Flexor tendon repair in a rabbit model using a "core" of extensor retinaculum with synovial membrane. An experimental study

J Hand Surg Br. 1999 Jun;24(3):267-71. doi: 10.1054/jhsb.1998.0006.

Abstract

In this histological and biomechanical study in two groups of rabbits, a piece of the extensor retinaculum with its synovial membrane was inserted as a biological "core" into a hole at the centre of both stumps of a severed tendon, which was repaired with interrupted sutures. In the other group, the tendon was sutured without a "core". In the "core" group, proliferation and migration of fibroblasts from both tendon surfaces and the "core" surface toward the deep layer of the suture site was seen 2 weeks after operation. New collagen fibres, aligned parallel to the long axis of the tendon, could also be seen 4 weeks after operation, and healing was more advanced than in the coreless model. The maximum force to produce a gap in the "core" tendon was 82% greater than in the coreless tendon 4 weeks after operation.

MeSH terms

  • Animals
  • Cell Division / physiology
  • Collagen / ultrastructure
  • Male
  • Rabbits
  • Suture Techniques
  • Synovial Membrane / pathology
  • Synovial Membrane / transplantation*
  • Tendon Injuries / pathology
  • Tendon Injuries / surgery*
  • Tendons / pathology
  • Tendons / surgery
  • Tensile Strength
  • Wound Healing / physiology

Substances

  • Collagen