Use of suture anchors and new suture materials in the upper extremity.

Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, 2501 Christian Street 103, Philadelphia, PA 19146, USA.
Hand clinics (Impact Factor: 0.69). 11/2012; 28(4):511-8. DOI: 10.1016/j.hcl.2012.08.002
Source: PubMed

ABSTRACT Suture anchors are an important tool in the orthopedist's armamentarium. Their use is prevalent in surgery of the entire upper limb. Suture anchors have mostly obviated the need for multiple drill holes when striving for secure fixation of soft tissue to bone. As with most other orthopedic products, the designs of these anchors and the materials used to fabricate them have evolved as their use increased and their applications became more widespread. It is ultimately the surgeon's responsibility to be familiar with these rapidly evolving technologies and to use the most appropriate anchor for any given surgery.

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    ABSTRACT: The conventional practices used in flexor tendon repair have remained unchanged in many units. Because clinical cases vary considerably, some situations may merit more unusual methods. Here the author describes a few methods that have been used in flexor tendon repair. This article discusses a few methods that are clinically useful in treating some patients but are not commonly described. The newer tendon-bone junction methods exemplified here would likely replace the pull-out suture. Late direct repair and lengthening plasty require the accumulation of clinical experience. Allograft tendon reconstruction has shown successful midterm results, but long-term follow-up is certainly necessary.
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May 16, 2014