A cruciate suture technique for rotator cuff repair

Verfasser / Beitragende:
[Jonathon Caldow, Martin Richardson, Subash Balakrishnan, Tony Sobol, Peter Lee, David Ackland]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/2(2015-02-01), 619-626
Format:
Artikel (online)
ID: 605460264
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024 7 0 |a 10.1007/s00167-014-3474-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3474-7 
245 0 2 |a A cruciate suture technique for rotator cuff repair  |h [Elektronische Daten]  |c [Jonathon Caldow, Martin Richardson, Subash Balakrishnan, Tony Sobol, Peter Lee, David Ackland] 
520 3 |a Purpose: Re-establishment of the native footprint during rotator cuff repair is important for maximizing healing potential and fixation strength. The purpose of this study was to evaluate the contact area, contact pressure, stiffness and tensile strength of a new single-row cruciate suture repair and to compare these results to those of the Mason-Allen, double-row and transosseous repairs. Methods: Infraspinatus tendons from fifty-six lamb shoulders were harvested and randomly assigned to cruciate suture, Mason-Allen, double-row and transosseous repair groups. Repairs were performed over pressure-sensitive film and footprint contact area and pressure measured. Repaired tendon specimens were also loaded in uniaxial tension, and ultimate tensile strength and stiffness measured. Results: The cruciate suture repair established significantly greater footprint contact area compared to the Mason-Allen repair (mean difference=101mm2, p=0.003). The ultimate tensile strength and stiffness of the double-row repair was significantly higher than that of all other repair groups (p<0.05). The average footprint contact pressure of the cruciate suture repair (0.78MPa) was similar to that of the Mason-Allen (0.74MPa) and double-row repairs (0.79MPa). The ultimate tensile strength of the cruciate suture repair was significantly greater than that of the transosseous repair (mean difference 62.4N, p=0.002). Conclusion: The cruciate suture repair may improve strength and healing at the repaired tendon rotator cuff insertion relative to other single-row repair techniques. It may represent a faster, easier and more cost-effective alternative to double-row repairs. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Shoulder  |2 nationallicence 
690 7 |a Tendon  |2 nationallicence 
690 7 |a Footprint  |2 nationallicence 
690 7 |a Contact area  |2 nationallicence 
690 7 |a Pressure  |2 nationallicence 
690 7 |a Stiffness  |2 nationallicence 
690 7 |a Surgery  |2 nationallicence 
700 1 |a Caldow  |D Jonathon  |u Department of Mechanical Engineering, University of Melbourne, 3010, Parkville, VIC, Australia  |4 aut 
700 1 |a Richardson  |D Martin  |u Department of Orthopaedic Surgery, Epworth Healthcare, 3121, Richmond, VIC, Australia  |4 aut 
700 1 |a Balakrishnan  |D Subash  |u Department of Orthopaedic Surgery, Westmead Children's Hospital, 2145, Westmead, NSW, Australia  |4 aut 
700 1 |a Sobol  |D Tony  |u Department of Orthopaedic Surgery, Epworth Healthcare, 3121, Richmond, VIC, Australia  |4 aut 
700 1 |a Lee  |D Peter  |u Department of Mechanical Engineering, University of Melbourne, 3010, Parkville, VIC, Australia  |4 aut 
700 1 |a Ackland  |D David  |u Department of Mechanical Engineering, University of Melbourne, 3010, Parkville, VIC, Australia  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 619-626  |x 0942-2056  |q 23:2<619  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3474-7  |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/s00167-014-3474-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Caldow  |D Jonathon  |u Department of Mechanical Engineering, University of Melbourne, 3010, Parkville, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Richardson  |D Martin  |u Department of Orthopaedic Surgery, Epworth Healthcare, 3121, Richmond, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Balakrishnan  |D Subash  |u Department of Orthopaedic Surgery, Westmead Children's Hospital, 2145, Westmead, NSW, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sobol  |D Tony  |u Department of Orthopaedic Surgery, Epworth Healthcare, 3121, Richmond, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Peter  |u Department of Mechanical Engineering, University of Melbourne, 3010, Parkville, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ackland  |D David  |u Department of Mechanical Engineering, University of Melbourne, 3010, Parkville, VIC, Australia  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/2(2015-02-01), 619-626  |x 0942-2056  |q 23:2<619  |1 2015  |2 23  |o 167