{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T01:34:00Z","timestamp":1759541640816},"reference-count":34,"publisher":"American Veterinary Medical Association (AVMA)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To determine the effect of epitendinous suture (ES) caliber on the tensile strength of flexor tendon repairs in cadaveric specimens from dogs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>SAMPLE<\/jats:title>\n<jats:p>60 cadaveric superficial digital flexor tendons (SDFTs) from 30 skeletally mature dogs.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Specimens were randomly assigned to 5 suture caliber groups (n = 12 SDFTs\/group). After sharp transection, SDFTs were repaired by placement of a simple continuous circumferential ES created with size-0, 2-0, 3-0, 4-0, or 5-0 polypropylene suture. Constructs were preloaded to 2 N and load tested to failure. Loads at yield, peak, and failure and mode of failure were compared among groups by statistical methods.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Yield, peak, and failure loads for SDFT repair constructs were positively correlated with ES caliber and did not differ between the size-0 and 2-0 groups on pairwise comparisons. Yield load was significantly greater for size-0, 2-0, and 3-0 groups than for the 4-0 and 5-0 groups. Peak and failure loads were significantly greater for the size-0 and 2-0 groups than for the remaining groups. Most size-0 (12\/12), 2-0 (12\/12), and 3-0 (10\/12) group constructs failed because of ES pull-through; several constructs in the 4-0 group (5\/12) and most in the 5-0 group (11\/12) failed because of ES breakage.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results suggested size-0 and 2-0 sutures should be considered when placing an ES for flexor tendon repairs in dogs. However, in vivo studies are needed determine the effects of increasing ES caliber on clinical outcomes for dogs undergoing these procedures.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.82.6.510","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T13:47:39Z","timestamp":1621950459000},"page":"510-515","source":"Crossref","is-referenced-by-count":2,"title":["Effect of epitendinous suture caliber on the tensile strength of repaired canine flexor tendons"],"prefix":"10.2460","volume":"82","author":[{"given":"Daniel J.","family":"Duffy","sequence":"first","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607 (Chang, Duffy, Chambers); Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, and University of North Carolina, Chapel Hill, NC 27599 (Fisher); and Department of Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906 (Moore)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Jen","family":"Chang","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607 (Chang, Duffy, Chambers); Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, and University of North Carolina, Chapel Hill, NC 27599 (Fisher); and Department of Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906 (Moore)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew B.","family":"Fisher","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607 (Chang, Duffy, Chambers); Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, and University of North Carolina, Chapel Hill, NC 27599 (Fisher); and Department of Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906 (Moore)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aidan R.","family":"Chambers","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607 (Chang, Duffy, Chambers); Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, and University of North Carolina, Chapel Hill, NC 27599 (Fisher); and Department of Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906 (Moore)."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George E.","family":"Moore","sequence":"additional","affiliation":[{"name":"From the Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607 (Chang, Duffy, Chambers); Joint Department of Biomedical Engineering, North Carolina State University, Raleigh, NC 27695, and University of North Carolina, Chapel Hill, NC 27599 (Fisher); and Department of Veterinary Administration, College of Veterinary Medicine, Purdue University, West Lafayette, IN 47906 (Moore)."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","first-page":"191","article-title":"Form and function of tendons and ligaments","author":"Frank CB","year":"2007","unstructured":"Frank CB, Shrive NG, Lo IKY,  Form and function of tendons and ligaments. In: O\u2019Keefe RJ, Buckwalter JA, Einhorn TA, eds. Orthopaedic basic science: foundations of clinical practice. 3rd ed. Rosemont, Ill: American Academy of Orthopaedic Surgeons, 2007;191\u2013222."},{"key":"ref2","series-title":"Veterinary surgery: small animal","first-page":"1316","article-title":"Muscle and tendon disorders","volume":"1","author":"Stuart C","year":"2018","unstructured":"Stuart C, William GM. Muscle and tendon disorders. In: Johnston SA, Tobias KM, eds. Veterinary surgery: small animal. Vol 1. 2nd ed. St Louis: Elsevier, 2018;1316\u20131323."},{"key":"ref3","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. An experimental study on the early stages of tendon-healing in dogs","volume":"81","author":"Gelberman RH","year":"1999","unstructured":"Gelberman RH, Boyer MI, Brodt MD,  The effect of gap formation at the repair site on the strength and excursion of intrasynovial flexor tendons. An experimental study on the early stages of tendon-healing in dogs. J Bone Joint Surg Am 1999;81:975\u2013982.10.2106\/00004623-199907000-00010"},{"key":"ref4","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1016\/0363-5023(90)90022-J","article-title":"Double loop locking suture: a technique of tendon repair for early active mobilization. Part II: clinical experience","volume":"15","author":"Lee H.","year":"1990","unstructured":"Lee H. Double loop locking suture: a technique of tendon repair for early active mobilization. Part II: clinical experience. J Hand Surg Am 1990;15:953\u2013958.10.1016\/0363-5023(90)90022-J"},{"key":"ref5","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1053\/jhsu.2000.jhsu25a0214","article-title":"Development of flexor tendon surgery: twenty-five years of progress","volume":"25","author":"Strickland JW","year":"2000","unstructured":"Strickland JW. Development of flexor tendon surgery: twenty-five years of progress. J Hand Surg Am 2000;25:214\u2013235.10.1053\/jhsu.2000.jhsu25a0214"},{"key":"ref6","series-title":"J Orthop Res","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1002\/jor.1100160402","article-title":"Analytic model to predict the strength of tendon repairs","volume":"16","author":"Lotz JC","year":"1998","unstructured":"Lotz JC, Hariharan JS, Diao E. Analytic model to predict the strength of tendon repairs. J Orthop Res 1998;16:399\u2013405.10.1002\/jor.1100160402"},{"key":"ref7","series-title":"J Hand Surg Br","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1016\/0266-7681(89)90135-6","article-title":"Flexor tendon repair: significant gain in strength from the Halsted peripheral suture technique","volume":"14","author":"Wade PJ","year":"1989","unstructured":"Wade PJ, Wetherell RG, Amis AA. Flexor tendon repair: significant gain in strength from the Halsted peripheral suture technique. J Hand Surg Br 1989;14:232\u2013235.10.1016\/0266-7681(89)90135-6"},{"key":"ref8","series-title":"J Hand Surg Br","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1016\/S0266-7681(05)80084-1","article-title":"Work of flexion after tendon repair with various suture methods. A human cadaveric study","volume":"20","author":"Aoki M","year":"1995","unstructured":"Aoki M, Manske PR, Pruitt DL,  Work of flexion after tendon repair with various suture methods. A human cadaveric study. J Hand Surg Br 1995;20:310\u2013313.10.1016\/S0266-7681(05)80084-1"},{"key":"ref9","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1016\/S0363-5023(96)80301-7","article-title":"Effect of suture knot location on tensile strength after flexor tendon repair","volume":"21","author":"Pruitt DL","year":"1996","unstructured":"Pruitt DL, Aoki M, Manske PR. Effect of suture knot location on tensile strength after flexor tendon repair. J Hand Surg Am 1996;21:969\u2013973.10.1016\/S0363-5023(96)80301-7"},{"key":"ref10","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/S0363-5023(98)80096-8","article-title":"The effects of multiple-strand suture methods on the strength and excursion of repaired intrasynovial flexor tendons: a biomechanical study in dogs","volume":"23","author":"Winters SC","year":"1998","unstructured":"Winters SC, Gelberman RH, Woo SL,  The effects of multiple-strand suture methods on the strength and excursion of repaired intrasynovial flexor tendons: a biomechanical study in dogs. J Hand Surg Am 1998;23:97\u2013104.10.1016\/S0363-5023(98)80096-8"},{"key":"ref11","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"708","DOI":"10.1097\/00006534-197705000-00014","article-title":"Experimental evaluation of factors affecting the strength of tendon repair","volume":"59","author":"Ketchum LD","year":"1977","unstructured":"Ketchum LD, Martin NL, Kappel DA. Experimental evaluation of factors affecting the strength of tendon repair. Plast Reconstr Surg 1977;59:708\u2013719.10.1097\/00006534-197705000-00014"},{"key":"ref12","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"1100","DOI":"10.1053\/jhsu.2001.28946","article-title":"Evaluation of suture caliber in flexor tendon repair","volume":"26","author":"Taras JS","year":"2001","unstructured":"Taras JS, Raphael JS, Marczyk SC,  Evaluation of suture caliber in flexor tendon repair. J Hand Surg Am 2001;26:1100\u20131104.10.1053\/jhsu.2001.28946"},{"key":"ref13","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1016\/j.jhsa.2005.05.011","article-title":"Core suture purchase affects strength of tendon repairs","volume":"30","author":"Tang JB","year":"2005","unstructured":"Tang JB, Zhang Y, Cao Y,  Core suture purchase affects strength of tendon repairs. J Hand Surg Am 2005;30:1262\u20131266.10.1016\/j.jhsa.2005.05.011"},{"key":"ref14","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1111\/j.1532-950X.2004.04057.x","article-title":"Biomechanical and clinical evaluation of a modified 3-loop pulley suture pattern for reattachment of canine tendons to bone","volume":"33","author":"Moores AP","year":"2004","unstructured":"Moores AP, Comerford EJ, Tarlton JF,  Biomechanical and clinical evaluation of a modified 3-loop pulley suture pattern for reattachment of canine tendons to bone. Vet Surg 2004;33:391\u2013397.10.1111\/j.1532-950X.2004.04057.x"},{"key":"ref15","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1111\/j.1532-950x.2004.04020.x","article-title":"The three-loop pulley suture versus two locking-loop sutures for the repair of canine Achilles tendons","volume":"33","author":"Moores AP","year":"2004","unstructured":"Moores AP, Owen MR, Tarlton JF. The three-loop pulley suture versus two locking-loop sutures for the repair of canine Achilles tendons. Vet Surg 2004;33:131\u2013137.10.1111\/j.1532-950x.2004.04020.x"},{"key":"ref16","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/S0363-5023(77)80025-7","article-title":"Primary flexor tendon repair followed by immediate controlled mobilization","volume":"2","author":"Lister GD","year":"1977","unstructured":"Lister GD, Kleinert HE, Kutz JE,  Primary flexor tendon repair followed by immediate controlled mobilization. J Hand Surg Am 1977;2:441\u2013451.10.1016\/S0363-5023(77)80025-7"},{"key":"ref17","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1016\/0363-5023(93)90246-Y","article-title":"Two new methods of tendon repair: an in vitro evaluation of tensile strength and gap formation","volume":"18","author":"Silfverski\u00f6ld KL","year":"1993","unstructured":"Silfverski\u00f6ld KL, Andersson CH. Two new methods of tendon repair: an in vitro evaluation of tensile strength and gap formation. J Hand Surg Am 1993;18:58\u201365.10.1016\/0363-5023(93)90246-Y"},{"key":"ref18","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1055\/s-0040-1702141","article-title":"Influence of interlocking horizontal mattress epitendinous suture placement on tendinous biomechanical properties in a canine common calcaneal laceration model","volume":"33","author":"Cocca CJ","year":"2020","unstructured":"Cocca CJ, Duffy DJ, Kersh ME,  Influence of interlocking horizontal mattress epitendinous suture placement on tendinous biomechanical properties in a canine common calcaneal laceration model. Vet Comp Orthop Traumatol 2020;33:205\u2013211.10.1055\/s-0040-1702141"},{"key":"ref19","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1111\/vsu.13268","article-title":"Effect of a continuous epitendinous suture as adjunct to three-loop pulley and locking-loop patterns for flexor tendon repair in a canine model","volume":"48","author":"Putterman AB","year":"2019","unstructured":"Putterman AB, Duffy DJ, Kersh ME,  Effect of a continuous epitendinous suture as adjunct to three-loop pulley and locking-loop patterns for flexor tendon repair in a canine model. Vet Surg 2019;48:1229\u20131236.10.1111\/vsu.13268"},{"key":"ref20","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1111\/vsu.13266","article-title":"Biomechanical comparison of three epitendinous suture patterns as adjuncts to a core locking loop suture for repair of canine flexor tendon injuries","volume":"48","author":"Cocca CJ","year":"2019","unstructured":"Cocca CJ, Duffy DJ, Kersh ME,  Biomechanical comparison of three epitendinous suture patterns as adjuncts to a core locking loop suture for repair of canine flexor tendon injuries. Vet Surg 2019;48:1245\u20131252.10.1111\/vsu.13266"},{"key":"ref21","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"1034","DOI":"10.2460\/ajvr.80.11.1034","article-title":"Effect of bite distance of an epitendinous suture from the repair site on the tensile strength of canine tendon constructs","volume":"80","author":"Duffy DJ","year":"2019","unstructured":"Duffy DJ, Cocca CJ, Kersh ME,  Effect of bite distance of an epitendinous suture from the repair site on the tensile strength of canine tendon constructs. Am J Vet Res 2019;80:1034\u20131042.10.2460\/ajvr.80.11.1034"},{"key":"ref22","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.2460\/ajvr.80.11.1043","article-title":"Effect of bite depth of an epitendinous suture on the biomechanical strength of repaired canine flexor tendons","volume":"80","author":"Duffy DJ","year":"2019","unstructured":"Duffy DJ, Chang Y-J, Gaffney LS,  Effect of bite depth of an epitendinous suture on the biomechanical strength of repaired canine flexor tendons. Am J Vet Res 2019;80:1043\u20131049.10.2460\/ajvr.80.11.1043"},{"key":"ref23","series-title":"J Orthop Res","doi-asserted-by":"publisher","first-page":"1652","DOI":"10.1002\/jor.22108","article-title":"Intrasynovial flexor tendon repair: a biomechanical study of variations in suture application in human cadavera","volume":"30","author":"Nelson GN","year":"2012","unstructured":"Nelson GN, Potter R, Ntouvali E,  Intrasynovial flexor tendon repair: a biomechanical study of variations in suture application in human cadavera. J Orthop Res 2012;30:1652\u20131659.10.1002\/jor.22108"},{"key":"ref24","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1136\/vr.c4190","article-title":"Retrospective study of Achilles mechanism disruption in 45 dogs","volume":"167","author":"Corr SA","year":"2010","unstructured":"Corr SA, Draffan D, Kulendra E,  Retrospective study of Achilles mechanism disruption in 45 dogs. Vet Rec 2010;167:407\u2013411.10.1136\/vr.c4190"},{"key":"ref25","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"714","DOI":"10.2460\/ajvr.81.9.714","article-title":"Effect of suture caliber on the tensile strength of tenorrhaphies in cadaveric canine tendons","volume":"81","author":"Duffy DJ","year":"2020","unstructured":"Duffy DJ, Curcillo CJ, Chang Y-J,  Effect of suture caliber on the tensile strength of tenorrhaphies in cadaveric canine tendons. Am J Vet Res 2020;81:714\u2013719.10.2460\/ajvr.81.9.714"},{"key":"ref26","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1016\/j.jhsa.2007.12.011","article-title":"The effects of freezing on the tensile properties of repaired porcine flexor tendon","volume":"33","author":"Hirpara KM","year":"2008","unstructured":"Hirpara KM, Sullivan PJ, O\u2019Sullivan ME. The effects of freezing on the tensile properties of repaired porcine flexor tendon. J Hand Surg Am 2008;33:353\u2013358.10.1016\/j.jhsa.2007.12.011"},{"key":"ref27","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1053\/jhsu.2000.6456","article-title":"The resistance of a four- and eight-strand suture technique to gap formation during tensile testing: an experimental study of repaired canine flexor tendons after 10 days of in vivo healing","volume":"25","author":"Dinopoulos HT","year":"2000","unstructured":"Dinopoulos HT, Boyer MI, Burns ME,  The resistance of a four- and eight-strand suture technique to gap formation during tensile testing: an experimental study of repaired canine flexor tendons after 10 days of in vivo healing. J Hand Surg Am 2000;25:489\u2013498.10.1053\/jhsu.2000.6456"},{"key":"ref28","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"1165","DOI":"10.1016\/j.jhsa.2010.04.003","article-title":"The effects of core suture purchase on the biomechanical characteristics of a multistrand locking flexor tendon repair: a cadaveric study","volume":"35","author":"Lee SK","year":"2010","unstructured":"Lee SK, Goldstein RY, Zingman A,  The effects of core suture purchase on the biomechanical characteristics of a multistrand locking flexor tendon repair: a cadaveric study. J Hand Surg Am 2010;35:1165\u20131171.10.1016\/j.jhsa.2010.04.003"},{"key":"ref29","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1053\/jhsu.2001.22926","article-title":"Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs","volume":"26","author":"Barrie KA","year":"2001","unstructured":"Barrie KA, Tomak SL, Cholewicki J,  Effect of suture locking and suture caliber on fatigue strength of flexor tendon repairs. J Hand Surg Am 2001;26:340\u2013346.10.1053\/jhsu.2001.22926"},{"key":"ref30","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"2526","DOI":"10.1016\/j.jhsa.2012.09.012","article-title":"The effect of core and epitendinous suture modifications on repair of intrasynovial flexor tendons in an in vivo canine model","volume":"37","author":"Fufa DT","year":"2012","unstructured":"Fufa DT, Osei DA, Calfee RP,  The effect of core and epitendinous suture modifications on repair of intrasynovial flexor tendons in an in vivo canine model. J Hand Surg Am 2012;37:2526\u20132531.10.1016\/j.jhsa.2012.09.012"},{"key":"ref31","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1016\/j.jhsa.2013.11.001","article-title":"The effect of suture caliber and number of core suture strands on zone II flexor tendon repair: a study in human cadavers","volume":"39","author":"Osei DA","year":"2014","unstructured":"Osei DA, Stepan JG, Calfee RP,  The effect of suture caliber and number of core suture strands on zone II flexor tendon repair: a study in human cadavers. J Hand Surg Am 2014;39:262\u2013268.10.1016\/j.jhsa.2013.11.001"},{"key":"ref32","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1111\/j.1532-950X.2009.00598.x","article-title":"In vitro biomechanical comparison of polypropylene mesh, modified three-loop pulley suture pattern, and a combination for repair of distal canine Achilles' tendon injuries","volume":"38","author":"Gall TT","year":"2009","unstructured":"Gall TT, Santoni BG, Egger EL,  In vitro biomechanical comparison of polypropylene mesh, modified three-loop pulley suture pattern, and a combination for repair of distal canine Achilles' tendon injuries. Vet Surg 2009;38:845\u2013851.10.1111\/j.1532-950X.2009.00598.x"},{"key":"ref33","series-title":"J Orthop Res","doi-asserted-by":"publisher","first-page":"580","DOI":"10.1016\/S0736-0266(00)00055-3","article-title":"Gliding characteristics of tendon repair in canine flexor digitorum profundus tendons","volume":"19","author":"Zhao C","year":"2001","unstructured":"Zhao C, Amadio PC, Zobitz ME,  Gliding characteristics of tendon repair in canine flexor digitorum profundus tendons. J Orthop Res 2001;19:580\u2013586.10.1016\/S0736-0266(00)00055-3"},{"key":"ref34","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1016\/0363-5023(91)90197-J","article-title":"Cyclic stress analysis of flexor tendon repair","volume":"16","author":"Pruitt DL","year":"1991","unstructured":"Pruitt DL, Manske PR, Fink B. Cyclic stress analysis of flexor tendon repair. J Hand Surg Am 1991;16:701\u2013707.10.1016\/0363-5023(91)90197-J"}],"container-title":["American Journal of Veterinary Research"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/82\/6\/ajvr.82.6.510.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/ajvr\/82\/6\/ajvr.82.6.510.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/ajvr\/82\/6\/ajvr.82.6.510.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T20:57:58Z","timestamp":1696539478000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/ajvr\/82\/6\/ajvr.82.6.510.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":34,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.2460\/ajvr.82.6.510","relation":{},"ISSN":["0002-9645"],"issn-type":[{"value":"0002-9645","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}