Meniscal repair using large diameter horizontal sutures increases fixation strength: An in vitro study

Yavuz Kocabey*, Ömer Taşer, Onur Hapa, Aycan Güçlü, Ergun Bozdag, Emin Sünbüloglu, Mahmut Nedim Doral

*Bu çalışma için yazışmadan sorumlu yazar

Araştırma sonucu: ???type-name???Makalebilirkişi

7 Atıf (Scopus)

Özet

Purpose: The purpose of this study was to compare the mechanical characteristics of meniscal repair fixation using horizontal sutures and two different diameter sutures under submaximal cyclic and load to failure test conditions. Method: A 2-cm long anteroposterior vertical longitudinal incision was created in two groups of bovine medial menisci. Lesions were repaired using either #2-0 (Group 1), or #2 (Group 2) Fiberwire suture. Following repair, the lesion was extended through the posterior and anterior meniscal horns so that no tissue secured the repair site. Specimens underwent submaximal cyclic (5-50 N at 1 Hz for 500 cycles) and load to failure testing (5 mm/min crosshead speed) in a servo hydraulic device. Specimen failure mode was verified by the primary investigator. An alpha level of P < 0. 05 was selected to indicate statistical significance. Results: Group 2 displayed greater load at failure (132. 1 ± 54. 4 N) than Group 1 (91. 9 ± 26. 2 N) (P = 0. 02). Group 2 also displayed greater stiffness (47. 1 ± 8. 3 N/mm) than Group 1 (38. 5 ± 10. 2 N/mm) (P = 0. 03). The failure mode for all specimens was suture pull-through the meniscal tissue. Larger diameter suture provided superior mechanical meniscal fixation. Conclusion: If Horizontal suture would be used in meniscal repair, the most suitable larger diameter suture should be used.

Orijinal dilİngilizce
Sayfa (başlangıç-bitiş)202-206
Sayfa sayısı5
DergiKnee Surgery, Sports Traumatology, Arthroscopy
Hacim19
Basın numarası2
DOI'lar
Yayın durumuYayınlandı - Şub 2011

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