" In the interlock stitch suture technique, locking loops produce improved strength and gap resistance after flexor tendon repair compared with the grasping loops used in the modified Kessler suture technique 7. Additionally, various cross-locked cruciate tendon sutures 8 with diverse biomechanical properties have been developed from interlock stitch sutures and have become common alternatives for flexor tendon repair. However, the interlock stitch suture technique is time-consuming and relatively complex, hindering its wide application in clinical practice. Liu et al. 9 modified the Kessler-loop lock suture to enhance resistance strength. However, the use of two knots in the repaired area could lead to a high risk of early failure, suture slippage, and tendon torsion" (emphasis added). - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5629735/

"Pijanowski et al. (25) compared the tensile (resistance) strength (durability) of four different suture techniques and found that the SI and Mason-Allen suture techniques had very similar but lower rupture strengths compared to the BM and Kessler suture techniques" (empahsis added). - https://cyberleninka.org/article/n/1503225


Please note: Due to time constraints, I won't be able to read and/or respond to any peer comments. The Asker is welcome to contact me (via inbox) if any clarification is needed. Thank you.