Repair of a Damaged Tendon

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  1. A damaged tendon is often difficult or impossible to repair using currently available suture methods but the PONTiS system may allow repair because of the extremely high stiffness of the suture, suture attachment and crimp. (see related science section of the web site)
  2. The PONTiS 3-0 multi filament stainless steel suture is used to place a single cross-lock in the intact or reasonable strong region of the tendon proximally
  3. Each strand of suture is then passed along the side of the damaged portion of the tendon using multiple gliding passes to exit from the end of the damaged tendon
  4. Firm traction is applied to the end of the suture strands which secures the cross lock on the tendon surface
  5. Place a similar cross lock on the opposite side of the divided tendon in a part of the tendon that is not severely damaged
  6. Pass the sutures through the crimp and do the repair as shown in the previous videos. A few interrupted epitendinous stitches may be placed for correct rotation and to tidy the repair
  7. This provides a strong repair measuring 95Newtons even with the cross-lock attachments far apart – due to the stiffness of the suture

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