Reinforcement of the Flexor Tendon Repair Using Human Amniotic Membrane: A Biomechanical Evaluation Using the Modified Kessler Method of Tendon Repair

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dc.contributor.authorDogramaci, Yunus
dc.contributor.authorDuman, Ibrahim Gokhan
dc.date.accessioned2024-09-18T21:06:44Z
dc.date.available2024-09-18T21:06:44Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: Human amniotic membrane is used to prevent peritendinous adhesions after tendon injuries. This study compares the mechanical properties of modified Kessler repairs and modified Kessler repairs strengthened using multiple layers of human amniotic membrane. Methods: Twenty flexor digitorum profundus tendons of sheep forelimbs were sutured by the two-strand modified Kessler technique (group A) and by the two-strand modified Kessler repair reinforced with multiple layers of human amniotic membrane (group B). To assess the mechanical performance of the repairs, tendons were subjected to a linear noncyclic load-to-failure test using a material testing machine. Outcome measures included ultimate forces and the mode of failure. Results: The mean +/- SD value of the failure strength was 34.6 +/- 1.64 N for group A and 50.6 +/- 5.60 N for group B. The reinforced repair provided a significantly higher ultimate load compared with the nonreinforced group (P < .001). All of the specimens failed due to suture breakage at the repair site. Conclusions: The results of this study show that the modified Kessler repair can be reinforced effectively with human amniotic membrane.en_US
dc.identifier.doi10.7547/15-036
dc.identifier.endpage322en_US
dc.identifier.issn8750-7315
dc.identifier.issn1930-8264
dc.identifier.issue5en_US
dc.identifier.pmid27762620en_US
dc.identifier.scopus2-s2.0-85018828262en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage319en_US
dc.identifier.urihttps://doi.org/10.7547/15-036
dc.identifier.urihttps://hdl.handle.net/20.500.12483/13790
dc.identifier.volume106en_US
dc.identifier.wosWOS:000388025400002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Podiatric Med Assocen_US
dc.relation.ispartofJournal of The American Podiatric Medical Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTensile-Strengthen_US
dc.subjectSutureen_US
dc.subjectMobilizationen_US
dc.subjectFooten_US
dc.titleReinforcement of the Flexor Tendon Repair Using Human Amniotic Membrane: A Biomechanical Evaluation Using the Modified Kessler Method of Tendon Repairen_US
dc.typeArticleen_US

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