Match correct tendon ends using the position
of the tendons & the corresponding shapes of the cut ends.
Fix tendon with a needle and steady one
end with a needle.
Do not grasp tendons with any instrument
as this will promote adhesions.
Technique of tendon suture
- Connell's suture
Core Suture
Insert the 3-0 prolene suture through the
cut end of the tendon and exit through' the side at least 1cm away from the
end
Continue transversely through' the tendon
and reinsert suture from the opposite side , this time to exit through' the
cut end adjacent to the entry point
Repeat the above for the distal end of the
tendon
Tie the ends [1 double throw and at least
4 single throws] such that the knot is buried in between the cut ends
Epitendinous suture
Using 5-0 prolene, run a simple running
suture through the epitenons of the cut edges circumferentially taking care
not to injure the core suture
