{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:08:14Z","timestamp":1747188494981,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:00:00Z","timestamp":1598227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the influence of barbed epitendinous sutures (ES) on the biomechanical properties and gap formation of repaired canine tendons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Ex vivo, experimental study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>Eighty (n = 16\/group) canine superficial digital flexor tendons (SDFT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>After transection, SDFT were repaired with a locking\u2010loop (LL) pattern alone (group 1), an LL\u2009+\u2009smooth ES with monofilament suture (group 2), an LL\u2009+\u2009V\u2010loc\u2010ES (group 3), an LL\u2009+\u2009Quill\u2010ES (group 4), or an LL\u2009+\u2009Stratafix\u2010ES (group 5). All core LL repairs were performed with 0 USP polypropylene, and all ES were placed with 2\u20100 USP equivalent. Constructs were preloaded and tested to failure. Yield, peak, and failure loads; occurrence of gap formation; and failure modes were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Yield loads were greater for groups 2 and 5 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). Peak and failure loads were greater when an ES was used (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.005), especially for groups 2 and 5 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001). Groups with an ES required higher loads to generate 1\u2010 and 3\u2010mm gaps compared with specimens without an ES (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.002). Force to create 1\u2010 and 3\u2010mm gaps was greater for group 5 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001) and groups 2 and 5 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.0001), respectively. Failure mechanism did not differ (<jats:italic>P<\/jats:italic> = .092) between ES groups, consisting of suture breakage in 51 of 64 constructs compared with pull\u2010through in seven of 16 group 1 constructs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Epitendinous suture placement improved the biomechanical properties of repaired tendons. Stratafix barbed suture performed better as an ES compared with other barbed sutures and similarly to monofilament suture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Stratafix barbed suture eliminates the requirement for knot tying and seems to be equivalent to smooth monofilament suture when used as an ES in this pattern.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13496","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T19:59:27Z","timestamp":1598299167000},"page":"1590-1599","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Influence of barbed epitendinous sutures combined with a core locking\u2010loop suture to repair experimental flexor tendon lacerations"],"prefix":"10.1111","volume":"49","author":[{"given":"Adam C.","family":"Eby","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew B.","family":"Fisher","sequence":"additional","affiliation":[{"name":"Joint Department of Biomedical Engineering North Carolina State University and the University of North Carolina\u2010Chapel Hill  Raleigh North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George E.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Veterinary Administration, College of Veterinary Medicine Purdue University  West Lafayette Indiana 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