Frequency Distribution Based on Body Weight

the table 4.3 in Chapter 4 with n 1 = 10 dan n 2 = 10, obtained value of U tabel = 19. In fact the value of U calculate is bigger that U table 1019. It mean that there is significant changes or signi-ficant in effectiveness of the tendon suture between tech- nique of Samu Modification SM with technique of Kessler Modification KM. Based on the statistical test of Mann-Whitney U-Test using SPSS 11,5 with significant level of α 0,05, as for the comparison of tendon suture effectiveness between Samu Modification technique SM with Kessler Modification technique KM obtained value of p 0,00. Where p α 0,00 0,05, so that Ho is rejected and H1 is accepted, meaning that there was significant difference or comparison in the tendon suture effectiveness between Samu Modification technique SM with Kessler Modification technique KM. Discussion 1. Formation of tendon connection gap with Samu Modification SM technique Based on Table 5.1 can be known that of all samples that exist in the treatment group Samu modification techniques SM most of the gap formed on the load to 600 grams and a small portion is formed on the load to 700 grams. According to Surya 2004, there are several things to be considered, to make the connection tendon is strong and not easy in the formation of a gap that is the smooth way of work gentle and fine instrument. By looking at Surya opinion above, as a nurse or surgeon, especially orthopedic , should pay attention to way of good work and the selection of appropriate instruments in surgery. Techniques of Samu Modification SM is a new technique that gives quite optimal results, it can be seen on the 747 formation of a gap connections that mostly formed on the load to 600 grams, if we compare it with the strength of the tendon in a preliminary study in which the power of the tendon without sewing, mostly 1,450 Kgf, we can conclude that the formation of gap connection in the tendon with Samu Modification techniques SM almost 50 of the tencon strength before sutured. This is due to the suture technique Samu Modification SM are not too many punctures suture so it does not facilitate the re-occurrence of rupture, so the formation of a gap to be minimized. One target of the tendon connection is to repair or maintain the function of the tendon gliding. the more minimal of gap tendon connection that is formed, the better the tendon gliding function because no tissues are out of the tendon gap. Samu Modification SM Techniques, in this study is enough to prove that this technique produces a strong connection, it can be seen from the formation of gaps when compared with Kessler Modification KM technique, the stronger ones is technique of Samu Modification SM. The formation of the gap connection, this will affect the strength of the tendon suture. The earlier formation of the gap connection the morereducing the strength of the tendon suture. One that affects the formation of this gap is the early mobilization of tendon that has been spliced, with early mobilization, the movement of the tendon will be more maximized so that if the suture of the tendon is not strong, the tendon will be easy to form a gap, when the gap has been formed, it can reduce the strength of the tendon suture. In addition to reducing the strength of the tendon suture, gap formation will facilitate the occurrence of adhesion or a new tissue that will obstruct the process of the tendon gliding, gliding tendon when disturbed, the function of tendons that rupture and have sutured will not be optimal.