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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-09-2010 | Basic Science

Initial load-to-failure and failure analysis in single- and double-row repair techniques for rotator cuff repair

Authors: M. H. Baums, G. H. Buchhorn, F. Gilbert, G. Spahn, W. Schultz, H.-M. Klinger

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2010

Abstract

Aim

This experimental study aimed to compare the load-to-failure rate and stiffness of single- versus double-row suture techniques for repairing rotator cuff lesions using two different suture materials. Additionally, the mode of failure of each repair was evaluated.

Method

In 32 sheep shoulders, a standardized tear of the infraspinatus tendon was created. Then, n = 8 specimen were randomized to four repair methods: (1) Double-row Anchor Ethibond^® coupled with polyester sutures, USP No. 2; (2) Double-Row Anchor HiFi^® with polyblend polyethylene sutures, USP No. 2; (3) Single-Row Anchor Ethibond^® coupled with braided polyester sutures, USP No. 2; and (4) Single-Row Anchor HiFi^® with braided polyblend polyethylene sutures, USP No. 2. Arthroscopic Mason–Allen stitches were placed (single-row) and combined with medial horizontal mattress stitches (double-row). All specimens were loaded to failure at a constant displacement rate on a material testing machine.

Results

Group 4 showed lowest load-to-failure result with 155.7 ± 31.1 N compared to group 1 (293.4 ± 16.1 N) and group 2 (397.7 ± 7.4 N) (P < 0.001). Stiffness was highest in group 2 (162 ± 7.3 N/mm) and lowest in group 4 (84.4 ± 19.9 mm) (P < 0.001). In group 4, the main cause of failure was due to the suture cutting through the tendon (n = 6), a failure case observed in only n = 1 specimen in group 2 (P < 0.001).

Conclusions

A double-row technique combined with arthroscopic Mason-Allen/horizontal mattress stitches provides high initial failure strength and may minimize the risk of the polyethylene sutures cutting through the tendon in rotator cuff repair when a single load force is used.

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Title: Initial load-to-failure and failure analysis in single- and double-row repair techniques for rotator cuff repair
Authors: M. H. Baums
G. H. Buchhorn
F. Gilbert
G. Spahn
W. Schultz
H.-M. Klinger
Publication date: 01-09-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 9/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-1036-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Initial load-to-failure and failure analysis in single- and double-row repair techniques for rotator cuff repair

Abstract

Aim

Method

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Method

Results

Conclusions

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