4 A Quantitative Image Analysis Study of Modified Kessler Extensor Repair

Abstract Aim The aims of this study were to compare and measure the amount 4.0 Prolene suture material at tendon repair site with 2 types knot placement in a modified Kessler technique, as can impact extensor healing. Method Thirty-two tendons fresh frozen cadaveric hands divided repaired using technique either intratendinous or extratendinous suture. Tendon repairs sectioned, cross-sectional photographs analysed quantitative image analysis. Results Comparison percentage change dimension surface area showed no significant difference (p = 0.4750) between demonstrate consistency repair. Quantitative analysis revealed occupied significantly 0.0103) larger cross sectional than placement. In both groups represented <10% total (7.49% vs 2.92%). There was relation digit, zone by material. Conclusions Intratendinous occupies proportion placement, though is still comparatively small when 4’0 monofilament used.