Literature DB >> 29657480

A novel method for reducing gap formation in tendon repair.

Ryan Dean1, Paul Sethi2.   

Abstract

BACKGROUND: This study investigates gap formation in tendon repair using a novel tensioning method. HYPOTHESIS: The novel stitch will demonstrate less gap formation than the other suture configurations tested.
METHODS: Porcine tendons stitched with classic Krackow stitch configurations were compared to a Krackow stitch modified with a proximal Tension-Assist Loop. Each group was cyclically loaded followed by analysis of the tendon-suture construct for gap formation.
RESULTS: The Tension-Assist Loop group produced significantly less gap formation than each of the other stitch groups.
CONCLUSION: Decreasing early gap formation may be beneficial in allowing early rehabilitation and range of motion.

Entities:  

Keywords:  Biomechanical testing; Gap formation; Krackow stitch; Mechanism; Slippage; Soft tissue repair; Suture slack

Year:  2018        PMID: 29657480      PMCID: PMC5895936          DOI: 10.1016/j.jor.2018.01.054

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  16 in total

1.  Current concepts in the rehabilitation of an acute rupture of the tendo Achillis.

Authors:  R S Kearney; M L Costa
Journal:  J Bone Joint Surg Br       Date:  2012-01

2.  Material properties of common suture materials in orthopaedic surgery.

Authors:  S Najibi; R Banglmeier; Jm Matta; M Tannast
Journal:  Iowa Orthop J       Date:  2010

3.  The Krackow stitch: a biomechanical evaluation of changing the number of loops versus the number of sutures.

Authors:  Brian P McKeon; James F Heming; John Fulkerson; Rolf Langeland
Journal:  Arthroscopy       Date:  2006-01       Impact factor: 4.772

4.  Cyclic load and failure behavior of arthroscopic knots and high strength sutures.

Authors:  F Alan Barber; Morley A Herbert; R Cole Beavis
Journal:  Arthroscopy       Date:  2008-11-17       Impact factor: 4.772

5.  Optimizing Achilles tendon repair: effect of epitendinous suture augmentation on the strength of achilles tendon repairs.

Authors:  Steven J Lee; Scott Goldsmith; Stephen J Nicholas; Malachy McHugh; Ian Kremenic; Simon Ben-Avi
Journal:  Foot Ankle Int       Date:  2008-04       Impact factor: 2.827

6.  Development of a new suturing technique for tendon graft preparation: an animal cadaver study.

Authors:  L K Postl; C Kirchhoff; V Hupertz; W Plitz; M Schmitt-Sody
Journal:  Clin Biomech (Bristol, Avon)       Date:  2015-02-19       Impact factor: 2.063

7.  A new stitch for ligament-tendon fixation. Brief note.

Authors:  K A Krackow; S C Thomas; L C Jones
Journal:  J Bone Joint Surg Am       Date:  1986-06       Impact factor: 5.284

8.  Separation of tendon ends after suture of achilles tendon.

Authors:  B Nyström; D Holmlund
Journal:  Acta Orthop Scand       Date:  1983-08

9.  Biomechanical properties of patellar and hamstring graft tibial fixation techniques in anterior cruciate ligament reconstruction: experimental study with roentgen stereometric analysis.

Authors:  Frank Adam; Dietrich Pape; Karin Schiel; Oliver Steimer; Dieter Kohn; Stefan Rupp
Journal:  Am J Sports Med       Date:  2004 Jan-Feb       Impact factor: 6.202

10.  Ligament-tendon fixation: analysis of a new stitch and comparison with standard techniques.

Authors:  K A Krackow; S C Thomas; L C Jones
Journal:  Orthopedics       Date:  1988-06       Impact factor: 1.390

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