Biomechanics of the intact and surgically repaired proximal interphalangeal joint collateral ligaments. J Hand Surg Am 1996 Jul;21(4):679-83
Date
07/01/1996Pubmed ID
8842966DOI
10.1016/S0363-5023(96)80026-8Scopus ID
2-s2.0-0029789943 (requires institutional sign-in at Scopus site) 9 CitationsAbstract
Collateral ligament injuries to the proximal interphalangeal joint are common. When the collateral ligament is completely ruptured, surgical repair may be required. The strength of the lateral collateral ligaments of the proximal interphalangeal joint was examined using axial distraction on an electrohydraulic testing apparatus. Eighty-five fresh human adult cadaver fingers were assessed; 38 intact ligaments were first examined. The strength of the native ligament was 162.5 N. Forty-seven ligament repair preparations were tested: suture repair (27.8 N), pull-out wire repair (35.9 N), and repair using a Mitek suture anchor (38.4 N). The breaking strength of the intact ligaments was significantly greater than that of any repair. All repaired ligaments failed at the site of the repair. The ligaments repaired by the pull-out wire and Mitek anchor technique were significantly stronger than those repaired with the suture technique.
Author List
Dzwierzynski WW, Pintar F, Matloub HS, Yoganandan NAuthors
William W. Dzwierzynski MD Professor in the Plastic Surgery department at Medical College of WisconsinFrank A. Pintar PhD Professor in the Biomedical Engineering department at Medical College of Wisconsin
Narayan Yoganandan PhD Professor in the Neurosurgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultBiomechanical Phenomena
Cadaver
Collateral Ligaments
Finger Injuries
Humans
Rupture
Sutures