Rozov and Kessler Tendon Sutures: Common Properties and Differences

Abstract

Background. The Kessler suture is one of the most common tendon repair techniques and can be found schematically in most manuals of hand surgery, along with Bunnel and Tsuge sutures. In our country, the seam proposed by V.I. Rozov, while a number of authors believe that Rozov and Kessler sutures are very similar. Both techniques, both the Rozovs suture and the Kessler suture, have a large number of modifications that differ significantly from the originals, but retain the authors names, which confuses and hinders the analysis of the use of various methods for restoring the integrity of the tendons. The aim to find the correct authors description of Rozovs suture and Kesslers suture, test original techniques on a tendon model, compare techniques, analyze common properties and differences. Methods. Information was searched in domestic and foreign publications, manuals on traumatology and orthopedics, monographs, methodical letters, materials of congresses, Internet resources. Approbation of the methods was carried out on a tendon model, which was a silicone rod with a diameter of 1 cm. Results. The first image of the Rozovs suture discovered by us, dates back to 1958, the original grasping technique of flexor tendon repair was proposed by I. Kessler in 1969. These techniques have a number of significant differences in the location of nodes, methods of fixation and planes of threads in the thickness of the tendon. Conclusion. The data of this study give reason to believe that V.I. Rozov and I. Kessler proposed two different ways of applying a tendon suture.