Biomechanical evaluation of meniscal root repair: a porcine study

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)
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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 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
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