دورية أكاديمية
A Biomechanical Comparison of High-Tensile Strength Tape Versus High-Tensile Strength Suture for Tendon Fixation Under Cyclic Loading.
| العنوان: | A Biomechanical Comparison of High-Tensile Strength Tape Versus High-Tensile Strength Suture for Tendon Fixation Under Cyclic Loading. |
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| المؤلفون: | Le AH; DoD-VA Extremity Trauma and Amputation Center of Excellence, Walter Reed National Military Medical Center, Bethesda. Electronic address: leanth@oregonstate.edu., Roach WB; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda., Mauntel TC; DoD-VA Extremity Trauma and Amputation Center of Excellence, Walter Reed National Military Medical Center, Bethesda; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda., Hendershot BD; DoD-VA Extremity Trauma and Amputation Center of Excellence, Walter Reed National Military Medical Center, Bethesda; Department of Rehabilitation Medicine, Uniformed Services University of the Health Science, Bethesda., Helgeson MD; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda., Colantonio DF; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda., Fredericks DR; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda., Slaven SE; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda., Pisano AJ; Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda., LeClere LE; Department of Orthopaedic Surgery, Naval Health Clinic, United States Naval Academy, Annapolis, Maryland, U.S.A. |
| المصدر: | Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association [Arthroscopy] 2021 Sep; Vol. 37 (9), pp. 2925-2933. Date of Electronic Publication: 2021 Apr 23. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: W.B. Saunders Co Country of Publication: United States NLM ID: 8506498 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1526-3231 (Electronic) Linking ISSN: 07498063 NLM ISO Abbreviation: Arthroscopy Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : W.B. Saunders Co. Original Publication: [New York, N.Y.] : Raven Press, [c1985- |
| مواضيع طبية MeSH: | Achilles Tendon*/surgery , Suture Techniques*, Biomechanical Phenomena ; Humans ; Sutures ; Tensile Strength |
| مستخلص: | Purpose: To compare the biomechanical properties of high-tensile strength tape and high-tensile strength suture across 2 selected stitch techniques, the Krackow and whip stitch, in securing tendinous tissue during 5,000 cycles of nondestructive loading followed by a load to failure. Methods: Fourteen matched pairs each of cadaveric Achilles, quadriceps, and patellar tendons (n = 84) were randomly assigned to either Krackow or whip stitch and sutured with either 2-mm high-tensile strength tape or No. 2 high-tensile strength suture. Specimens were preloaded to 20 N, cyclically loaded from 20 to 200 N for 5,000 cycles at 2 Hz, and then loaded to failure at 200 mm/min. Linear mixed models evaluated the effects of suture material and stitch technique on cyclic normalized tendon-suture elongation, total normalized tendon-suture elongation at 5,000 cycles, and maximum load at failure. Results: Across all suture constructs, normalized elongation was greater during the initial 10 cycles, compared with all subsequent cycling intervals (all P < .001). There was less total normalized elongation (β = -0.239; P = .007) and greater maximum load at failure in tape (β = 163.71; P = .014) when used in the Krackow stitch compared with the whip stitch. Conclusions: Our findings indicate that tape used in the Krackow stitch maintains the most favorable fixation strength after enduring cyclic loading, with greater maximum load at failure. In addition, overall normalized elongation during long-term cyclic loading was predominately affected by the stitch technique used, regardless of the suture material; however, tape allowed less normalized elongation during the initial loading cycles, especially when placed in the whip stitch. Clinical Relevance: Understanding the potential short- and long-term outcomes of suture material and stitch technique on securing tendinous tissue under repetitive stresses can help inform clinicians on optimal tendon fixation techniques for early postoperative activities. (Copyright © 2021 Arthroscopy Association of North America. All rights reserved.) |
| التعليقات: | Comment in: Arthroscopy. 2021 Sep;37(9):2934-2936. (PMID: 34481631) |
| تواريخ الأحداث: | Date Created: 20210426 Date Completed: 20210917 Latest Revision: 20220531 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.arthro.2021.04.016 |
| PMID: | 33901508 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1526-3231 |
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| DOI: | 10.1016/j.arthro.2021.04.016 |