What is Kessler technique?
In the Kessler-loop lock suture technique, the tendon is locked by friction between loop sutures and the tendon, with the objective of withstanding greater tensile force and preventing gap formation ( 20. Lotz JC, Hariharan JS, Diao E. Analytic model to predict the strength of tendon repairs.
How do you repair tendons?
During tendon repair surgery, the surgeon makes one or more small incisions over the injured tendon. The damaged or torn ends of the tendon are sewn together. The surrounding tissue is checked for blood vessel or nerve damage. The joint also may need to be immobilized by a cast or splint to allow the tendon to heal.
What is Kleinert protocol?
Objective: Kleinert (active extension, rubber-band passive flexion) and Duran (passive extension, passive flexion) protocols are two basic types of early motion programs for rehabilitation of flexor tendon injuries.
What is a modified Kessler repair?
Conclusion: Tendon repair with the strengthened modified Kessler technique provides the highest resistance to both 3-mm separation and rupture. These biomechanical properties may allow safe and active motion without any gap formation in the repair area.
Can you rebuild tendons?
The damaged or torn ends of the tendon are sewn together. If the tendon has been severely injured, a tendon graft may be needed. In this case, a piece of tendon from another part of the body or an artificial tendon is used. If needed, tendons are reattached to the surrounding tissue.
What is modified Duran protocol?
The exercise program is referred to as the “Modified Duran Exercise Program”. It is important to place equal emphasis on the passive extension & the passive flexion. It is through the effort of passive extension that allows the tendon to glide distal from the repair site.
How do you fix a flexor tendon?
Surgery will be required in order to repair the damaged tendon. A small incision is made to locate the ends of the tendon and they are then stitched back together. Flexor tendons are often difficult to get to and are located near important nerves so repair will generally occur under a general anaesthetic.
Why are my tendons weak?
Causes can include overuse as well as age, injury, or disease related changes in the tendon. Risk factors for tendon disorders can include excessive force, repetitive movements, frequent overhead reaching, vibration, and awkward postures.