(b)(4).Article reports product as 2/0 monofilament nylon suture (ethicrin®, ethicon) this report is related to a journal article; therefore, no product will be returned for analysis and the batch history records cannot be reviewed as the lot number has not been provided.Citation: journal of hand surgery (british and european volume, 1999) 24b: 2: 148¿151.[(b)(4)-guinard 1999.Pdf].
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It was reported in journal article title : the mantero flexor tendon repair in zone 1 author: d.Guinard, f.Montanier, d.Thomas, d.Corcella and f.Moutet citation: journal of hand surgery (british and european volume, 1999) 24b: 2: 148¿151 this case study reported the authors¿ experience in 24 zone 1 flexor digitorum profundus (fdp) lesion repairs using the nylon loop suture technique.Between 1994 and 1996, 24 simple zone 1 fdp tendon lacerations were treated.There were 15 men and five women aged 15¿63 years were included in the study.Thirteen patients had clean cut transections and 13 injuries occurred at work.The injury affected the index finger in nine cases, the long in seven cases and the ring and little digits were each affected in four cases.Four patients had fdp divisions in two adjacent fingers and the tendon section was partial in two cases.Fourteen cases were associated with neurovascular bundle lesion and 13 single nerve lacerations and 7 single artery injuries.One presented with division of both bundles.The injuries were treated within 24 hours and all patients followed the grenoble rehabilitation regimen.A straight needle with 2/0 monofilament nylon suture (ethicrin®, ethicon) was passed from the tip of the pulp to the proximal stump.The suture was knotted over a silicone disc and clothes button and the repair site was reinforced with a running 6/0 polydioxanone suture (pds®, ethicon).After completion of the sheath closure, tendon gliding could be verified by a tenodesis effect.Four cases had complications.There were two localized and minor infections without any functional consequences, one moderate pulp dystrophy with a slight functional impairment, and one severe infection that led to a rupture.In conclusion, the authors concluded that usual tendon-to-bone repair techniques were inadequate to withstand the forces required for controlled active motion which contradicted the results obtained with the mantero technique.
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