Cargando…
A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct
PURPOSE: To define the more stable knot tightening of a suture bridge when a single limb is preserved. METHODS: Five different sutures were tested: No. 2 Ethibond (Ethicon), Hi-Fi (ConMed Linvatec), Sutblue (SBM), SingleFlat (SBM), Hi-Fi Ribbon (ConMed Linvatec). A Surgeon’s Knot was tied around a 3...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284794/ https://www.ncbi.nlm.nih.gov/pubmed/35841037 http://dx.doi.org/10.1186/s13018-022-03180-8 |
_version_ | 1784747641960136704 |
---|---|
author | Abihssira, Sharon Bouche, Pierre-Alban Cammas, Claire Thirache, Clément Nourissat, Geoffroy |
author_facet | Abihssira, Sharon Bouche, Pierre-Alban Cammas, Claire Thirache, Clément Nourissat, Geoffroy |
author_sort | Abihssira, Sharon |
collection | PubMed |
description | PURPOSE: To define the more stable knot tightening of a suture bridge when a single limb is preserved. METHODS: Five different sutures were tested: No. 2 Ethibond (Ethicon), Hi-Fi (ConMed Linvatec), Sutblue (SBM), SingleFlat (SBM), Hi-Fi Ribbon (ConMed Linvatec). A Surgeon’s Knot was tied around a 30-mm circumference device, 6 times for each experiment. A single limb was kept to analyze failure modes of the knot. First step was to analyze which of pulling or sliding suture of the construct must be kept preventing failure of the knot. The cutting distance from the knot was evaluated at 1 mm and 4 mm with the suture loops pre-tensioned to 10 N and fixed to a second row after a 50 N tension load. The more stable construct was found: a single-pull load to 100 N and cyclic load (to 50 N for 30 cycles) experiments were conducted to evaluate the impact of cycling on knot loosening. RESULTS: The more stable construct was obtained when the non-post limb was tensioned, and the post limb was cut at 4 mm (p < 0.01). Loop circumference increased after each experiment for all tested sutures, independently of the preserved limb and the cutting distance. Elongation was significant for all tested sutures in all groups. Knot failure mostly occurred by slippage, only with tapes. CONCLUSIONS: A suture-bridge construct with the non-post limb preserved and the post limb cut at a 4 mm distance from the knot provides with the best security. Sutures are safer than tapes in suture bridge. |
format | Online Article Text |
id | pubmed-9284794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92847942022-07-16 A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct Abihssira, Sharon Bouche, Pierre-Alban Cammas, Claire Thirache, Clément Nourissat, Geoffroy J Orthop Surg Res Research Article PURPOSE: To define the more stable knot tightening of a suture bridge when a single limb is preserved. METHODS: Five different sutures were tested: No. 2 Ethibond (Ethicon), Hi-Fi (ConMed Linvatec), Sutblue (SBM), SingleFlat (SBM), Hi-Fi Ribbon (ConMed Linvatec). A Surgeon’s Knot was tied around a 30-mm circumference device, 6 times for each experiment. A single limb was kept to analyze failure modes of the knot. First step was to analyze which of pulling or sliding suture of the construct must be kept preventing failure of the knot. The cutting distance from the knot was evaluated at 1 mm and 4 mm with the suture loops pre-tensioned to 10 N and fixed to a second row after a 50 N tension load. The more stable construct was found: a single-pull load to 100 N and cyclic load (to 50 N for 30 cycles) experiments were conducted to evaluate the impact of cycling on knot loosening. RESULTS: The more stable construct was obtained when the non-post limb was tensioned, and the post limb was cut at 4 mm (p < 0.01). Loop circumference increased after each experiment for all tested sutures, independently of the preserved limb and the cutting distance. Elongation was significant for all tested sutures in all groups. Knot failure mostly occurred by slippage, only with tapes. CONCLUSIONS: A suture-bridge construct with the non-post limb preserved and the post limb cut at a 4 mm distance from the knot provides with the best security. Sutures are safer than tapes in suture bridge. BioMed Central 2022-07-15 /pmc/articles/PMC9284794/ /pubmed/35841037 http://dx.doi.org/10.1186/s13018-022-03180-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Abihssira, Sharon Bouche, Pierre-Alban Cammas, Claire Thirache, Clément Nourissat, Geoffroy A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
title | A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
title_full | A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
title_fullStr | A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
title_full_unstemmed | A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
title_short | A biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
title_sort | biomechanical study of the medial row tightening on stability of single stitch suture-bridge construct |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284794/ https://www.ncbi.nlm.nih.gov/pubmed/35841037 http://dx.doi.org/10.1186/s13018-022-03180-8 |
work_keys_str_mv | AT abihssirasharon abiomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT bouchepierrealban abiomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT cammasclaire abiomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT thiracheclement abiomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT nourissatgeoffroy abiomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT abihssirasharon biomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT bouchepierrealban biomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT cammasclaire biomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT thiracheclement biomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct AT nourissatgeoffroy biomechanicalstudyofthemedialrowtighteningonstabilityofsinglestitchsuturebridgeconstruct |