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Anchor Suture Technique for Muscle Belly Repair

Julien, Terrill P. MD*; Mudgal, Chaitanya S. MD

Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e318220e75a

Upper extremity lacerations occur frequently. Although surgical indications for tendon repair are widely accepted, indications for repairing the midsubstance of muscles are not as clear. As the standard of care for muscle repair is absent, there are a variety of techniques available to the treating surgeon. In this study, we describe a technique used on several patients seen in our orthopedic practice. The use of orthogonally placed anchor sutures allows for more reliable suture passes and purchase in the muscle belly compared with simple end-to-end approximation. Furthermore, our technique does not introduce excessive foreign material as has been suggested by previous techniques.

Author Information

*Harvard Combined Orthopaedic Residency Program

Orthopaedic Surgery, Harvard Medical School, Orthopaedic Hand Service, Massachusetts General Hospital, Boston, MA

Conflicts of Interest: The authors report no conflicts of interest.

Address correspondence and reprint requests to Chaitanya S. Mudgal, MD, Yawkey Center, Suite 2100, Program Director, Hand Fellowship Program, Interim Chief, Orthopaedic Hand Service, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114. e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.