tendon on the broiler, before doing the surgery grafting was 1,450 kgf.
Various experimental studies and clinical trials, previously concluded that
early mobilization of the tendon that has been spliced, would decrease the
occurrence rate of tendon adhesion with the surrounding tissue, and repair the tendon
gliding. However, early mobilization will cause the connection gap gap formation
larger, which facilitates the occurence of re-
Research benefits Theoretical benefits
1. Add a contribution in surgery 2. Being a new alternative materials that
better at connecting tendons. 3. Understand the technique of grafting
tendons. Practical benefits
rupture.
1.
For institution Connection gap is too large, and the re-
Provide information about the
rupture of the tendon that has been spliced, indicating a malfunction suture, it is
influenced by suture techniques, material and size of the threads as well as biological
and mechanical capabilities of the tendon, in the early stages of healing tendon. In the
techniques to sew the tendons that provide optimal results, so that in
surgery, especially orthopedic surgery can be used as guidelines on how or
techniques to sew the tendon.
first 2 weeks post-grafting, tendon suffered softening phase, where early mobilization
in this phase, increase the possibility of re- rupture. After the 3rd week, it gradually
becoming more and more powerful connections Sun, 2004.
According to Rizal 2010 that the increase in gap connections provide poor
clinical outcome. One target of the connecting tendon to repair or maintain the
gliding function. In tendon grafting, the addition of a connection circle has effect on
the gliding and then affecting mobilization after grafting.
Early mobilization in connection tendon, stimulate the surgeons hands to do
research, in order to get a strong tailoring techniques, while avoiding the occurrence
of a gap larger connection, which facilitates the re-rupture. Where, Kesler modification
technique is often used to compare with other techniques because according
Siverkiold Modified Kessler technique has advantages, such as the use of 4.0 prolene
2.
3.
4.
For nursing profession Nurse or other surgeons can choose
tendon suture technique that can provide good therapy in the treatment
of tendon rupture. For Public Clients who experiencing
Tendon Rupture Help clients in order that the fingers
or extremities which experience ruptured tendon, return to normal
function and prevent the occurence of rerupture of the tendon.
For researcher
By conducting this research, researchers can increase knowledge
about techniques of sewing the tendon. Researchers also can improve
the knowledge of researchers in applying science that has been
obtained by researchers directly into the environment. While for other
researchers can be used as a reference or as consideration for the next study.
yarn classified as small thread so that the addition of the connection circle minimal
4.10 mm. See the advantages - advantages that exist in Modified Kessler technique,
the researchers wanted to compare the results of his findings on the tendon suture
technique namely Samu Modification Techniques SM, which will be compared
with Kessler Modification Techniques KM
739
Research Design
The research design used true experimental design in the form of post-test
on analysis I and prepost tests on the analysis II, with two treatments towards
broiler with the preparation of the flexor tendons, spliced with Samu Modification
techniques and Kessler modification technique. Use this kind of research,
1500
because researchers want to compare the strength of the tendon suture using a suture
technique of Samu Modifications and Kessler Modifications, by using broiler as
test animals. Therefore, in terms of methods and data analysis, this study facilitate
researchers to control the counfounding factor and bias due to sample homogeneity.
in addition, it also facilitate researchers in the analysis of data because the amount of
samples that conducted treatment, can be Based on diagrams 2 is
known that sample of 10 broilers 100 or all broilers have gender of
male, which then from the 10 broilers were divided into two treatment
groups, namely Samu Modification technique and Kessler Modification
technique, respectively 5 broilers. These data are in accordance with the
inclusion and exclusion criteria in intake of sample.
determined from the initial amount in the same period of time.
c. Frequency Distribution based on General Data
1. Analysis I
a. Frequency Distribution based on age
100 5 Minggu
Diagram 1 Frequency distribu-tion
Weight
100 Jantan
gram
Diagram 3 Frequency distribu-tion based on weight of
based on age of research research
sample in
sample in analysis I Based on diagrams 1 is
known that sample of 10 broilers 100 or all of the 5-week-old
broiler, which then, from the 10 analysis I
Based on diagrams 3 is known that sample of 10 broilers
100 or all of broilers have a weight of 1500 gram , which then, from the
broilers were divided into two 10 broilers were divided into two
treatment groups, namely Samu Modification technique and Kessler
Modification technique, respectively 5 broilers. These data are in
accordance with the inclusion and exclusion criteria in intake of sample.
b. Frequency distribution based on gender
treatment groups, namely Samu Modification technique and Kessler
Modification technique, respectively 5 broilers. These data are in
accordance with the inclusion and exclusion criteria in intake of sample.
2. Analysis II a. Frequency Distribution based on
age
100 30
Jantan
Diagram 2 Frequency distribu-tion based on gender of
research sample in analysis I
740
5 Minggu 6 Minggu
70
Diagram 4 Frequency distribu-tion based on age of research
sample in analysis II Based on diagrams 4 is
known that sample of 20 broilers 70 or 14 broiler were 5-week-old
and 30 or 6 broilers were 6-week old, which then, from the 20 broilers
were divided into two treatment groups, namely Samu Modification
technique and Kessler Modification technique, respectively 10 broilers.
These data are in accordance with the inclusion and exclusion criteria in
intake of sample.
c. Frequency Distribution Based on Body Weight
30 70
1400 gram 1500 gram
Diagram 6 Frequency distribu-tion based on body weight of
research sample in analysis II
b. Frequency Distribution Based on Gender
100 Jantan
Diagram 5 Frequency distribu-tion based on gender of
Based on diagrams 6 is known that sample of 20 broilers
70 or 14 broilers have a weight of 1400 gram and 30 or 6 broilers
have a weight of 1500 gram, which then, from the 20 broilers were
divided into two treatment groups, namely Samu Modification
technique and Kessler Modification techni-que, respectively 10 broilers.
These data are in accordance with the inclusion and exclusion criteria in
research sample
in intake of sample.
analysis II Based on diagrams 5 is
known that sample of 20 broilers 100 or all broilers have a gender of
male, which then, from the 20 broilers were divided into two
treatment groups, namely Samu Modification technique and Kessler
Modification techni-que, respectively 10 broilers. These data are in
accordance with the inclusion and exclusion criteria in intake of sample.
741
N o
Tendon Terputu
s Pada Beban
Kg Strengt
h kgf
Scor e
Categor y
1 1,1
1,1 3
kuat 2
1,1 1,1
3 kuat
3 1,2
1,2 3
kuat 4
1,1 1,1
3 kuat
5 1,2
1,2 3
kuat 6
1,1 1,1
3 kuat
7 1,1
1,1 3
kuat 8
1,2 1,2
3 kuat
9 1,1
1,1 3
kuat 10
0,9 0,9
2 cukup
kuat No
The formed gap Gap
cm Load Kg
1 0,1
0,6 2
0,1 0,7
3 0,1
0,5 4
0,1 0,6
5 0,1
0,6 6
0,1 0,6
7 0,1
0,5 8
0,1 0,7
9 0,1
0,6 10
0,1 0,5
NO The formed gap
Gap cm
Load Kg 1
0,1 0,6
2 0,1
0,6 3
0,1 0,7
4 0,1
0,6 5
0,1 0,6
6 0,1
0,5 7
0,1 0,6
8 0,1
0,7 9
0,1 0,4
10 0,1
0,5
Specific Data 1. Analysis I
a. Formation of connection gap Samu Modification SM
Table 1 Measurement result of the formation of tendon
connection gap with Tendon Suture Technique
of Samu Modification SM
The above table shows that the gap that formed in Kessler
Modification KM techniques is largely formed on the load to 600
grams.
c. Strength of Tendon Suture technique Samu Modification SM
Table 3 Result of strenght Assessment of the tendon
Suture with Samu Modification SM tendon
suture techniques
The above table shows that the gap that formed in
Samu Modification SM techniques is
largely formed on the load to 600 grams.
b. Formation of connection gap Kessler Modification KM
Table 2 Measurement result of the formation of tendon
connection gap with Tendon Suture Technique
of Kessler Modifikasi KM in group B
The above table shows that the strength of the tendon with Samu
Modification SM
techniques, mostly including in strong category.
d. Strength of Tendon Suture technique Kessler Modifica-tion
KM
742
No Tendon
Terputus Pada
Beban Kg
Strength kgf
Score Category
1 1
1 2
cukup kuat
2 1
1 2
cukup kuat
3 1
1 2
cukup kuat
4 0,9
0,9 2
cukup kuat
5 1
1 2
cukup kuat
6 1,2
1,2 3
Kuat 7
1 1
2 cukup
kuat 8
0,9 0,9
2 cukup
kuat 9
1 1
2 cukup
kuat 10
1 1
2 cukup
kuat
No Diameter after
3 weeks Post Test
Formation of Adhesion
SM SM
1 0,6
S 2
0,7 S
3 0,7
S 4
0,7 S
5 0,7
S 6
0,5 T
7 0,7
S 8
0,7 S
9 0,7
S 10
0,7 S
Tabel 4 Result of strenght Assessment of the tendon
Suture with Kessler Modification KM tendon
suture techniques 1
2 3
4 5
6 7
8 9
10 5 weeks
5 weeks 6 weeks
5 weeks 5 weeks
5 weeks 6 weeks
6 weeks 5 weeks
5 weeks 1400
1400 1500
1400 1400
1400 1500
1500 1400
1400 0,4
0,5 0,5
0,5 0,5
0,4 0,5
0,5 0,5
0,5 The above table shows that
the diameter of the tendon before sewn in the treatment group of Samu
Modification SM techniques, most of diameter 0.5 cm.
2 Diameter Post Test Samu
Modification SM technique Table 6 Result of Diameter Change
Assessment in Post Test of Samu Modification SM
Techniques
The above table shows that the strength of the tendon with
Kessler Modification
KM techniques, mostly including in
strong enough category.
Analysis II a. Technique of Samu Modification
SM 1 Diameter of Pre Test
Samu Modification SM technique
Table 5 Result of Diameter Change Assessment in Pre Test of
Samu Modification SM Techniques
Description No
Age Weight
g Diameter
beforet cm
S : little T : None
743
No Selisih
Diameter Cm
Score category
1 0,02
2 cukup
efektif 2
0,02 2
cukup efektif
3 0,02
2 cukup
efektif 4
0,02 2
cukup efektif
5 0,02
2 cukup
efektif 6
0,01 3
efektif 7
0,02 2
cukup efektif
8 0,02
2 cukup
efektif 9
0,02 2
cukup efektif
10 0,02
2 cukup
efektif No
Age Weight
g Diameter
before suture
Cm 1
5 weeks 1400
0,4 2
5 weeks 1400
0,5 3
6 weeks 1500
0,5 4
5 weeks 1400
0,5 5
5 weeks 1400
0,4 6
5 weeks 1400
0,5 7
6 weeks 1500
0,5 8
6 weeks 1500
0,5 9
5 weeks 1400
0,5 10
5 weeks 1400
0,5
No Diameter
after 3 weeks
post test
Formation of Adhesion
KM KM
1 0,5
T 2
0,7 S
3 0,6
T 4
0,6 T
5 0,5
T 6
0,6 T
7 0,6
T 8
0,6 T
The above table shows that the diameter of the tendon after sewn
in the treatment group of Samu Modification SM techniques, most
of diameter 0.7 cm. Kessler Modification KM
Techniques
3 Effectiveness Modification
of SM
Samu Suture
Technique Table 7 Result of Effective-ness
Assessment of Samu Modification SM
Techniques
The above table shows that the diameter of the tendon before
sewn in the treatment group of Kessler
Modification KM
techniques, most of diameter 0.5 cm. 2 Diameter Post Test
Kessler Modification KM technique
Table 9 Result of Diameter Change Assessment in Post Test of
Kessler Modification SM Techniques
The above table shows that the effectiveness of tendon sutures
with Samu Modification techniques SM, largely in category of quite
effective.
b. Technique of Kessler Modification KM
1 Diameter of
Pre Test Kessler
Modification KM
technique Table 8 Result of Diameter Change
Assessment in Pre Test of
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