Early tenorrhaphy mobilization increases repair site strength and decreases adhesions. Preliminary unpublished data suggest that early active mobilization improves clinical outcome compared with traditional passive motion protocols. We loaded cadaver flexor profundus tendon repairs to 8.0 kg (78.4 N) for up to 5,000 cycles to simulate the loads and cycle number of our active flexor tendon rehab...

Repair of the posterior superior labrum usually involves placing an anchor posterior to the biceps attachment through an anterior-superior or Wilmington portal. Access to the posterior-superior labrum can be accomplished by establishing a portal medial to the posterior viewing portal. The initial posterior arthroscopic viewing portal is established slightly lateral to a traditional position to ...

Suture technique for valve replacement surgery has often focused on decreasing the soft tissue injury that leads to pseudoaneurysm formation and associated latent infection. There is universal recognition that precise suture placement is essential for avoiding adverse sequelae while allowing flexibility during the implantation of the prosthesis. The use of a continuous chain of linked horizonta...

Background: Aim of the study was to compare suture techniques using interrupted mattress and continuous subcuticular stapler in terms wound closure time; pain stitch line on post-operative day 3, 5 7 patient satisfaction. Methods: All patients fulfilling inclusion criteria, were divided into 3 categories (interrupted mattress, staples) by random selection. Assessment parameters being skin indur...

We present a new method of suture bridge technique for medial row fixation using a modified Mason-Allen stitch instead of a horizontal mattress. Medial row configuration of the technique is composed of the simple stitch limb and the modified Mason-Allen stitch limb. The limbs are passed through the tendon by a shuttle relay. The simple stitch limb passes the cuff once and the modified Mason-All...

Purpose We aimed to compare skin closure techniques, standard (intermittent mattress) and continuous subcuticular sutures, following Limberg flap procedure. Methods From July 2013 to July 2015, 92 patients with sacrococcygeal pilonidal disease were prospectively randomized into 2 groups consisting of 46 patients for both. Patients underwent sinus excision and closure with Limberg flap; contin...

Background: The optimizing performance through intrinsic motivation and attention for learning (OPTIMAL) theory proposes that enhancing expectancies future supporting learners’ autonomy facilitate motor learning. However, the effects of these factors on medical skills such as suturing have not been understood. Objectives: This study aimed to investigate enhanced support (AU) performance, learni...

The proximal anastomosis of the apicoarotic bypass is technically demanding. We describe our novel surgical technique to reinforce the proximal anastomosis of the apicoaortic bypass. After moving circular muscle of the left ventricle (LV) under ventricular fibrillation, an inverted tube graft is inserted into LV through the opening of the apex. Then, end-to-end anastomosis is made with horizont...

Dear Editor: I recently read with interest the article titled “Biomechanical Comparison of Parallel and Crossed Suture Repair for Longitudinal Meniscus Tears” by Milchteim et al published in the April 2016 issue of the Orthopaedic Journal of Sports Medicine (OJSM). The article is great and adds a lot to the current available knowledge, and I believe that it is of great interest to the readers o...

TECHNIQUE For patients arriving in cardiopulmonary arrest, emergency department thoracotomy is indicated. For those patients arriving stable enough to be transported to the operating room, median sternotomy is the incision of choice. Penetrating injuries to the heart will inevitably cause bleeding of the myocardium, mandating repair to prevent cardiac tamponade. Suture repair of a cardiac lacer...