The impact of fiberwire, fiberloop, and locking suture configuration on flexor tendon repairs.

Purpose: Suture technique, suture material, and the number of strands all play critical roles in achieving optimal strength of flexor tendon repairs. We evaluated the contribution to the tensile strength of flexor tendon repair using the strongest suture material, Fiberwire, and the best surgical technique (locking configuration) using 2- and 4-strand core repair to see what factor played the most important role in tendon repair.

Methods: Human cadaver flexor tendons were harvested and repaired in a randomized fashion using locking configuration as derived from Pennington's report.

Handlebar hernia: traumatic abdominal wall hernia with multiple enterotomies. A case report and review of the literature.

Handlebar hernia, caused by low-energy impact against a handlebar, is a localized abdominal wall hernia that is blunt enough not to penetrate the skin but severe enough to cause the disruption of abdominal wall musculature. In 1964, Roberts (Br J Surg 1964;51:153) reported the first case of a traumatic abdominal wall hernia that occurred in a 9-year-old boy after a fall upon a bicycle handle. Since then, 12 other cases have been reported.