Greulich M, Lanz U, Glöckner J
Handchirurgie. 1977;9(3):113-8.
Tendon sutures were carried out in the flexor digitorum longus tendon 54 rabbits within the osteofibrous canal at the level of the ankle joint. The suture technique of BUNNELL, LENGEMANN and KESSLER were compared. The adhesions and the vascular pattern in the suture are were observed by means of idian ink injection, microdissection and in thin sections cleared with methyl salicylate. Tendon healing with only minimal adhesions seems to be possible provided that the gap between the tendon stumps is rather small. It originates from the vascularised epitenon of the tendon stumps. In tendon sutures after KESSLER the gap averaged only 2,5 mm whereas the average after BUNNELL suture was 6,7 mm, after LENGEMANN suture 9,8 mm. Early mobilisation of the tendons without tension according to the technique of KLEINERT seems to be suitable to minimise adhesions in the suture area.
在54只兔的踝关节水平的骨纤维管内，对趾长屈肌腱进行肌腱缝合。比较了邦内尔（BUNNELL）、伦格曼（LENGEMANN）和凯斯勒（KESSLER）的缝合技术。通过注射印度墨水、显微解剖以及用水杨酸甲酯透明的薄片观察缝合处的粘连和血管形态。如果肌腱残端之间的间隙相当小，似乎有可能实现仅伴有最小粘连的肌腱愈合。它源自肌腱残端的血管化腱外膜。凯斯勒缝合后肌腱间隙平均仅为2.5毫米，而邦内尔缝合后平均为6.7毫米，伦格曼缝合后为9.8毫米。根据克莱纳特（KLEINERT）技术早期无张力地活动肌腱似乎适合使缝合区域的粘连最小化。
