Surgical time for graft preparation using different suture techniques

Michele D'Arienzo, Lawrence Camarda, Michele Lauria, Michele Saporito, Sebastiano Giambartino, Vito Triolo

Risultato della ricerca: Article

1 Citazione (Scopus)

Abstract

Background: The purpose of the present study was to compare the operative time for graft prepa- ration using different techniques for graft sutur- ing.Material and methods: Flexor profundus tendons were harvested from fresh pig hind-leg trotters. Three different suture techniques were investigat- ed: the Krackow stitch (K), the Whipstitch (W), and the Modified Finger-Trap suture (MFT). Ten- dons were sutured starting at 10 mm from the dis- tal free end of the tendon. The suture configura- tions of the Krackow stitch and Whipstitch were completed with five suture throws. According to the MFT technique, the suture was wrapped five times around the tendon over a distance of 30 mm. The time required to perform a complete su- ture on each tendon was measured. Five indepen- dent examiners of different levels of training mea- sured the time required for graft preparation dur- ing 3 separate occasions to determine intraob- server repeatability and interobserver reproduci- bility.Results: The mean time required for graft prepa- ration following the Krackow technique was 69.1 seconds ± 18.3 SD (range 31.8-120). The Whip- stitch technique took an average of 59.9 seconds ± 21.2 SD (range 27-93). The MFT suture required a mean of 29.3 seconds ± 11.4 SD for completing the suture (range 21.6-33). In all examiners the time required to complete the MFT suture was significantly less than the other suture tech- niques (p < 0.05). Intraobserver intraclass correla- tion coefficients for each examiner ranged from 0.72 to 0.83.Conclusion: Low graft preparation time is re- quired to complete a MFT suture in a porcine ten- don model. Further, time required for graft prepa- ration using the MFT was shorter than other su- turing techniques such as the Krackow and Whip- stitch techniques.Clinical relevance: The MFT suture could be used for graft set-up with the main advantage of reduc- ing the time required in comparison with other su- ture techniques.
Lingua originaleEnglish
pagine (da-a)236-240
Numero di pagine5
RivistaM.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL
Volume6
Stato di pubblicazionePublished - 2016

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Suture Techniques
Operative Time
Sutures
Transplants
Fingers
Tendons
Swine

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

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Surgical time for graft preparation using different suture techniques. / D'Arienzo, Michele; Camarda, Lawrence; Lauria, Michele; Saporito, Michele; Giambartino, Sebastiano; Triolo, Vito.

In: M.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL, Vol. 6, 2016, pag. 236-240.

Risultato della ricerca: Article

D'Arienzo, Michele ; Camarda, Lawrence ; Lauria, Michele ; Saporito, Michele ; Giambartino, Sebastiano ; Triolo, Vito. / Surgical time for graft preparation using different suture techniques. In: M.L.T.J. MUSCLES, LIGAMENTS AND TENDONS JOURNAL. 2016 ; Vol. 6. pagg. 236-240.
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title = "Surgical time for graft preparation using different suture techniques",
abstract = "Background: The purpose of the present study was to compare the operative time for graft prepa- ration using different techniques for graft sutur- ing.Material and methods: Flexor profundus tendons were harvested from fresh pig hind-leg trotters. Three different suture techniques were investigat- ed: the Krackow stitch (K), the Whipstitch (W), and the Modified Finger-Trap suture (MFT). Ten- dons were sutured starting at 10 mm from the dis- tal free end of the tendon. The suture configura- tions of the Krackow stitch and Whipstitch were completed with five suture throws. According to the MFT technique, the suture was wrapped five times around the tendon over a distance of 30 mm. The time required to perform a complete su- ture on each tendon was measured. Five indepen- dent examiners of different levels of training mea- sured the time required for graft preparation dur- ing 3 separate occasions to determine intraob- server repeatability and interobserver reproduci- bility.Results: The mean time required for graft prepa- ration following the Krackow technique was 69.1 seconds ± 18.3 SD (range 31.8-120). The Whip- stitch technique took an average of 59.9 seconds ± 21.2 SD (range 27-93). The MFT suture required a mean of 29.3 seconds ± 11.4 SD for completing the suture (range 21.6-33). In all examiners the time required to complete the MFT suture was significantly less than the other suture tech- niques (p < 0.05). Intraobserver intraclass correla- tion coefficients for each examiner ranged from 0.72 to 0.83.Conclusion: Low graft preparation time is re- quired to complete a MFT suture in a porcine ten- don model. Further, time required for graft prepa- ration using the MFT was shorter than other su- turing techniques such as the Krackow and Whip- stitch techniques.Clinical relevance: The MFT suture could be used for graft set-up with the main advantage of reduc- ing the time required in comparison with other su- ture techniques.",
author = "Michele D'Arienzo and Lawrence Camarda and Michele Lauria and Michele Saporito and Sebastiano Giambartino and Vito Triolo",
year = "2016",
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TY - JOUR

T1 - Surgical time for graft preparation using different suture techniques

AU - D'Arienzo, Michele

AU - Camarda, Lawrence

AU - Lauria, Michele

AU - Saporito, Michele

AU - Giambartino, Sebastiano

AU - Triolo, Vito

PY - 2016

Y1 - 2016

N2 - Background: The purpose of the present study was to compare the operative time for graft prepa- ration using different techniques for graft sutur- ing.Material and methods: Flexor profundus tendons were harvested from fresh pig hind-leg trotters. Three different suture techniques were investigat- ed: the Krackow stitch (K), the Whipstitch (W), and the Modified Finger-Trap suture (MFT). Ten- dons were sutured starting at 10 mm from the dis- tal free end of the tendon. The suture configura- tions of the Krackow stitch and Whipstitch were completed with five suture throws. According to the MFT technique, the suture was wrapped five times around the tendon over a distance of 30 mm. The time required to perform a complete su- ture on each tendon was measured. Five indepen- dent examiners of different levels of training mea- sured the time required for graft preparation dur- ing 3 separate occasions to determine intraob- server repeatability and interobserver reproduci- bility.Results: The mean time required for graft prepa- ration following the Krackow technique was 69.1 seconds ± 18.3 SD (range 31.8-120). The Whip- stitch technique took an average of 59.9 seconds ± 21.2 SD (range 27-93). The MFT suture required a mean of 29.3 seconds ± 11.4 SD for completing the suture (range 21.6-33). In all examiners the time required to complete the MFT suture was significantly less than the other suture tech- niques (p < 0.05). Intraobserver intraclass correla- tion coefficients for each examiner ranged from 0.72 to 0.83.Conclusion: Low graft preparation time is re- quired to complete a MFT suture in a porcine ten- don model. Further, time required for graft prepa- ration using the MFT was shorter than other su- turing techniques such as the Krackow and Whip- stitch techniques.Clinical relevance: The MFT suture could be used for graft set-up with the main advantage of reduc- ing the time required in comparison with other su- ture techniques.

AB - Background: The purpose of the present study was to compare the operative time for graft prepa- ration using different techniques for graft sutur- ing.Material and methods: Flexor profundus tendons were harvested from fresh pig hind-leg trotters. Three different suture techniques were investigat- ed: the Krackow stitch (K), the Whipstitch (W), and the Modified Finger-Trap suture (MFT). Ten- dons were sutured starting at 10 mm from the dis- tal free end of the tendon. The suture configura- tions of the Krackow stitch and Whipstitch were completed with five suture throws. According to the MFT technique, the suture was wrapped five times around the tendon over a distance of 30 mm. The time required to perform a complete su- ture on each tendon was measured. Five indepen- dent examiners of different levels of training mea- sured the time required for graft preparation dur- ing 3 separate occasions to determine intraob- server repeatability and interobserver reproduci- bility.Results: The mean time required for graft prepa- ration following the Krackow technique was 69.1 seconds ± 18.3 SD (range 31.8-120). The Whip- stitch technique took an average of 59.9 seconds ± 21.2 SD (range 27-93). The MFT suture required a mean of 29.3 seconds ± 11.4 SD for completing the suture (range 21.6-33). In all examiners the time required to complete the MFT suture was significantly less than the other suture tech- niques (p < 0.05). Intraobserver intraclass correla- tion coefficients for each examiner ranged from 0.72 to 0.83.Conclusion: Low graft preparation time is re- quired to complete a MFT suture in a porcine ten- don model. Further, time required for graft prepa- ration using the MFT was shorter than other su- turing techniques such as the Krackow and Whip- stitch techniques.Clinical relevance: The MFT suture could be used for graft set-up with the main advantage of reduc- ing the time required in comparison with other su- ture techniques.

UR - http://hdl.handle.net/10447/201049

UR - http://www.mltj.org/index.php?PAGE=articolo_dett&ID_ISSUE=901&id_article=7664

M3 - Article

VL - 6

SP - 236

EP - 240

JO - Muscles, Ligaments and Tendons Journal

JF - Muscles, Ligaments and Tendons Journal

SN - 2240-4554

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