Thermographic and histological analysis of rabbit different tenorrhaphies techniques (4 and 6 strands) after early active mobilization

Author:

Arenhart Rodrigo1,Severo Antônio Lourenço2,Maia Philipe Eduardo Carvalho3,Silveira Daniela Augustin4,Lopez Rodrigo Roca5,Bocaccio Darian6

Affiliation:

1. , Brazil

2. Instituto de Ortopedia e Traumatolgia, Brazil

3. Hospital Mater Dei, Brazil

4. Hospital São Vicente de Paulo

5. Caja de Salud de La Banca Privada, Bolivia

6. Hospital São José, Brazil

Abstract

Introduction This research is based on the results of the surgeries of tenorraphy, which have been improved due to the association between strong and not voluminous sutures and physiotherapic protocols, which preconize the early active motion to the postoperative period. Objective To evaluate the healing process in vivo in different types of tenorraphies. Methods Thirty-six rabbits that underwent early active motion after tenorraphy. The sample was constituted of 3 groups of 12, in accordance with the 3 different types of suture (Brasil, Indiana and Tsai). Results On the 15th and 30th days after the surgery, thermographic and histological analyses revealed similar results that all groups showed similar behaviors in the same time of surgical repair, just differentiating between the periods. On the 30th day analysis were observed that collagen fibers being more exuberant thickening, thus being able to offer higher tensile strength to the tendon. Conclusion That suggests early active motion may be increased gradually to around the 30th day taking this as clinical relevance.

Publisher

FapUNIFESP (SciELO)

Subject

Rehabilitation,Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation,Complementary and Manual Therapy

Reference27 articles.

1. Reparo de tendões flexores da mão: análise biomecânica com diferentes técnicas de sutura;Severo AL;Rev Bras Ortop,2005

2. Resultados das tenorrafias em flexores dos dedos das mãos, na zona II, submetidos à movimentação precoce passiva assistida;Fernandes CH;Rev Bras Ortop,1996

3. The etiology of acute rupture of flexor tendon repairs in zones 1 and 2 of the fingers during early mobilization;Harris SB;J Hand Surg Br,1999

4. Controlled active motion following primary flexor tendon repair: a prospective study over 9 years;Kitsis CK;J Hand Surg Br,1998

5. A comparative study of two methods of controlled mobilization of flexor tendon repairs in zone;Peck FH;J Hand Surg Br,1998

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