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Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs

BACKGROUND: Rotator cuff tendinopathy is a frequent cause of shoulder pain that can lead to decreased strength and range of motion. Failures after using the single-row technique of rotator cuff repair have led to the development of the double-row technique, which is said to allow for more anatomical...

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Autores principales: Esquivel, Amanda O., Duncan, Douglas D., Dobrasevic, Nikola, Marsh, Stephanie M., Lemos, Stephen E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
117
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622340/
https://www.ncbi.nlm.nih.gov/pubmed/26665053
http://dx.doi.org/10.1177/2325967115579052
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author Esquivel, Amanda O.
Duncan, Douglas D.
Dobrasevic, Nikola
Marsh, Stephanie M.
Lemos, Stephen E.
author_facet Esquivel, Amanda O.
Duncan, Douglas D.
Dobrasevic, Nikola
Marsh, Stephanie M.
Lemos, Stephen E.
author_sort Esquivel, Amanda O.
collection PubMed
description BACKGROUND: Rotator cuff tendinopathy is a frequent cause of shoulder pain that can lead to decreased strength and range of motion. Failures after using the single-row technique of rotator cuff repair have led to the development of the double-row technique, which is said to allow for more anatomical restoration of the footprint. PURPOSE: To compare 5 different types of suture patterns while maintaining equality in number of anchors. The hypothesis was that the Mason-Allen–crossed cruciform transosseous-equivalent technique is superior to other suture configurations while maintaining equality in suture limbs and anchors. STUDY DESIGN: Controlled laboratory study. METHODS: A total of 25 fresh-frozen cadaveric shoulders were randomized into 5 suture configuration groups: single-row repair with simple stitch technique; single-row repair with modified Mason-Allen technique; double-row Mason-Allen technique; double-row cross-bridge technique; and double-row suture bridge technique. Load and displacement were recorded at 100 Hz until failure. Stiffness and bone mineral density were also measured. RESULTS: There was no significant difference in peak load at failure, stiffness, maximum displacement at failure, or mean bone mineral density among the 5 suture configuration groups (P < .05). CONCLUSION: According to study results, when choosing a repair technique, other factors such as number of sutures in the repair should be considered to judge the strength of the repair. CLINICAL RELEVANCE: Previous in vitro studies have shown the double-row rotator cuff repair to be superior to the single-row repair; however, clinical research does not necessarily support this. This study found no difference when comparing 5 different repair methods, supporting research that suggests the number of sutures and not the pattern can affect biomechanical properties.
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spelling pubmed-46223402015-12-10 Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs Esquivel, Amanda O. Duncan, Douglas D. Dobrasevic, Nikola Marsh, Stephanie M. Lemos, Stephen E. Orthop J Sports Med 117 BACKGROUND: Rotator cuff tendinopathy is a frequent cause of shoulder pain that can lead to decreased strength and range of motion. Failures after using the single-row technique of rotator cuff repair have led to the development of the double-row technique, which is said to allow for more anatomical restoration of the footprint. PURPOSE: To compare 5 different types of suture patterns while maintaining equality in number of anchors. The hypothesis was that the Mason-Allen–crossed cruciform transosseous-equivalent technique is superior to other suture configurations while maintaining equality in suture limbs and anchors. STUDY DESIGN: Controlled laboratory study. METHODS: A total of 25 fresh-frozen cadaveric shoulders were randomized into 5 suture configuration groups: single-row repair with simple stitch technique; single-row repair with modified Mason-Allen technique; double-row Mason-Allen technique; double-row cross-bridge technique; and double-row suture bridge technique. Load and displacement were recorded at 100 Hz until failure. Stiffness and bone mineral density were also measured. RESULTS: There was no significant difference in peak load at failure, stiffness, maximum displacement at failure, or mean bone mineral density among the 5 suture configuration groups (P < .05). CONCLUSION: According to study results, when choosing a repair technique, other factors such as number of sutures in the repair should be considered to judge the strength of the repair. CLINICAL RELEVANCE: Previous in vitro studies have shown the double-row rotator cuff repair to be superior to the single-row repair; however, clinical research does not necessarily support this. This study found no difference when comparing 5 different repair methods, supporting research that suggests the number of sutures and not the pattern can affect biomechanical properties. SAGE Publications 2015-04-07 /pmc/articles/PMC4622340/ /pubmed/26665053 http://dx.doi.org/10.1177/2325967115579052 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc-nd/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License (http://www.creativecommons.org/licenses/by-nc-nd/3.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle 117
Esquivel, Amanda O.
Duncan, Douglas D.
Dobrasevic, Nikola
Marsh, Stephanie M.
Lemos, Stephen E.
Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs
title Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs
title_full Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs
title_fullStr Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs
title_full_unstemmed Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs
title_short Load to Failure and Stiffness: Anchor Placement and Suture Pattern Effects on Load to Failure in Rotator Cuff Repairs
title_sort load to failure and stiffness: anchor placement and suture pattern effects on load to failure in rotator cuff repairs
topic 117
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4622340/
https://www.ncbi.nlm.nih.gov/pubmed/26665053
http://dx.doi.org/10.1177/2325967115579052
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