{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T05:05:29Z","timestamp":1749618329938},"reference-count":42,"publisher":"American Veterinary Medical Association (AVMA)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2020,8]]},"abstract":"Abstract<\/jats:title>\n\nOBJECTIVE<\/jats:title>\nTo compare the biomechanical strength and incidence of gap formation among canine superficial digital flexor tendon (SDFT) constructs that underwent core tenorrhaphy only and those in which the core tenorrhaphy was augmented with skin staples or a continuous Silfverskiold cross-stitch (SXS) suture pattern.<\/jats:p>\n<\/jats:sec>\n\nSAMPLE<\/jats:title>\n42 cadaveric forelimb SDFTs from 21 musculoskeletally normal dogs.<\/jats:p>\n<\/jats:sec>\n\nPROCEDURES<\/jats:title>\nTendons were randomly assigned to 3 groups (14 SDTFs\/group), sharply transected, and repaired with a core locking-loop suture alone (group 1) or augmented with circumferential placement of skin staples (group 2) or a continuous SXS suture pattern (group 3) in the epitenon. All constructs underwent a single load-to-failure test. Yield, peak, and failure loads, incidence of gap formation, and mode of failure were compared among the 3 groups.<\/jats:p>\n<\/jats:sec>\n\nRESULTS<\/jats:title>\nMean yield, peak, and failure loads differed significantly among experimental groups and were greatest for group 3 and lowest for group 1 constructs. The incidence of gap formation differed among the tested groups and was lowest for group 3 and highest for group 1. The most common mode of construct failure was the suture pulling through the tendon for group 1, staple deformation for group 2, and epitendinous suture breakage for group 3.<\/jats:p>\n<\/jats:sec>\n\nCONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\nResults indicated epitendinous placement of skin staples around a core SDFT tenorrhaphy site improved the biomechanical strength and resistance to gap formation for the repair but was inferior to epitendinous placement of SXS sutures. Further research is necessary before skin staples are used for tenorrhaphy augmentation in clinical patients.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.81.8.681","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T13:45:59Z","timestamp":1595511959000},"page":"681-688","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of skin staples for augmentation of core tenorrhaphy in an ex vivo model of canine superficial digital flexor tendon laceration"],"prefix":"10.2460","volume":"81","author":[{"given":"Yi-Jen","family":"Chang","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":"Daniel J.","family":"Duffy","sequence":"additional","affiliation":[{"name":"1Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lewis","family":"Gaffney","sequence":"additional","affiliation":[{"name":"2Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina\u2013Chapel Hill, Raleigh, NC 27695."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew B.","family":"Fisher","sequence":"additional","affiliation":[{"name":"2Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina\u2013Chapel Hill, Raleigh, NC 27695."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George E.","family":"Moore","sequence":"additional","affiliation":[{"name":"3Department of Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Collagen structure and mechanics","first-page":"269","article-title":"Tendons and ligaments: structure, mechanical behavior and biological function","author":"Biewener","year":"2008"},{"key":"ref2","series-title":"J Hand Ther","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1197\/j.jht.2005.01.009","article-title":"Recent progress in flexor tendon healing. 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