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Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model

BACKGROUND: The purpose of this study was to evaluate the initial fixation of a transosseous-equivalent rotator cuff repair and an interlinked medial repair, quantifying the cyclic and failure loading properties of each construct. METHODS: Twenty-four human cadaveric shoulders from 12 matched pairs...

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Autores principales: Aliaj, Klevis, Henninger, Heath B., Tétreault-Paquin, Jean-Olivier E., Getelman, Mark H., Donahue, Joseph P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620261/
https://www.ncbi.nlm.nih.gov/pubmed/31334432
http://dx.doi.org/10.1016/j.jses.2019.02.002
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author Aliaj, Klevis
Henninger, Heath B.
Tétreault-Paquin, Jean-Olivier E.
Getelman, Mark H.
Donahue, Joseph P.
author_facet Aliaj, Klevis
Henninger, Heath B.
Tétreault-Paquin, Jean-Olivier E.
Getelman, Mark H.
Donahue, Joseph P.
author_sort Aliaj, Klevis
collection PubMed
description BACKGROUND: The purpose of this study was to evaluate the initial fixation of a transosseous-equivalent rotator cuff repair and an interlinked medial repair, quantifying the cyclic and failure loading properties of each construct. METHODS: Twenty-four human cadaveric shoulders from 12 matched pairs were dissected, and full-thickness supraspinatus tears were created. In each pair, 1 side was repaired with a transosseous-equivalent repair (control) and the other, with an interlinked repair. All specimens were cycled to 1 MPa of effective stress at 1 Hz for 500 cycles, and gap formation was recorded with a digital video system. All samples were then loaded to failure, and the ultimate load and displacement and modes of failure were recorded. RESULTS: The interlinked repair showed a decrease in the amount of construct gapping after cycle 50 and in peak construct gapping compared with the control group (control, 3.4 ± 0.9 mm; interlinked, 2.5 ± 0.8 mm; P = .048). The interlinked repair also showed a higher ultimate load to failure (control, 318.7 ± 77.9 N; interlinked, 420.6 ± 93.7 N; P = .007). No other significant differences were detected between constructs for preparation or testing metrics. CONCLUSIONS: The interlinked repair, in which 1 continuous suture linked the medial anchors, showed decreased construct gapping and increased ultimate load to failure compared with the control construct. This study establishes the biomechanical validity of the new interlinked repair construct compared with a previously validated construct.
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spelling pubmed-66202612019-07-22 Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model Aliaj, Klevis Henninger, Heath B. Tétreault-Paquin, Jean-Olivier E. Getelman, Mark H. Donahue, Joseph P. JSES Open Access Article BACKGROUND: The purpose of this study was to evaluate the initial fixation of a transosseous-equivalent rotator cuff repair and an interlinked medial repair, quantifying the cyclic and failure loading properties of each construct. METHODS: Twenty-four human cadaveric shoulders from 12 matched pairs were dissected, and full-thickness supraspinatus tears were created. In each pair, 1 side was repaired with a transosseous-equivalent repair (control) and the other, with an interlinked repair. All specimens were cycled to 1 MPa of effective stress at 1 Hz for 500 cycles, and gap formation was recorded with a digital video system. All samples were then loaded to failure, and the ultimate load and displacement and modes of failure were recorded. RESULTS: The interlinked repair showed a decrease in the amount of construct gapping after cycle 50 and in peak construct gapping compared with the control group (control, 3.4 ± 0.9 mm; interlinked, 2.5 ± 0.8 mm; P = .048). The interlinked repair also showed a higher ultimate load to failure (control, 318.7 ± 77.9 N; interlinked, 420.6 ± 93.7 N; P = .007). No other significant differences were detected between constructs for preparation or testing metrics. CONCLUSIONS: The interlinked repair, in which 1 continuous suture linked the medial anchors, showed decreased construct gapping and increased ultimate load to failure compared with the control construct. This study establishes the biomechanical validity of the new interlinked repair construct compared with a previously validated construct. Elsevier 2019-04-26 /pmc/articles/PMC6620261/ /pubmed/31334432 http://dx.doi.org/10.1016/j.jses.2019.02.002 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Aliaj, Klevis
Henninger, Heath B.
Tétreault-Paquin, Jean-Olivier E.
Getelman, Mark H.
Donahue, Joseph P.
Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
title Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
title_full Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
title_fullStr Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
title_full_unstemmed Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
title_short Biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
title_sort biomechanics of an interlinked suture anchor rotator cuff repair in a human cadaveric model
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620261/
https://www.ncbi.nlm.nih.gov/pubmed/31334432
http://dx.doi.org/10.1016/j.jses.2019.02.002
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