2013
DOI: 10.1053/j.jfas.2013.03.009
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Strength of Different Krackow Stitch Configurations Using High-strength Suture

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Cited by 15 publications
(12 citation statements)
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“…Previous biomechanical studies involving the Krackow technique with varying numbers of throws support the finding that the number of loops had no statistical influence on the maximum load to failure. 4,13,16 We found that there was no difference in the mode to failure with load to failure between the Krackow and whipstitch suture methods. In contrast, Sakaguchi et al 16 found that the whipstitch suture had more pullout compared with the Krackow.…”
Section: Discussionmentioning
confidence: 65%
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“…Previous biomechanical studies involving the Krackow technique with varying numbers of throws support the finding that the number of loops had no statistical influence on the maximum load to failure. 4,13,16 We found that there was no difference in the mode to failure with load to failure between the Krackow and whipstitch suture methods. In contrast, Sakaguchi et al 16 found that the whipstitch suture had more pullout compared with the Krackow.…”
Section: Discussionmentioning
confidence: 65%
“…However, recent studies have shown that increasing the number of loops did not necessarily enhance the biomechanical properties of the Krackow configuration. 4,13 The purpose of our study was to further evaluate the Krackow and the whipstitch techniques by comparing (1) gap formation, (2) tendon elongation, (3) tendon width, (4) ultimate strength, and (5) mode of failure. The secondary aims were to assess the influence of the number of throws on the above parameters, as well as the interaction between number of throws and stitch type.…”
mentioning
confidence: 99%
“…Sakaguchi et al 17 showed that elongation of the Krackow stitch in three 5-paired locking loops was insignificant after 1,500 loading cycles between 50 N and 200 N. McKeon et al 18 tested the Krackow stitch in 2-, 4-, and 6-paired locking loops using porcine Achilles tendons and concluded that the number of paired locking loops (2, 4, or 6) did not affect the amount of elongation at failure. Further, Hapa et al 21 examined the biomechanical characteristics of different Krackow stitch configurations using high-strength sutures (FiberWire; Arthrex). Their results revealed that elongation of the suture loop after cyclic loading (0 to 200 N, 200 cycles) was not significantly different between the 2-and 4-paired locking loops.…”
Section: Discussionmentioning
confidence: 99%
“…[8][9][10] The diameter of the suture, number of locking loops, and number of sutures limbs affects the strength of the construct. 7,11 The consequences of this locking stitch on tissue, however, are unclear. Multiple throws or limbs may exert significant tension on the patellar tendon, potentially compromising arterial blood supply.…”
Section: Introductionmentioning
confidence: 99%