Meta-analysis on biomechanical properties of meniscus repairs: are devices better than sutures?
| LEADER | caa a22 4500 | ||
|---|---|---|---|
| 001 | 605456119 | ||
| 003 | CHVBK | ||
| 005 | 20210128100216.0 | ||
| 007 | cr unu---uuuuu | ||
| 008 | 210128e20150101xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-014-2966-9 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-2966-9 | ||
| 245 | 0 | 0 | |a Meta-analysis on biomechanical properties of meniscus repairs: are devices better than sutures? |h [Elektronische Daten] |c [Daniel M. Buckland, Patrick Sadoghi, Matthias Wimmer, Patrick Vavken, Geert Pagenstert, Victor Valderrabano, Claudio Rosso] |
| 520 | 3 | |a Purpose: Meniscal repair devices have been extensively tested during the past decades as reported in the literature. Reviewing the different meniscal repair devices and sutures with their respective biomechanical properties. Methods: For this meta-analysis, we conducted a systematic online search using PubMed, EMBASE, CCTR, and CINAHL using the search terms Meniscus OR Meniscal AND Biomechanics AND Repair). Load-to-failure (LtF), stiffness, and cyclic outcome measures were extracted independently and in duplicate. The systematic search revealed 841 manuscripts in total. After exclusion of duplicates and irrelevant publications, 41 studies remained for final analysis. The studies were published in English and German from 1995 to 2013. Due to differing cyclic force protocols, cyclic outcomes had to be excluded. Results: Overall, sutures had a higher LtF [suture: 87.7±0.3N (weighted mean±standard error), device: 56.3±0.1N] and stiffness (suture: 8.9±0.04N/mm, device: 8.6±0.04N/mm) than devices, both p<0.05. In LfT testing, PDS 0 Vertical (145.0±8.1N), OrthoCord 2-0 (143.6±11.3N), and Ethibond No 0 Vertical (133.4±7.7N) were the strongest sutures and Meniscal Viper (140.9±5.1N), MaxFire Vertical (136.2±11.3N), and FasT-Fix Vertical (115.2±1.6N) were the strongest devices. Second-generation devices were significantly stronger and stiffer than first-generation devices (p<0.001). Clinical relevance: Suture repair remains the gold standard with a vertically oriented suture configuration showing superior LtF values compared to a horizontal configuration. Nevertheless, some meniscal repair devices have similar biomechanical properties to suture repairs. Both suture repairs and devices have a place in meniscal restoration. Level of evidence: None, meta-analysis of controlled laboratory studies. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Meniscus |2 nationallicence | |
| 690 | 7 | |a Repair |2 nationallicence | |
| 690 | 7 | |a Biomechanics |2 nationallicence | |
| 690 | 7 | |a Load-to-failure |2 nationallicence | |
| 690 | 7 | |a Stiffness |2 nationallicence | |
| 690 | 7 | |a Devices |2 nationallicence | |
| 700 | 1 | |a M. Buckland |D Daniel |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | |
| 700 | 1 | |a Sadoghi |D Patrick |u Department of Orthopaedic Surgery, Medical University Graz, Graz, Austria |4 aut | |
| 700 | 1 | |a Wimmer |D Matthias |u Department of Orthopaedic Surgery, University Hospital Bonn, Bonn, Germany |4 aut | |
| 700 | 1 | |a Vavken |D Patrick |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | |
| 700 | 1 | |a Pagenstert |D Geert |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | |
| 700 | 1 | |a Valderrabano |D Victor |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | |
| 700 | 1 | |a Rosso |D Claudio |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/1(2015-01-01), 83-89 |x 0942-2056 |q 23:1<83 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-2966-9 |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 review-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-2966-9 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a M. Buckland |D Daniel |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sadoghi |D Patrick |u Department of Orthopaedic Surgery, Medical University Graz, Graz, Austria |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Wimmer |D Matthias |u Department of Orthopaedic Surgery, University Hospital Bonn, Bonn, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Vavken |D Patrick |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Pagenstert |D Geert |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Valderrabano |D Victor |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Rosso |D Claudio |u Orthopaedic Department, University Hospital Basel, Spitalstrasse 21, 4031, Basel, Switzerland |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), 83-89 |x 0942-2056 |q 23:1<83 |1 2015 |2 23 |o 167 | ||