Biomechanical evaluation of different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears

Verfasser / Beitragende:
[Matthias Feucht, Eduardo Grande, Johannes Brunhuber, Nikolaus Rosenstiel, Rainer Burgkart, Andreas Imhoff, Sepp Braun]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 132-139
Format:
Artikel (online)
ID: 605455740
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024 7 0 |a 10.1007/s00167-013-2656-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2656-z 
245 0 0 |a Biomechanical evaluation of different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears  |h [Elektronische Daten]  |c [Matthias Feucht, Eduardo Grande, Johannes Brunhuber, Nikolaus Rosenstiel, Rainer Burgkart, Andreas Imhoff, Sepp Braun] 
520 3 |a Purpose: To evaluate the biomechanical properties of four different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears, with special focus on the meniscus-suture interface. Methods: Forty fresh-frozen lateral porcine menisci were used. The posterior meniscus root was sutured in a standardized fashion with a simple stitch using four different suture materials: group A, No. 2 PDS™; group B, No. 2 Ethibond™; group C, No. 2 FiberWire™; and group D, 2-mm Fibertape™. Meniscus-suture constructs were subjected to cyclic loading followed by load-to-failure testing using a servo-hydraulic material testing machine. Results: During cyclic loading, group D showed a significantly higher displacement after 100, 500, and 1,000 cycles compared to group A (p<0.001, p=0.001, and p=0.001), and a significantly higher displacement after 100 and 500 cycles compared to group B (p=0.010 and p=0.045). Group C showed a significantly higher displacement compared to group A after 100 cycles (p=0.008). The highest maximum load was observed in group D, with significant differences compared to group A (p=0.013). Group B showed a significantly higher stiffness compared to group A (p=0.023), and both group C and group D showed a significantly higher stiffness compared to group A and group B (p<0.001). Conclusion: None of the evaluated suture materials provided clearly superior properties over the others during both cyclic loading and load-to-failure testing. Based on the results of this study, FiberWire™ may be the preferred suture material for transtibial pull-out repair of posterior meniscus root tears because of comparably low displacement during cyclic loading and high values for maximum load and stiffness. In the clinical setting, FiberWire™ may improve healing rates and avoid progressive extrusion of the meniscus after transtibial pull-out repair of posterior meniscus root tears. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Meniscus root  |2 nationallicence 
690 7 |a Root repair  |2 nationallicence 
690 7 |a Pull-out repair  |2 nationallicence 
690 7 |a Suture material  |2 nationallicence 
690 7 |a FiberWire  |2 nationallicence 
690 7 |a FiberTape  |2 nationallicence 
700 1 |a Feucht  |D Matthias  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
700 1 |a Grande  |D Eduardo  |u Department of Orthopaedics, Biomechanic Lab, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
700 1 |a Brunhuber  |D Johannes  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
700 1 |a Rosenstiel  |D Nikolaus  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
700 1 |a Burgkart  |D Rainer  |u Department of Orthopaedics, Biomechanic Lab, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
700 1 |a Imhoff  |D Andreas  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
700 1 |a Braun  |D Sepp  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 132-139  |x 0942-2056  |q 23:1<132  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2656-z  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Feucht  |D Matthias  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Grande  |D Eduardo  |u Department of Orthopaedics, Biomechanic Lab, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Brunhuber  |D Johannes  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rosenstiel  |D Nikolaus  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Burgkart  |D Rainer  |u Department of Orthopaedics, Biomechanic Lab, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imhoff  |D Andreas  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Braun  |D Sepp  |u Department of Orthopaedic Sports Medicine, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 132-139  |x 0942-2056  |q 23:1<132  |1 2015  |2 23  |o 167