Novel single-loop and double-loop knot stitch in comparison with the modified Mason-Allen stitch for rotator cuff repair

Verfasser / Beitragende:
[Stephan Frosch, Gottfried Buchhorn, Anja Hoffmann, Peter Balcarek, Jan Schüttrumpf, Florian August, Klaus Stürmer, Hans Walde, Tim Walde]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1552-1558
Format:
Artikel (online)
ID: 605459908
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024 7 0 |a 10.1007/s00167-014-2976-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2976-7 
245 0 0 |a Novel single-loop and double-loop knot stitch in comparison with the modified Mason-Allen stitch for rotator cuff repair  |h [Elektronische Daten]  |c [Stephan Frosch, Gottfried Buchhorn, Anja Hoffmann, Peter Balcarek, Jan Schüttrumpf, Florian August, Klaus Stürmer, Hans Walde, Tim Walde] 
520 3 |a Purpose: In rotator cuff repair, strong and long-lasting suturing techniques that do not require additional implants are needed. This study examines the ultimate load to failure and the Young's modulus at the suture-tendon interface for a novel single-loop knot stitch and double-loop knot stitch. These values are compared to those of the modified Mason-Allen stitch. Methods: Twenty-four infraspinatus muscles with tendons were dissected from porcine shoulders (twelve Goettingen minipigs). The preparations were randomly allocated to three groups of eight samples. Load-to-failure testing of the single-loop knot stitch, the double-loop knot stitch and the mMAS were performed using a Zwick 1446 universal testing machine (Zwick-Roell AG, Ulm, Germany). Results: The highest ultimate load to failure for the three techniques occurred with the double-loop knot stitch with a median value of 382.2N (range 291.8-454.2N). These values were significantly higher than those of the single-loop knot stitch, which had a median value of 259.5N (range 139.6-366.3N) and the modified Mason-Allen stitch, which had a median value of 309.3N (range 84.55-382.9N). The values of the single-loop knot stitch and the modified Mason-Allen stitch did not differ significantly. Regarding the Young's modulus, no significant differences were found between the double-loop knot stitch with a median value of 496.02N/mm² (range 400.4-572.6N/mm²) and the modified Mason-Allen stitch with 498.5N/mm² (range 375.5-749.2N/mm²) with respect to the stiffness of the suture-tendon complex. The median value for the Young's modulus of the single-loop knot stitch of 392.1N/mm² (range 285.7-510.6N/mm²) was significantly lower than those of the double-loop knot stitch and modified Mason-Allen stitch. Conclusion: This in vitro animal study demonstrated that both the single-loop knot stitch and the double-loop knot stitch have excellent ultimate load-to-failure properties when used for rotator cuff repair. The introduced single-loop knot stitch and double-loop knot stitch offer an alternative to other common used stitch techniques in rotator cuff repair. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Rotator cuff repair  |2 nationallicence 
690 7 |a Modified Mason-Allen stitch  |2 nationallicence 
690 7 |a Biomechanical study  |2 nationallicence 
690 7 |a Ultimate load to failure  |2 nationallicence 
690 7 |a Shoulder  |2 nationallicence 
690 7 |a Stitch strength  |2 nationallicence 
700 1 |a Frosch  |D Stephan  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Buchhorn  |D Gottfried  |u Department of Orthopedics, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Hoffmann  |D Anja  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Balcarek  |D Peter  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Schüttrumpf  |D Jan  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a August  |D Florian  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Stürmer  |D Klaus  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Walde  |D Hans  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
700 1 |a Walde  |D Tim  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1552-1558  |x 0942-2056  |q 23:5<1552  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2976-7  |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/s00167-014-2976-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Frosch  |D Stephan  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Buchhorn  |D Gottfried  |u Department of Orthopedics, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hoffmann  |D Anja  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Balcarek  |D Peter  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schüttrumpf  |D Jan  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a August  |D Florian  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Stürmer  |D Klaus  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Walde  |D Hans  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Walde  |D Tim  |u Department of Trauma Surgery, Plastic and Reconstructive Surgery, University Medicine Göttingen, Robert Koch Straße 40, 37075, Göttingen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1552-1558  |x 0942-2056  |q 23:5<1552  |1 2015  |2 23  |o 167