Jun Kawakami1, Nobuyuki Yamamoto1, Hideaki Nagamoto2, Eiji Itoi3. 1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan. 2. Kurihara Central Hospital, Kurihara, Japan. 3. Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan. Electronic address: itoi-eiji@med.tohoku.ac.jp.
Abstract
PURPOSE: To investigate the minimum distance between the anchors without decreasing the pullout strength using the polyurethane foams and the porcine bones. METHODS: Metal screw-type anchors and PEEK (polyether ether ketone) coil-type anchors were used. Two same-type suture anchors were placed into the polyurethane foams and porcine bones. The polyurethane foams were 3 different densities simulating severe osteoporosis, osteoporosis, and normal bone. The distances between the centers of anchors were set at 4, 6, 8, and 10 mm. The pair of anchors were loaded to failure if they had not been pulled out after cyclic loading from 50 to 200 N, 10 cycles per each 50-N increment. Mode of failure, ultimate load to failure, displacement of the anchor, and number of cycles completed were recorded. RESULTS: In all polyurethane foams of 3 different densities with use of metal screw-type anchors, the 4-mm group demonstrated a significantly lower ultimate load to failure compared with the 6-, 8-, and 10-mm groups (P < .01). There were no significant differences in the load to failure among the 6-, 8-, and 10-mm groups. Porcine bone or PEEK coil-type anchor showed results similar to those of the metal screw-type anchors. CONCLUSION: For the 2 tested anchors, the minimum distance between the anchors without decreasing the pullout strength was 6 mm (center to center) regardless of bone density in a biomechanical study. CLINICAL RELEVANCE: Although it has been thought that the minimum distance between the anchors without decreasing the pullout strength was 1 cm (center to center), our data showed that it was 6 mm.
PURPOSE: To investigate the minimum distance between the anchors without decreasing the pullout strength using the polyurethane foams and the porcine bones. METHODS: Metal screw-type anchors and PEEK (polyether ether ketone) coil-type anchors were used. Two same-type suture anchors were placed into the polyurethane foams and porcine bones. The polyurethane foams were 3 different densities simulating severe osteoporosis, osteoporosis, and normal bone. The distances between the centers of anchors were set at 4, 6, 8, and 10 mm. The pair of anchors were loaded to failure if they had not been pulled out after cyclic loading from 50 to 200 N, 10 cycles per each 50-N increment. Mode of failure, ultimate load to failure, displacement of the anchor, and number of cycles completed were recorded. RESULTS: In all polyurethane foams of 3 different densities with use of metal screw-type anchors, the 4-mm group demonstrated a significantly lower ultimate load to failure compared with the 6-, 8-, and 10-mm groups (P < .01). There were no significant differences in the load to failure among the 6-, 8-, and 10-mm groups. Porcine bone or PEEK coil-type anchor showed results similar to those of the metal screw-type anchors. CONCLUSION: For the 2 tested anchors, the minimum distance between the anchors without decreasing the pullout strength was 6 mm (center to center) regardless of bone density in a biomechanical study. CLINICAL RELEVANCE: Although it has been thought that the minimum distance between the anchors without decreasing the pullout strength was 1 cm (center to center), our data showed that it was 6 mm.
Authors: Peter N Chalmers; Garrett V Christensen; Hiroaki Ishikawa; Heath B Henninger; Eugene G Kholmovski; Megan Mills; Robert Z Tashjian Journal: JSES Int Date: 2021-12-11
Authors: Felix Porschke; Christoph Luecke; Thorsten Guehring; Christel Weiss; Stefan Studier-Fischer; Paul Alfred Gruetzner; Marc Schnetzke Journal: Ann Biomed Eng Date: 2020-08-13 Impact factor: 3.934