Biomechanical evaluation of different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears
Gespeichert in:
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)
Online Zugang:
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| 024 | 7 | 0 | |a 10.1007/s00167-013-2656-z |2 doi |
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| 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 | |
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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 | ||