RU2139690C1 - Method of application of tendon suture - Google Patents

Method of application of tendon suture Download PDF

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Publication number
RU2139690C1
RU2139690C1 RU96105655A RU96105655A RU2139690C1 RU 2139690 C1 RU2139690 C1 RU 2139690C1 RU 96105655 A RU96105655 A RU 96105655A RU 96105655 A RU96105655 A RU 96105655A RU 2139690 C1 RU2139690 C1 RU 2139690C1
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RU
Russia
Prior art keywords
tendon
suture
thread
loop
sides
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RU96105655A
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Russian (ru)
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RU96105655A (en
Inventor
С.М. Плетиков
А.И. Свиридов
Original Assignee
Плетиков Сергей Михайлович
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Priority to RU96105655A priority Critical patent/RU2139690C1/en
Publication of RU96105655A publication Critical patent/RU96105655A/en
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Publication of RU2139690C1 publication Critical patent/RU2139690C1/en

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Abstract

FIELD: medicine, traumatology. SUBSTANCE: after conduction of thread through tendon in lateral direction, applied to both sides is lateral edge loop-like suture, then, thread is conducted through loop of said suture, longitudinally, intratruncally up to outlet in endon end. Sutured in the same manner is the second part, and threads are between ends of affected tendon to ensure needed strength of suture and to prevent tissues separation and corrugation of tendon, and to preserve good sliding. EFFECT: higher efficiency.

Description

 The invention relates to medicine, traumatology.

The prototype is the tendon suture proposed by Pink. In this case, the thread is passed through the tendon in the transverse direction, then from additional injections, both ends of the thread are parallel to the tendon fibers to the cut. After a similar drawing of another thread through the second segment of the tendon, the threads are tied / Traumatology and orthopedics. / Ed. G.S. Yumasheva. M .: Medicine, 1990, p. 109 /
This seam does not withstand heavy loads and easily cuts, raznokolivaet tendon, corrugates it, which creates an obstacle to slip in the tendon canal, resulting in the formation of scars, contractures.

 The aim of the invention is to increase the strength of the seam, eliminating the possibility of scarring and contracture.

 This goal is achieved by the fact that after passing the thread through the tendon in the transverse direction, a transverse edge loop-like suture is applied on both sides, then through the loop of this suture is longitudinally intra-barrel, the thread is inserted at the end of the tendon, the second segment of the tendon is also stitched and the threads are tied between the ends of the damaged tendons.

 Example. Patient Shepelev GB, 19 years old, medical history N 1384 in a day care hospital of the 2nd mountain. hospital of the city of Voronezh, arrived 29.III.1995, with a diagnosis of a cut wound 5 fingers of the left hand at the level of the main phalanx with damage to the flexor tendons. The patient cut his finger with glass two hours before admission.

 An ambulance produced a suture of the tendon of the deep flexor of the 5th finger of the left hand.

 After the thread was passed through the tendon in the transverse direction, a transverse edge loop-like suture was applied on both sides, then the thread was longitudinally intra-barrel through the loop of this suture until it exited at the end of the tendon, the second segment of the tendon was also stitched and the threads were tied between the ends of the damaged tendon. Imposed active-passive immobilization according to Kleinert. Active extension with passive bending immediately after surgery is allowed. Sutures were removed on the 10th day. Primary healing. By the 10th day in conditions of immobilization, active-passive movements were carried out in full. By day 28, the functional guidance on Kleinert is completed, active movements in the operated finger are allowed. The range of motion in all joints has been fully restored. 30 days after surgery, the patient began to work.

 The positive effect of tendon suture is as follows. The proposed seam is of increased strength, because the load is distributed between three pairs of nodes - two along the sides of the damage / when tightening the loop-like seams / and one pair between the ends of the tendon. This allows immediately after the operation to begin active-passive restoration of function, prevents the formation of scars. The suture does not dissolve the tendon, does not cut through, since the transverse thread is fixed with loop-shaped sutures throughout, does not corrugate the tendon, does not deform it, which is achieved by fixation at three levels and allows you to maintain good gliding in the tendon sheath. The stitching technique is simple.

 Thus, the regeneration of the tendon and the restoration of the function of the fingers occurs simultaneously. By the time of the termination of active-passive immobilization according to Kleinert, the function of the fingers is fully restored / by the 30th day after the operation /, which allows to reduce the treatment time by 30 - 40% compared with the average.

Claims (1)

  1.  The method of applying the tendon suture, which consists in holding the thread in the transverse direction and then passing the thread on both sides parallel to the tendon fibers towards the cut and fixing the nodes between the segments of the surface tendon, characterized in that after the thread is held in the transverse direction, a transverse edge is applied on both sides a loop-like suture, with then passing the thread through the loop of the suture longitudinally intra-hole on both sides until it comes out at the end of the tendon.
RU96105655A 1996-03-25 1996-03-25 Method of application of tendon suture RU2139690C1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU96105655A RU2139690C1 (en) 1996-03-25 1996-03-25 Method of application of tendon suture

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU96105655A RU2139690C1 (en) 1996-03-25 1996-03-25 Method of application of tendon suture

Publications (2)

Publication Number Publication Date
RU96105655A RU96105655A (en) 1998-06-10
RU2139690C1 true RU2139690C1 (en) 1999-10-20

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RU96105655A RU2139690C1 (en) 1996-03-25 1996-03-25 Method of application of tendon suture

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Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7806908B2 (en) 1993-05-03 2010-10-05 Quill Medical, Inc. Barbed tissue connector
US7857829B2 (en) 2001-06-29 2010-12-28 Quill Medical, Inc. Suture method
US7913365B2 (en) 2001-08-31 2011-03-29 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
RU2458650C1 (en) * 2011-06-09 2012-08-20 Государственное образовательное учреждение высшего профессионального образования "Российский государственный медицинский университет Федерального агентства по здравоохранению и социальному развитию" (ГОУ ВПО РГМУ Росздрава) Method of treating injury of tendon of deep finger flexor in i zone
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
RU2536555C1 (en) * 2013-06-18 2014-12-27 Федеральное государственное бюджетное учреждение "Научный центр реконструктивной и восстановительной хирургии" Сибирского отделения Российской академии медицинских наук (ФГБУ "НЦРВХ" СО РАМН) Method for applying tendon sutures on finger flexors
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
RU2698439C1 (en) * 2018-05-04 2019-08-26 Федеральное государственное бюджетное образовательное учреждение высшего образования "Оренбургский государственный медицинский университет" Министерства здравоохранения Российской Федерации Method of tendon microsurgical suture
US10420546B2 (en) 2010-05-04 2019-09-24 Ethicon, Inc. Self-retaining systems having laser-cut retainers
US10492780B2 (en) 2011-03-23 2019-12-03 Ethicon, Inc. Self-retaining variable loop sutures

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
2. Травматология и ортопедия. /Под ред.Т.С. Юмашева. - М.: Медицина, 1990, с.109. *

Cited By (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7806908B2 (en) 1993-05-03 2010-10-05 Quill Medical, Inc. Barbed tissue connector
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US7857829B2 (en) 2001-06-29 2010-12-28 Quill Medical, Inc. Suture method
US8764796B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Suture method
US8764776B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Anastomosis method using self-retaining sutures
US8777989B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Subcutaneous sinusoidal wound closure utilizing one-way suture
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
US8777988B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Methods for using self-retaining sutures in endoscopic procedures
US8028387B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for supporting and cutting suture thread to create tissue retainers thereon
US8028388B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for cutting a suture to create tissue retainers of a desired shape and size
US8020263B2 (en) 2001-08-31 2011-09-20 Quill Medical, Inc. Automated system for cutting tissue retainers on a suture
US8926659B2 (en) 2001-08-31 2015-01-06 Ethicon, Inc. Barbed suture created having barbs defined by variable-angle cut
US8011072B2 (en) 2001-08-31 2011-09-06 Quill Medical, Inc. Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US7996968B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. Automated method for cutting tissue retainers on a suture
US8015678B2 (en) 2001-08-31 2011-09-13 Quill Medical, Inc. Method for cutting a suture to create tissue retainers of a desired shape and size
US7913365B2 (en) 2001-08-31 2011-03-29 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US7996967B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US8690914B2 (en) 2002-08-09 2014-04-08 Ethicon, Inc. Suture with an intermediate barbed body
US8679158B2 (en) 2002-08-09 2014-03-25 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8652170B2 (en) 2002-08-09 2014-02-18 Ethicon, Inc. Double ended barbed suture with an intermediate body
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US8734486B2 (en) 2002-08-09 2014-05-27 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US8821540B2 (en) 2002-09-30 2014-09-02 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US10548592B2 (en) 2004-05-14 2020-02-04 Ethicon, Inc. Suture methods and devices
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US10441270B2 (en) 2008-11-03 2019-10-15 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US10420546B2 (en) 2010-05-04 2019-09-24 Ethicon, Inc. Self-retaining systems having laser-cut retainers
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US10492780B2 (en) 2011-03-23 2019-12-03 Ethicon, Inc. Self-retaining variable loop sutures
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
RU2458650C1 (en) * 2011-06-09 2012-08-20 Государственное образовательное учреждение высшего профессионального образования "Российский государственный медицинский университет Федерального агентства по здравоохранению и социальному развитию" (ГОУ ВПО РГМУ Росздрава) Method of treating injury of tendon of deep finger flexor in i zone
RU2536555C1 (en) * 2013-06-18 2014-12-27 Федеральное государственное бюджетное учреждение "Научный центр реконструктивной и восстановительной хирургии" Сибирского отделения Российской академии медицинских наук (ФГБУ "НЦРВХ" СО РАМН) Method for applying tendon sutures on finger flexors
RU2698439C1 (en) * 2018-05-04 2019-08-26 Федеральное государственное бюджетное образовательное учреждение высшего образования "Оренбургский государственный медицинский университет" Министерства здравоохранения Российской Федерации Method of tendon microsurgical suture

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