Flexor tendon repair with barbed suture: an experimental study

  • Munenori Sato
  • Hajime Matsumura
  • Masahide Gondo
  • Kazuki Shimada
  • Katsueki Watanabe
Original Article


Various suture materials have been used for tendon repair. Barbed suture in particular has been demonstrated to be effective for both wound closure and tendon repair. Ten fresh-frozen flexor digitorum profundus tendons of pig were transected and repaired using the two-strand modified Kirchmayr–Kessler technique. The samples were divided into two groups: 4-0 barbed absorbable polyglyconate sutures and 4-0 monofilament absorbable polyglyconate sutures. We measured tensile strength and distance that the testing system pulled the tendon using a universal testing machine. Tensile strength at which 1 and 2 mm of gapping occurred was measured visually at the repair site. Tendons repaired by barbed sutures showed greater tensile strength than monofilament sutures forming still 2-mm gap. However, statistical significance was obtained only at 1-mm gap formation. We concluded that for tendon repair, barbed sutures were superior material to monofilament sutures because of their greater tensile strength, reducing both the initial tendon load and the risk of dehiscence.


Tendon suture Barbed suture Tensile strength 


Conflict of interest

All authors declare that they have no conflicts of interest associated with this manuscript.


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Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • Munenori Sato
    • 1
  • Hajime Matsumura
    • 1
  • Masahide Gondo
    • 1
  • Kazuki Shimada
    • 1
  • Katsueki Watanabe
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryTokyo Medical UniversityTokyoJapan

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