Biomechanical evaluation of meniscal root repair: a porcine study
Gespeichert in:
Verfasser / Beitragende:
[Ekkehard Röpke, Sebastian Kopf, Steffen Drange, Roland Becker, Christoph Lohmann, Christian Stärke]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 45-50
Format:
Artikel (online)
Online Zugang:
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| 024 | 7 | 0 | |a 10.1007/s00167-013-2589-6 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-013-2589-6 | ||
| 245 | 0 | 0 | |a Biomechanical evaluation of meniscal root repair: a porcine study |h [Elektronische Daten] |c [Ekkehard Röpke, Sebastian Kopf, Steffen Drange, Roland Becker, Christoph Lohmann, Christian Stärke] |
| 520 | 3 | |a Purpose: Meniscal root repair is commonly practised using transtibial pull-out sutures. The purpose of the study was to investigate whether these are effective in restoring contact of the root to its footprint and a normal loading pattern of the cartilage under restricted loading conditions as used post-operatively. Methods: First, a transtibial pull-out suture was simulated using porcine menisci (n=10). It was repetitively loaded (100×; 1-10N) and the elongation of the suture determined. In the second part of the study, porcine knees (n=8) were subjected to repetitive low-level femoro-tibial loads (50 cycles; 100N). A displacement sensor measured the deformation of the cartilage in the area of femoro-tibial contact. The residual deformation of the cartilage, which results from its viscoelastic behaviour, was determined as a measure of the local stress. Three scenarios were investigated: meniscal root intact, detached, and repaired. Results: Repetitive loading caused a median suture elongation of 3.8mm. Residual deformation of the cartilage was increased (p=0.047) with the root detached. Root repair could not restore it to normal (n.s.). Conclusions: In this model, meniscus root repair was not effective in restoring the normal loading pattern of the cartilage because cyclic loading caused an elongation of the repair. Clinical relevance: In practice, this effect might impair the healing of repaired meniscal roots to the tibial bone. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2013 | ||
| 690 | 7 | |a Meniscus root |2 nationallicence | |
| 690 | 7 | |a Meniscus horn |2 nationallicence | |
| 690 | 7 | |a Transtibial repair |2 nationallicence | |
| 690 | 7 | |a Root repair |2 nationallicence | |
| 690 | 7 | |a Cartilage |2 nationallicence | |
| 700 | 1 | |a Röpke |D Ekkehard |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | |
| 700 | 1 | |a Kopf |D Sebastian |u Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany |4 aut | |
| 700 | 1 | |a Drange |D Steffen |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | |
| 700 | 1 | |a Becker |D Roland |u Department of Trauma and Orthopedic Surgery, Municipal Hospital Brandenburg, Brandenburg, Germany |4 aut | |
| 700 | 1 | |a Lohmann |D Christoph |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | |
| 700 | 1 | |a Stärke |D Christian |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 45-50 |x 0942-2056 |q 23:1<45 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-013-2589-6 |q text/html |z Onlinezugriff via DOI |
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-013-2589-6 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Röpke |D Ekkehard |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kopf |D Sebastian |u Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Drange |D Steffen |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Becker |D Roland |u Department of Trauma and Orthopedic Surgery, Municipal Hospital Brandenburg, Brandenburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lohmann |D Christoph |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Stärke |D Christian |u Department of Orthopedic Surgery, Otto-von-Guericke-University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, 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), 45-50 |x 0942-2056 |q 23:1<45 |1 2015 |2 23 |o 167 | ||