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Therapeutic ultrasound did not increase the mechanical properties of flexor tendons after their repair

OBJECTIVE: Experimental study idealized to investigate the mechanical properties of deep flexor tendons of rabbits that underwent the tenotomy followed by tenorrhaphy and early application of therapeutic ultrasound with different intensities, in comparison to tendons submitted to tenorrhaphy only. MATERIAL AND METHOD: Forty-four rabbits were divided into four experimental groups according to the ultrasound application. They were all submitted to a section of deep flexor tendon in zone 2 and immobilized with an orthosis maintained throughout the experiment. Group A received ultrasonic treatment with an intensity of 1.4 W/cm², group B with 0.6 W/cm², both in continuous mode, group C with 0.6 W/cm² SATA, in pulsated mode at 50% and group D did not receive any ultrasonic treatment. The ultrasonic frequency employed was 1 MHz. After euthanasia, the tendons were dissected and submitted to the mechanical test of traction and qualitative histological analysis. The evaluated mechanical properties were: maximum force, deformation in maximum force and stiffness. RESULTS: There were no statistically significant differences among the experimental groups. CONCLUSION: Therapeutic ultrasound did not improve the mechanical properties of the flexor tendons after repair.

Ultrasonic therapy; Tendon injuries; Biomechanics


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