{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:25:41Z","timestamp":1782861941430,"version":"3.54.5"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,1,8]],"date-time":"2022-01-08T00:00:00Z","timestamp":1641600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>The aim of this study was to compare the consistency and reliability of the six-strand Gan modification of the Lim-Tsai flexor tendon repair with the four-strand Adelaide repair, both with 3-0 sutures and with eight to ten runs of simple 5-0 running peripheral suture as well as the influence of the surgeons\u2019 level of experience on the strength of the repair in a cadaveric animal setup. Thirty-nine surgeons repaired 78 porcine flexor digitorum profundus tendons with either the Adelaide technique (39 tendons) or the modified Lim-Tsai technique (39 tendons). Each repaired tendon was tested in a material testing machine under a single cycle load-to-failure test. The forces were recorded when the gap between the two tendon stumps reached 1 and 2\u2009mm and when irreversible elongation or total rupture occurred. We found no significant differences in gap formation force and yielding strength of the tendons between the two methods. The surgeon\u2019s previous experience in tendon repairs did not improve the consistency, reliability or tensile strength of the repairs. We conclude that if a strong peripheral suture is added, the modified Lim-Tsai repair has the same technical reliability and consistency as the Adelaide repair in term of ultimate loading strength in this test setup.<\/jats:p>","DOI":"10.1177\/17531934211066556","type":"journal-article","created":{"date-parts":[[2022,1,8]],"date-time":"2022-01-08T05:30:57Z","timestamp":1641619857000},"page":"501-506","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The consistency and reliability of six-strand and four-strand flexor tendon repairs: a comparative porcine cadaveric study"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1769-1410","authenticated-orcid":false,"given":"Jaakko A. E.","family":"Kuronen","sequence":"first","affiliation":[{"name":"Department of Medicine and Health Technology, Tampere University, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Riski","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Technology, Tampere University, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olli V.","family":"Lepp\u00e4nen","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Tampere University Hospital, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teemu","family":"Karjalainen","sequence":"additional","affiliation":[{"name":"Hospital Nova of Central Finland, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lasse","family":"Linnanm\u00e4ki","sequence":"additional","affiliation":[{"name":"Hospital Nova of Central Finland, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,1,8]]},"reference":[{"key":"bibr1-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182589d06"},{"key":"bibr2-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.01.035"},{"key":"bibr3-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.06.008"},{"key":"bibr4-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2016.11.022"},{"key":"bibr5-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418758269"},{"key":"bibr6-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31824a212a"},{"key":"bibr7-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2007.12.011"},{"key":"bibr8-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1198\/000313001300339897"},{"key":"bibr9-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2018.08.012"},{"key":"bibr10-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100160402"},{"key":"bibr11-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1177\/1753193411405937"},{"key":"bibr12-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(92)90408-H"},{"key":"bibr13-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418773008"},{"key":"bibr14-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.05.007"},{"key":"bibr15-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.34311"},{"key":"bibr16-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1177\/17531934211018309"},{"key":"bibr17-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413492914"},{"key":"bibr18-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.01.037"},{"key":"bibr19-17531934211066556","doi-asserted-by":"publisher","DOI":"10.1177\/17531934211018327"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211066556","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934211066556","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211066556","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:31Z","timestamp":1777502791000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934211066556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,8]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1177\/17531934211066556"],"URL":"https:\/\/doi.org\/10.1177\/17531934211066556","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,8]]}}}