Surgical Treatment

Cerulli, Giuliano Giorgio; Sebastiani, Enrico; Placella, Giacomo; Tei, Matteo Maria; Speziali, Andrea; Antinolfi, Pierluigi

doi:10.5772/56736

Cited by 11 publications

(13 citation statements)

References 45 publications

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“…In our case, we chose to repair the distal vastus medialis transverse laceration with simple stitches (conventional, non-complex type); as shown by the functional tests our selected suture technique resulted in optimal recovery of the injured muscle. The transverse orientation of the injury could explain the success of the simple stiches used since the latter tend to fail in the longitudinal plane while the complex ones demonstrate failure in the transverse plane 11,12 . The incorporation also of the epimysium significantly improved the biomechanical properties of our sutured muscle belly 13 ; the preservation and suturing of the epimysium increased the resistance of the suture to tensile forces 13,14 .…”

Section: Discussionmentioning

confidence: 99%

Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up

Oliva

VIa

Kiritsi³

et al. 2019

Muscle Ligaments and Tendons J

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Muscle injuries are challenging problems for surgeons. Muscle trauma is commonly treated conservatively with excellent outcome results while surgical repair is advocated for larger tears/lacerations, where the optimal goal is restore of function. Repair of muscle belly lacerations is technically demanding because the sutures pull out and the likelihood of clinical failure is high. Different suture techniques have been described but still the best suture is debated. We show a case of a pure vastus medialis muscle laceration surgically repaired at 6 years of follow-up.

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Section: Discussionmentioning

confidence: 99%

Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up

Oliva

VIa

Kiritsi³

et al. 2019

Muscle Ligaments and Tendons J

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“…The transmitter body and electrode leads should be anchored to avoid dislocation or migration while the animal is moving, which is why using inert non-absorbable sutures is recommended. 17 The device body should not be tied to muscle fibers, but to the muscle facia 17 for a secure anchoring without possible hematoma, granulation or scar tissue forming, 28 a refinement reported only by a few publications. Most publications failed to report on the anchoring material they used; non-absorbable sutures were more frequently reported, while several publications between 2011 and 2019 reported using absorbable sutures.…”

Section: Discussionmentioning

confidence: 99%

A systematic review on reporting of refinement measures in mouse ECG telemetry implantation surgery

2022

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Telemetric monitoring is used in many scientific fields, such as cardiovascular research, neurology, endocrinology, as well as animal welfare research. Nowadays, implanted electrocardiogram (ECG) radiotelemetry units are the gold standard for monitoring ECG traces, heart rate and heart rate variability in freely moving mice. Telemetry technology can be a valuable tool when studies utilize it adequately, while prioritizing animal welfare. Recently, concerns have been raised in many research fields, including animal research, regarding the reproducibility of research findings, with insufficient reporting being one of the underlying causes. A systematic review was performed by making use of three literature databases, in order to include all publications until 31.12.2019, where the surgical placing of ECG recording telemetry devices in adult mice was involved. Data extracted from the publications included selected items recommended by the ARRIVE guidelines. We focused on aspects related to the refinement of the surgery and experimental conditions that aim to improve animal welfare. In general, the quality of reporting was low in the analyzed 234 publications. Based on our analyses, we assume there has been no improvement in this field’s reporting quality since 2010 when the ARRIVE guidelines on reporting were introduced. Additionally, even though expert recommendations on telemetry surgery refinement have been available since many years now, no increase in uptake (or reporting) of these measures prior (e.g., acclimatization), during (e.g., asepsis) or after (e.g., social housing) the surgery could be observed.

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“…There are numerous methodologies in use for ACLR which vary in graft type, preparation and fixation. Despite extensive investigation, outcomes vary widely and consequently there is still debate on the optimal ACLR technique [3] . Several common complaints have been reported post-ACLR, including subjective instability, anterior knee pain and failure to return to pre-injury level of function [4] .…”

Section: Introductionmentioning

confidence: 99%

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

Jegatheesan

Scholes²,

Tuckerman

et al. 2020

Preprint

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Background: The Tape Locking Screw (TLS®) system for anterior cruciate ligament reconstruction (ACLR) is an emerging short graft with tape suspension (SGTS) technique which uses a single hamstring tendon with tape suspension and dedicated interference screw fixation. Few studies have examined the SGTS technique versus other techniques. The objective of this study was to compare LOE in patients undergoing ACLR with the SGTS technique with other ACLR techniques. We hypothesised that the SGTS technique would be superior to others in terms of minimising LOE. Materials and methods: We retrospectively reviewed 138 patients who received primary ACLR between January 2015 and December 2017 and had elected to participate in a rehabilitation program with the hospital physiotherapy department had postoperative knee extension assessed. Patients were followed up by a department physiotherapist until baseline function was achieved. Patients were grouped as having either SGTS ACLR or non-SGTS ACLR during chart review and compared for LOE at initial assessment and when the maximum extension had been achieved. Results: There were 44 patients in the SGTS group and 94 patients in the non-SGTS group. The SGTS group had a significantly larger median graft diameter (8.5mm vs. 8.0mm, P <0.001) and less incidence of notchplasty (17.8% vs. 44.7%, P <0.001). LOE incidence was significantly associated with the use of notchplasty and graft type at initial assessment. At the time of maximum extension, LOE incidence was significantly associated with LOE at initial assessment, graft size, graft type and lateral meniscus injury. Time to maximum extension was significantly associated with the presence of LOE at initial assessment. Conclusion: In this retrospective analysis, the SGTS technique was not inferior to other ACLR techniques with respect to postoperative loss of extension. Longer time to achieve full extension in the SGTS group was not considered clinically significant. Further studies are needed to assess longer term success and functional outcomes.

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Surgical Treatment

Cited by 11 publications

References 45 publications

Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up

Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up

A systematic review on reporting of refinement measures in mouse ECG telemetry implantation surgery

The effect of short-graft preparation with tape suspension and screw fixation on loss of knee extension following anterior cruciate ligament reconstruction: A retrospective cross-sectional analysis of public hospital cases from 2015 - 2017

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