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April 1955

Barbwire Tendon Suture: Clinical Experience with Thirty Flexor Tendons

Author Affiliations

Brunswick, Ga.; Baltimore
From the Department of Surgery, University Hospital.

AMA Arch Surg. 1955;70(4):566-569. doi:10.1001/archsurg.1955.01270100092016

Early experiences with the barb wire tendon suture have proved it to be simple and easy to use. This suture, as previously described, seems ideal for applying the basic principles of tendon surgery. Further experiences with this technique indicate that this suture will continue to be a useful supplement for the treatment of severed flexor tendons. The purpose of this paper is to present results encountered and impressions derived from the repair of 30 consecutive freshly severed flexor tendons. The results are graded as good, fair, and poor by criteria previously expressed.*

TECHNIQUE  The routine preparation of the patient, as pointed out by Bunnell3 and others, was followed. The freshly severed tendons were sutured as soon as possible in the operating room under sterile conditions. Brachial block or a general anesthetic was used. An avascular field was secured by pneumatic tourniquet. Sharp technique was used and all basic principles

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