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.
4. The strength of tendon suture with technique of Kessler Modification
KM Strength of Samu Modification
techniques mostly 1.1 Kgf, and includes in category of quite strong, because
there are too many punctures suturing. greater that in the Kessler Modification
technique.
Suggestion For Institution
Based on the research result, this study suggested The technique of Samu
5. Diameter of
Tendon Pre-Post Modification SM can be used as an
technique of Samu Modification SM
Difference in tendon diameter pre- post Samu Modification SM mostly of
0.2 cm, because too many punctures suturing.
6. Efektiveness of the suture technique of Samu Modifikasi SM
Technique of Samu Modification SM mostly include in category of quite
active because change in diameter which is little bigger
7. Diameter OF Tendon Pre - Post technique of Kessler Modification
KM Difference in tendon diameter pre-
post Kessler Modification KM mostly of 0.1 cm, because not too many
punctures suturing.
8. Effectiveness of Kessler Modification KM suture technique
Kessler Modification Techniques KM mostly categorized as effective,
because of the minimal changes in tendon diameter.
9. Comparison of Tendon Suture strength between Samu Modification
alternative to surgery, especially orthopedic surgery.
For nursing profession
Considering the results of research on the strength of suture technique Samu
Modification SM, which includes in the category of strong and quite effective, it is
recommended for nurses or other surgeons to use these techniques in surgery,
especially orthopedic surgery.. For Researcher
The researcher hope this research can be improved, such as the use of test
animals, the structure of the tendon is more like a human, such as monkeys and so on.
REFERENCES
Agus. 2010.
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ProsedurPenelitian Suatu
technique SM
and Kessler
Pendekatan Praktek,
Jakarta:
Modification technique KM
The suture of Samu modification technique SM is stronger than the
Kessler Modification technique KM, because in the technique of Kessler
Modification KM there are a lot of punctures or suture so that it facilitate
the occurence of re-rupture.
10. Comparison of Tendon Suture strength between Samu Modification
technique SM and Kessler Modification technique KM
The suture of Kessler modification technique KM is more effective than
the Samu Modification technique SM, because the adding of tendon diameter
in the technique of Samu Modification is
755
Rineka Cipta. Erkadius. 2004.
Ilmu Bedah
, Padang : Universitas Andalas.
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Statistik untuk Penelitian Kesehatan dengan Aplikasi
