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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...

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Autores principales: Abihssira, Sharon, Bouche, Pierre-Alban, Cammas, Claire, Thirache, Clément, Nourissat, Geoffroy
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
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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.
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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
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