Evidence map›Paper›PMID 33876291›Full record

ArticleArchives of orthopaedic and trauma surgery2021

Polytetrafluoroethylene (PTFE) suture vs fiberwire and polypropylene in flexor tendon repair.

Elias Polykandriotis, Florian Ruppe, Miriam Niederkorn, Ektor Polykandriotis, Lars Bräuer, Raymund E Horch, Andreas Arkudas, Jasmin S Gruener

Open access · hybridAbstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Drug Delivery Approaches to Improve Tendon Healing.Tissue engineering. Part B, Reviews · 2023
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Elias PolykandriotisDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, University of Erlangen Medical Center, Krankenhausstr. 12, 91054, Erlangen, Germany.
Florian RuppeDepartment of Plastic, Hand and Microsurgery, Sana Hospital Hof, Hof, Germany.
Miriam NiederkornDepartment of Internal Medicine, County Hospital Muenchberg, Muenchberg, Germany.
Ektor PolykandriotisRoss University School of Medicine, Miramar, FL, USA.
Lars BräuerInstitute of Anatomy, Chair II; Friedrich Alexander University Erlangen-Nuremberg FAU, Erlangen, Germany.
Raymund E HorchDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, University of Erlangen Medical Center, Krankenhausstr. 12, 91054, Erlangen, Germany.
Andreas ArkudasDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, University of Erlangen Medical Center, Krankenhausstr. 12, 91054, Erlangen, Germany.
Jasmin S GruenerDepartment of Plastic and Hand Surgery, Friedrich Alexander University Erlangen-Nuremberg FAU, University of Erlangen Medical Center, Krankenhausstr. 12, 91054, Erlangen, Germany. jasmin.gruener@uk-erlangen.de.ORCID http://orcid.org/0000-0002-8033-7644
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum Arnsberg · DESana Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we evaluate the value of novel suture material based on monofilamentous-extruded polyfluoroethylene (PTFE) compared to polypropylene (PPL) and Fiberwire (FW). MATERIALS AND

methods60 flexor tendons were harvested from fresh cadaveric upper extremities. 4-0 sutures strands were used in the PPL, FW and PTFE group. Knotting properties and mechanical characteristics of the suture materials were evaluated. A 4-strand locked cruciate (Adelaide) or a 6-strand (M-Tang) suture technique was applied as core sutures for a tendon repair. Two-way ANOVA tests were performed with the Bonferroni correction.

resultsStable knotting was achieved with 5 throws with the PPL material, 7 throws for FW and 9 throws for PTFE. In the PPL group, linear tensile strength was 45.92 ± 12.53 N, in the FW group 80.11 ± 18.34 N and in the PTFE group 76.16 ± 29.10 N. FW and PTFE are significantly stronger than PPL but show no significant difference among each other. Similar results were obtained in the subgroup comparisons for different repair techniques. The Adelaide and the M-Tang knotting technique showed no significant difference.

conclusionFiberwire showed superior handling and knotting properties in comparison to PTFE. However, PTFE allows easier approximation of the stumps. In both, M-Tang and Adelaide repairs, PTFE was equal to FW in terms of repair strength. Both PTFE and FW provide for a robust tendon repair so that early active motion regimens for rehabilitation can be applied.

Indexed as

TendonsBiomechanical PhenomenaCadaverHumansMaterials TestingPolypropylenesPolytetrafluoroethyleneSuturesPolypropylenesPolytetrafluoroethyleneFiberwireFlexor tendon repairPolytetrafluoroethylene (PTFE)Seramon®

Identifiers

PMID33876291
PMCPMC8354926
OpenAlexW3155383615

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.