue formation were observed more clearly in the group treated with the new method in histopathological investigations at weeks 4 and 6. The stretching test showed statistically significant differences between groups 3 and 4 (P<0.05) and groups 5 and 6 (P<0.05). CONCLUSIONS: When repairing tendons with the new method, the healing surface increases and the direction of collagen fibers at the surface changes. Because of these effects, the strength of the tendon healing line increases; we therefore expect that this technique will enable patients to safely engage in early active exercise after the operation, with less risk of tendon rupture. Korean Society of Plastic and Reconstructive Surgeons 2018-07 2018-07-15 /pmc/articles/PMC6062695/ /pubmed/30037197 http://dx.doi.org/10.5999/aps.2017.01284 Text en Copyright © 2018 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bilgen, Fatma
Duman, Yakup
Bulut, Ömer
Bekerecioğlu, Mehmet
The effect of increasing the contact surface on tendon healing
title The effect of increasing the contact surface on tendon healing
title_full The effect of increasing the contact surface on tendon healing
title_fullStr The effect of increasing the contact surface on tendon healing
title_full_unstemmed The effect of increasing the contact surface on tendon healing
title_short The effect of increasing the contact surface on tendon healing
title_sort effect of increasing the contact surface on tendon healing
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062695/
https://www.ncbi.nlm.nih.gov/pubmed/30037197
http://dx.doi.org/10.5999/aps.2017.01284
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