Comparison of three suture techniques and three suture materials on gap formation and failure load in ruptured tendons: a human cadaveric study

Petri, Maximilian; Ettinger, Max; Dratzidis, Antonios; Liodakis, Emmanouil; Brand, Stephan; Albrecht, Urs‐Vito; Hurschler, Christof; Krettek, Christian; Jagodzinski, Michael

doi:10.1007/s00402-011-1452-9

Cited by 24 publications

(15 citation statements)

References 16 publications

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“…A cadaveric biomechanical study in the context of hamstring tendon rupture repair, which tested 3 suture materials and techniques, concluded that the Fiberwire-Baseball combination was most durable, whereas the Fiberwire-Kessler combination showed the lowest elongation after cyclic loading. 26 This study exemplifies the need for further research in tendon rupture repair efficacy. 11 An additional factor, aside from suture material and technique, is the repair attachment technique.…”

Section: Discussionmentioning

confidence: 70%

Proximal Patellar Tendon Repair: Internal Brace Technique With Unicortical Buttons and Suture Tape

Sánchez

Ferrari

Sanchez

et al. 2017

Arthroscopy Techniques

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Patellar tendon ruptures may be considerably limiting, especially in younger and highly active patients. These injuries ultimately result in a complete inability to maintain extension of the knee, thereby placing strict impediment on physical activity. As a result, a durable repair construct via surgery is necessary to allow patients to return to their preinjury activity level. Because of the inherent difficulty in maintaining patellar tendon position after repair, and to avoid failure of the tendon healing to the patella, we recommend using an internal brace construct. The construct uses bone tunnels in the patella and also cortical buttons on the tibia with suture tape whipstitched through the tendon. We feel that this provides an enhanced fixation construct. The purpose of this Technical Note is to describe our preferred method for proximal patellar tendon repair via an internal brace construct with unicortical buttons and suture tape.

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Section: Discussionmentioning

confidence: 70%

Proximal Patellar Tendon Repair: Internal Brace Technique With Unicortical Buttons and Suture Tape

Sánchez

Ferrari

Sanchez

et al. 2017

Arthroscopy Techniques

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“…In a similar way, we looked for IL-1β and MMP-13 expression levels in all groups and found that both genes were highly expressed in tendons repaired with Ethibond Excel ® when compared with other suture material groups. (21). However, although these studies provide information about holding capacity and pull-out strength of different suture materials, all are in vitro studies and provide information only about instantaneous tensile strength at time zero.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Different Suture Materials on Achilles Tendon Metabolism: A Preliminary in vivo Study of mRNA levels in Rabbits

Ergün

Alakbarov²,

Yılmaz

et al. 2019

Muscle Ligaments and Tendons J

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Backround. Different suture materials are preferable for the repair of Achilles tendon ruptures. The effect of the sutures on the biological level on a repair scenario is still tentative. The purpose of this study is to show the effects of Vicryl ® , Ethibond ® and PDS ® II on Achilles tendons at mRNA levels. Methods. 36 Achilles tendons of 18 White New Zealand Rabbit were divided into four groups (n:9). Acute tendon rupture model was created and three groups were repaired with each of the aforementioned sutures (fourth was the control group). At day twelve, mRNA was isolated from each tendon, and expression levels of Collagen (COL) 1A2, COL3A1, Decorin, Matrix Metalloproteinase (MMP) 13 and Interleukin (IL) 1β were measured quantitatively and compared. Results. Tendons repaired with PDS ® II showed high COL1A2, COL3A1 and decorin expression levels (p<0.05). MMP-13 expression was high in Ethibond ® group when compared with PDS ® II (p<0.05). High IL-1β expression in tendons repaired with Ethibond ® was found (p>0.05). Conclusions. Tendons repaired with PDS ® II are found to have superior properties regarding extracellular matrix component synthesis-degradation, and inflammatory cytokine production at mRNA levels when compared to Vicryl ® and Ethibond ®. These results can be a guide to surgeons regarding suture choice in Achilles tendon repairs.

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“…The free end is then whip stitched for a distance of 30 mm with a high-resistance #2 suture ( Fig. 17.6 ), which has shown to withstand considerable maximum failure loads [ 25 ]. These sutures allow pulling from them in the next step; thus, commonly pulling with an aggressive Kocher forceps is avoided, and the tendon is not damaged.…”

Section: Harvest With a Closed Tendon Strippermentioning

confidence: 99%

Graft Harvest and Preparation

Monllau

Petersen

Fink³

et al. 2014

Anterior Cruciate Ligament Reconstruction

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Among the various surgical procedures for correcting knee instability after ACL injury, the standard method of treatment is intra-articular ACL reconstruction with autogenous tissues. The bone-patellar tendon-bone autograft had been traditionally considered as the gold-standard surgical option. However, in an effort to minimize the donor-site morbidity associated to its harvest, semitendinosus tendon (ST) and gracilis tendon (GT) are increasingly used for ACL reconstruction. The doubled ST and GT grafts have greater mechanical strength than a bone-patellar tendonbone complex [ 22 ], and the donor-site morbidity

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Comparison of three suture techniques and three suture materials on gap formation and failure load in ruptured tendons: a human cadaveric study

Abstract: These findings may be of relevance for the future clinical treatment of tendon ruptures. Further in vivo clinical application studies are desirable for the future.

Cited by 24 publications

References 16 publications

Proximal Patellar Tendon Repair: Internal Brace Technique With Unicortical Buttons and Suture Tape

Proximal Patellar Tendon Repair: Internal Brace Technique With Unicortical Buttons and Suture Tape

The Effect of Different Suture Materials on Achilles Tendon Metabolism: A Preliminary in vivo Study of mRNA levels in Rabbits

Graft Harvest and Preparation

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