{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T01:39:06Z","timestamp":1759541946770},"reference-count":29,"publisher":"American Veterinary Medical Association (AVMA)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To evaluate effects of bite distance of an interlocking horizontal mattress epitendinous suture (IHMES) from the repair site on tensile strength of canine tendon repairs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>SAMPLE<\/jats:title>\n<jats:p>72 canine cadaveric superficial digital flexor tendons (SDFTs).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Transverse tenotomy was performed, and SDFTs were repaired with a locking-loop construct (LL construct) or 3 LL constructs with IHMES suture bites placed 5 (LL + 5ES construct), 10 (LL + 10ES construct), or 15 (LL + 15ES construct) mm from the transection site (18 SDFTs\/group). Constructs were loaded to failure. Load at 1\u2212 and 3-mm gapping, yield force, failure load, and failure mode were evaluated.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Mean \u00b1 SD yield force and failure load for LL constructs were significantly lower than for IHMES constructs. Load at 1\u2212 and 3-mm gapping was significantly higher for IHMES constructs. Increasing the bite distance significantly increased construct strength (134.4 \u00b1 26.1 N, 151.0 \u00b1 16.8 N, and 182.1 \u00b1 23.6 N for LL + 5ES, LL + 10ES, and LL + 15ES constructs, respectively), compared with strength for the LL construct. Failure mode differed significantly among constructs when an IHMES was used.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Addition of an IHMES to an LL construct led to increased ultimate tensile strength by 2.5 times and significantly reduced gap formation. Increasing the IHMES bite distance increased yield force by 2.1, 2.3, and 2.7 times for bites placed 5, 10, and 15 mm from the tenotomy, respectively. Positioning an IHMES at a greater distance from the repair site provided superior biomechanical strength for tendon repairs in dogs.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.80.11.1034","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T17:41:03Z","timestamp":1571852463000},"page":"1034-1042","source":"Crossref","is-referenced-by-count":12,"title":["Effect of bite distance of an epitendinous suture from the repair site on the tensile strength of canine tendon constructs"],"prefix":"10.2460","volume":"80","author":[{"given":"Daniel J.","family":"Duffy","sequence":"first","affiliation":[{"name":"1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina J.","family":"Cocca","sequence":"additional","affiliation":[{"name":"2Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61802"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana E.","family":"Kersh","sequence":"additional","affiliation":[{"name":"3Department of Mechanical Science and Engineering, College of Engineering, University of Illinois, Urbana, IL 61801"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woojae","family":"Kim","sequence":"additional","affiliation":[{"name":"3Department of Mechanical Science and Engineering, College of Engineering, University of Illinois, Urbana, IL 61801"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George E.","family":"Moore","sequence":"additional","affiliation":[{"name":"4Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Orthopaedic basic science: foundations of clinical practice","first-page":"191","article-title":"Chapter 11: form and function of tendon and ligament","author":"Frank","year":"2018"},{"key":"ref2","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"975","DOI":"10.2106\/00004623-199907000-00010","article-title":"The effect of gap formation at the repair site on the strength and excursion of intrasynovial flexor tendons. 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