Biomechanical comparison of three methods for distal Achilles tendon reconstruction

Verfasser / Beitragende:
[Ziying Wu, Yinghui Hua, Hongyun Li, Shiyi Chen, Yunxia Li]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3756-3760
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3176-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3176-1 
245 0 0 |a Biomechanical comparison of three methods for distal Achilles tendon reconstruction  |h [Elektronische Daten]  |c [Ziying Wu, Yinghui Hua, Hongyun Li, Shiyi Chen, Yunxia Li] 
520 3 |a Purpose: To compare the load at failure and stiffness associated with three surgical techniques for distal Achilles tendon reconstruction (AT). Methods: Nine matched pairs of fresh-frozen human cadaveric ATs were divided into three groups. Distal AT reconstruction was performed using suture anchors or one of two lengths of tendon overlap (10 or 5mm). Each tendon was loaded to failure. The load at failure (N), stiffness (N/mm), and mode of failure were recorded. Differences in load at failure and stiffness were analysed. Results: Mean load at failure was significantly higher in the 10-mm group than in the 5-mm group (p<0.05) or the suture-anchor group (p<0.05). Load at failure did not differ significantly between the suture-anchor and 5-mm group, and stiffness did not differ significantly between any two groups. In the 10- and 5-mm groups, failure was caused by the grafts pulling out through the substance of the AT. Modes of failure varied in the suture-anchor group. Conclusions: The load at failure was higher in the 10-mm group than in the 5-mm and suture-anchor groups. Although all three surgical techniques provide sufficient primary load-bearing ability, the 10-mm tendon-overlap technique may be more conducive to early post-operative rehabilitation. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Chronic Achilles tendon rupture  |2 nationallicence 
690 7 |a Achilles tendon reconstruction  |2 nationallicence 
690 7 |a Suture anchor  |2 nationallicence 
700 1 |a Wu  |D Ziying  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
700 1 |a Hua  |D Yinghui  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
700 1 |a Li  |D Hongyun  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
700 1 |a Chen  |D Shiyi  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
700 1 |a Li  |D Yunxia  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3756-3760  |x 0942-2056  |q 23:12<3756  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3176-1  |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/s00167-014-3176-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wu  |D Ziying  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hua  |D Yinghui  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Hongyun  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Shiyi  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Yunxia  |u Department of Sports Medicine, Huashan Hospital, Fudan University, Wulumuqi Middle Road No.12, Shanghai, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3756-3760  |x 0942-2056  |q 23:12<3756  |1 2015  |2 23  |o 167