{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,8]],"date-time":"2024-06-08T00:12:33Z","timestamp":1717805553142},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T00:00:00Z","timestamp":1648944000000},"content-version":"vor","delay-in-days":1372,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2018,7,15]],"date-time":"2018-07-15T00:00:00Z","timestamp":1531612800000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>\n          Background  The most common complication after tendon repair is the development of adhesion, with subsequent rupture.<\/jats:p><jats:p>\n          Methods  In this study, we present a new method in which the tendon healing contact surface is increased to reduce these complications. The tendons of chickens in groups 1, 3, and 5 were transversely cut and repaired with in the traditional fashion with double-modified Kessler method and 5\/0 polypropylene. In the other groups, 3 mm of the tendon was removed from the proximal half of the upper end and from the distal half of the lower end of the tendon, and they were repaired with the modified Kessler method. The tendons of the chickens in groups 1 and 2 were evaluated immediatelly after surgery. Groups 3 and 4 were evaluated at 4 weeks after surgery. Groups 5 and 6 were evaluated at 6 weeks.<\/jats:p><jats:p>\n          Results  Increases in transient inflammation and connective tissue formation were observed more clearly in the group treated with the new method in histopathological investigations at weeks 4 and 6. The stretching test showed statistically significant differences between groups 3 and 4 (P&lt;0.05) and groups 5 and 6 (P&lt;0.05).<\/jats:p><jats:p>\n          Conclusions  When repairing tendons with the new method, the healing surface increases and the direction of collagen fibers at the surface changes. Because of these effects, the strength of the tendon healing line increases; we therefore expect that this technique will enable patients to safely engage in early active exercise after the operation, with less risk of tendon rupture.<\/jats:p>","DOI":"10.5999\/aps.2017.01284","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T00:46:52Z","timestamp":1531961212000},"page":"357-362","update-policy":"http:\/\/dx.doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of increasing the contact surface on tendon healing"],"prefix":"10.1055","volume":"45","author":[{"given":"Fatma","family":"Bilgen","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, Kahramanmara\u015f Sutcu Imam University School of Medicine, Kahramanmara\u015f, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yakup","family":"Duman","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, Kahramanmara\u015f Sutcu Imam University School of Medicine, Kahramanmara\u015f, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer","family":"Bulut","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, Gaziantep 25 December Hospital, Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Bekerecio\u011flu","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive, and Aesthetic Surgery, Kahramanmara\u015f Sutcu Imam University School of Medicine, Kahramanmara\u015f, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.jhsa.2010.11.029","article-title":"Influence of locking stitch size in a four-strand cross-locked cruciate flexor tendon repair","volume":"36","author":"TS Peltz","year":"2011","journal-title":"J Hand Surg Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1493","DOI":"10.1097\/01.prs.0000434411.78335.63","article-title":"Flexor tendon repair, rehabilitation, and reconstruction","volume":"132","author":"BK Sandvall","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1177\/1753193414551682","article-title":"Clinical outcomes of early active mobilization following flexor tendon repair using the six-strand technique: short- and long-term evaluations","volume":"40","author":"K Moriya","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1016\/j.jhsa.2014.03.025","article-title":"Primary flexor tendon repair in zones 1 and 2: early passive mobilization versus controlled active motion","volume":"39","author":"FS Frueh","year":"2014","journal-title":"J Hand Surg Am"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1142\/S0218810414500105","article-title":"A prospective randomized controlled trial of controlled passive mobilization vs. place and active hold exercises after zone 2 flexor tendon repair","volume":"19","author":"M Farzad","year":"2014","journal-title":"Hand Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1053\/jhsu.2000.jhsu25a0214","article-title":"Development of flexor tendon surgery: twenty-five years of progress","volume":"25","author":"JW Strickland","year":"2000","journal-title":"J Hand Surg Am"},{"issue":"386","key":"ref7","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/00003086-200105000-00033","article-title":"Biomechanical evaluation of flexor tendon repair techniques","author":"JB Tang","year":"2001","journal-title":"Clin Orthop Relat Res"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.jbiomech.2004.04.021","article-title":"Hyaluronic acid diminishes the resistance to excursion after flexor tendon repair: an in vitro biomechanical study","volume":"38","author":"T Akasaka","year":"2005","journal-title":"J Biomech"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S0022-4804(03)00204-X","article-title":"Seprafilm interposition for preventing adhesion formation after tenolysis. 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