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. Author manuscript; available in PMC: 2011 Jun 1.
Published in final edited form as: J Hand Surg Am. 2010 Jun;35(6):1031–1038. doi: 10.1016/j.jhsa.2009.12.044

Figure 1.

Figure 1

A) The classical (“historical”) approach used a modified Kessler four-strand repair using a double-stranded 4-0 Supramid suture was used for the core suture. The length of the core suture purchase was 0.75 cm. A running unlocked peripheral suture was then placed circumferentially using a 6-0 Prolene suture. The peripheral suture passed through only the epitenon and superficial tendon. B) In the modified eight-strand method, the same double-stranded 4-0 Supramid suture was used for the core suture. The eight-strand repair was composed of two parallel placed modified Kessler four-strand sutures. The length of the core suture purchase was 1.2 cm. A running unlocked peripheral suture was then placed circumferentially using a 5-0 Prolene. This peripheral suture had a purchase of two-millimeter length from the cut tendon edge and two-millimeter depth from the tendon surface.