000			03421nam a22004337a 4500
008			220926s20222022 xxu||||| |||| 00| 0 eng d
022			_a0363-5023
024			_a10.1016/j.jhsa.2022.05.003 [doi]
024			_aS0363-5023(22)00262-3 [pii]
040			_aOvid MEDLINE(R)
099			_a35778231
245			_aAll-Suture Anchor Repair of the Flexor Digitorum Profundus Insertion: A Biomechanical Comparison of 2 Suturing Techniques.
251			_aJournal of Hand Surgery - American Volume. 2022 Jun 28
252			_aJ Hand Surg [Am]. 2022 Jun 28
253			_aThe Journal of hand surgery
260			_c2022
260			_fFY2022
260			_p2022 Jun 28
265			_saheadofprint
266			_d2022-09-26
501			_aAvailable in print through MWHC library: 1999 - 2002, Available online from MWHC library: 1995 - present
520			_aCLINICAL RELEVANCE: The H + K technique combines the benefits of horizontal-mattress tendon-to-bone apposition and Krackow-tendon locking. It converts the point of failure to the bone level rather than the suture-tendon level. Copyright © 2022 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
520			_aCONCLUSIONS: The H + K group performed significantly better regarding cyclic and load-to-failure testing after FDP reattachment.
520			_aMETHODS: We used fresh, matched-pair, cadaveric hands. We disarticulated the fingers at the proximal interphalangeal joints, preserving the proximal FDP. We released the FDPs at their distal insertion and placed an all-suture, 1.0-mm anchor at the center of each FDP footprint. Each anchor's sutures were used to reattach each FDP using 1 of 2 techniques: group H (n = 14) via horizontal mattress; group H + K (n = 12) via horizontal mattress with knots thrown and, with each suture tail, 3 proximal, running-locking, Krackow-type passes on the radial and ulnar FDP sides with the suture ends tied together. We excluded 2 specimens from the H + K group because of improper anchor placement. All other fingers in both groups were individually mounted in an MTS machine for FDP loading in the following sequence for 500 cycles each: (1) to 15 N to simulate passive motion forces; (2) to 19 N for short-arc active motion forces; and (3) to 28 N for full active motion forces. Specimens that had not failed during cyclic testing were then loaded to failure. We measured FDP-to-bone gapping via a digital transducer. We defined failure as >3-mm gapping.
520			_aPURPOSE: We compared 2 suturing techniques for reattachment of the flexor digitorum profundus (FDP) via all-suture anchor.
520			_aRESULTS: The H + K group had significantly less gapping during cyclic loading up to 19 N and significantly higher load to failure. The H + K group failed exclusively at the anchor-bone level; the H group failed mostly by suture-tendon pullout.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aCurtis National Hand Center
657			_aJournal Article
700			_aAbbasi, Pooyan
700			_aBelyea, Christopher M
700			_aGiladi, Aviram M
700			_aMeans, Kenneth R Jr
700			_aSanghavi, Kavya K
790			_aAbbasi P, Belyea CM, Giladi AM, Means KR Jr, Sanghavi KK
856			_uhttps://dx.doi.org/10.1016/j.jhsa.2022.05.003 _zhttps://dx.doi.org/10.1016/j.jhsa.2022.05.003
942			_cART _dArticle
999			_c409 _d409