Biomechanical testing of a novel suture pattern for repair of equine tendon lacerations.

摘要

Objective: To compare in vitro biomechanical properties of a novel suture pattern to a current standard for primary repair of equine superficial digital flexor tendon (SDFT) laceration. Study Design In vitro randomized, paired design. Animals Cadaveric equine forelimb SDFT (n=24). Methods: The 3-loop pulley (3LP) and 6-strand Savage (SSS) suture patterns were applied to transected equine SDFT. Ultimate failure load, stiffness, mode of failure, and load required to form a 3-mm gap were obtained using a materials testing system and synchronized high-speed video analysis. Statistical comparisons were made using Student's t-test, with significance set at P<.05. Results: The SSS repair failed at a higher ultimate load (421.1 N+or-47.6) than the 3LP repair (193.7 N+or-43.0; P<.001). There was no significant difference in stiffness (P=.99). Failure mode was suture breakage for all SSS repair and suture pull through for all 3LP repair. The maximum load to create a 3-mm gap in the SSS repair (102.0 N+or-22.4) was not significantly different from the 3LP repair (109.9 N+or-16.0; P=.27). Conclusions: SSS tenorrhaphy has improved strength and resistance to pull through compared with 3LP for equine SDFT in a single load-to-failure test. Load required to form a 3-mm gap was not significantly different between SSS and 3LP.