Formation of tendon connection gap with Kessler Modification KM

technique SM. Statistical tests to prove the significance of the comparison of this both technique is þ α 0.00 0.05. Which means that H1 is accepted that there are significant comparisons on the level of effectiveness of tendon suture technique between Samu Modification SM with Kessler Modification KM Besides suturing technique, a lot of things that affect the success of tendon grafting surgery, however there are three factors that play an important role, namely: Strength of tendon sutures, postoperative mobilization, good nutrition tendon Surya, 2004. Comparative effectiveness on the research is considered of great small changes in the diameter of the tendon, before and after connected with these two techniques. The Technique of Kessler Modification KM is more function properly. Gliding or movement of the tendon can be restrained because adhesion, caused by the pull of the tendon in the first 3 weeks of healing, inflammatory reaction caused by infection or sutures that are not sterile and circulatory disorders from the tendon base. The effectiveness of different suture techniques is caused by Samu modification techniques SM is more atraumatic that causes granulation tissue and connective tissue is fewer so the possibility of adhesion can be eliminated. Granulation tissue and connective tissue has a contribution in terms of adhesion formation, which in the end inhibits movement during early mobilization. In addition, the technique of Samu Modification SM has a knot on both sides of the tendon that prevents suture become loose or even release, thus minimizing the gap formation that effective than the technique of Samu is formed. Kessler Modification Modification SM, this is due to the changes in diameter that are formed on the Kessler Modification technique KM is minimal, if compared with the technique of Samu modification, because in the technique of Kessler Modification KM formed a minimal gap at the connection of the tendon, so it does not allow growth of new tissue around the tendon that will form adhesions. The effectiveness of different suture is caused by the Kessler technique Modification KM, the formation of adhesions or adhesions are less or minimal cause granulation tissue and connective tissue that is a little more so the possibility of adhesion can be Techniques KM which criss-cross has a tendency to disturb the vascularization of intratendon. Conclusion 1. The formation of Tendon connection gap with technique of Samu Modification SM By using the test load continuously and progressively, obtained the data gaps that formed, most of the load to 600 grams, because Samu modification techniques SM are not too many punctures Suturing.

2. The formation of Tendon connection gap with technique of Kessler

Modification SM eliminated. Granulation tissue and By using the test load continuously connective tissue has a contribution in terms of adhesion formation, which in and progressively, obtained the data gaps that formed, most of the load to the end inhibits movement while early 600 grams, because Kessler mobilization. Almost completely, the healing tendon that has been sutured for the cellular response of the essence, because the penetration or capillary pressure on the tendon. This is also going to cause adhesion, or adhesions that prevention efforts are needed, in an effort to tendon healing process, so that the results of the tendon connection can 754 modification techniques SM are not too many punctures Suturing.

3. The strength of tendon suture with technique of Samu Modification SM

Strength of Samu Modification techniques mostly 1.1 Kgf, and includes in category of quite strong, because there are too many punctures suturing.