Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2008

01-03-2008 | Knee

Cyclic loading comparison of Bio-SutureTak-#2 FiberWire and Bio Mini-Revo-#2 Hi-Fi suture anchor-sutures in cadaveric scapulae

Authors: Brad S. Sparks, John Nyland, Akbar Nawab, Ethan Blackburn, Ryan Krupp, Robert Burden

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2008

Login to get access

Abstract

This study compared tap-in Bio-SutureTak suture anchor-#2 FiberWire suture (Group 1) and screw-in Bio Mini-Revo suture anchor-#2 Hi-Fi suture (Group 2) fixation in the glenoid region of interest for Bankart repair, in addition to evaluation of isolated suture loop biomechanical properties under progressive incremental cyclic loads. With knowledge of glenoid apparent bone mineral density (BMD), implant preparation and fit characteristics, and following application of a light manual tensile load, the primary investigator scored each specimen for perceived within group biomechanical test performance using a 0–10 point modified visual analog scale. After scoring, 12 paired constructs were placed in a servo hydraulic device clamp, preloaded to 25 N, and cycled between 25 and 50 Hz with a 25 N load increase every 25 cycles. Group 2 withstood greater load (104.1 ± 56 vs. 70 ± 36.9 N, P = 0.04) and displaced more at failure (13 ± 4.5 vs. 8.6 ± 3.3 mm, P = 0.04). All Group 1 specimens failed prior to reaching 150 N, whereas 25% of Group 2 specimens (n = 3) failed at 200 N. All specimens failed by anchor pullout except for three Group 2 specimens that failed by eyelet breakage at 200 N. Isolated suture testing revealed that Group 1 sutures displaced less at each cyclic load (P = 0.028) and withstood greater failure loads (P = 0.028) than that of Group 2 sutures. Group 2 constructs displayed moderately strong relationships between perceived within group biomechanical test performance and ultimate load (r 2 = 0.55) and displacement at failure (r 2 = 0.67). Group 1 did not display significant relationships. Similar biomechanical performance between 50 and 125 N, greater load at failure, and superior biomechanical test prediction accuracy suggest that the screw-in type Bio Mini-Revo suture anchor-#2 Hi-Fi suture combination may be preferred for Bankart lesion repair in low apparent BMD glenoid processes. The #2 Hi-Fi suture, however, allowed significantly greater displacement than the #2 FiberWire suture at each progressive cyclic load interval.
Literature
1.
go back to reference Anderson SD (2006) Practical light embalming technique for use in the surgical fresh tissue dissection laboratory. Clin Anat 19:8–11PubMedCrossRef Anderson SD (2006) Practical light embalming technique for use in the surgical fresh tissue dissection laboratory. Clin Anat 19:8–11PubMedCrossRef
2.
go back to reference Bankart ASB (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br Med J 26:23–29 Bankart ASB (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br Med J 26:23–29
3.
go back to reference Barber FA, Coons DA, Ruiz-Suarez M (2007) Cyclic load testing of biodegradable suture anchors containing 2 high-strength sutures. Arthroscopy 23(4):355–360PubMedCrossRef Barber FA, Coons DA, Ruiz-Suarez M (2007) Cyclic load testing of biodegradable suture anchors containing 2 high-strength sutures. Arthroscopy 23(4):355–360PubMedCrossRef
4.
go back to reference Barber FA, Herbert MA Click JN (1997) Internal fixation strength of suture anchors—update 1997. Arthroscopy 13(3):355–362PubMedCrossRef Barber FA, Herbert MA Click JN (1997) Internal fixation strength of suture anchors—update 1997. Arthroscopy 13(3):355–362PubMedCrossRef
5.
go back to reference Barber FA, Herbert MA, Coons DA, Boothby MH (2006) Sutures and suture anchors—update 2006. Arthroscopy 22(10):1063–1069PubMedCrossRef Barber FA, Herbert MA, Coons DA, Boothby MH (2006) Sutures and suture anchors—update 2006. Arthroscopy 22(10):1063–1069PubMedCrossRef
6.
go back to reference Barber FA, Snyder SJ, Abrams S, Fanelli JS, Savoie FH III (2003) Arthroscopic Bankart reconstruction with a bioabsorbable anchor. J Shoulder Elbow Surg 12(6):535–538PubMedCrossRef Barber FA, Snyder SJ, Abrams S, Fanelli JS, Savoie FH III (2003) Arthroscopic Bankart reconstruction with a bioabsorbable anchor. J Shoulder Elbow Surg 12(6):535–538PubMedCrossRef
7.
go back to reference Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88(8):1755–1763PubMedCrossRef Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88(8):1755–1763PubMedCrossRef
8.
go back to reference Burkhart SS, Diaz Pagan JL, Wirth MA, Athanasiou KA (1997) Cyclic loading of anchor-based rotator cuff repairs: confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy 13(6):720–724PubMedCrossRef Burkhart SS, Diaz Pagan JL, Wirth MA, Athanasiou KA (1997) Cyclic loading of anchor-based rotator cuff repairs: confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy 13(6):720–724PubMedCrossRef
9.
go back to reference Cole BJ, Romeo AA (2001) Arthroscopic shoulder stabilization with suture anchors: technique, technology, and pitfalls. Clin Orthop 390:17–30PubMedCrossRef Cole BJ, Romeo AA (2001) Arthroscopic shoulder stabilization with suture anchors: technique, technology, and pitfalls. Clin Orthop 390:17–30PubMedCrossRef
10.
go back to reference Cole BJ, Warner JJ (2000) Arthroscopic versus open Bankart repair for traumatic anterior shoulder instability. Clin Sports Med 19:19–48PubMedCrossRef Cole BJ, Warner JJ (2000) Arthroscopic versus open Bankart repair for traumatic anterior shoulder instability. Clin Sports Med 19:19–48PubMedCrossRef
11.
go back to reference Detrisac DA, Johnson LL (1993) Arthroscopic shoulder capsulorrhaphy using metal staples. Orth Clin North Am 24:71–88 Detrisac DA, Johnson LL (1993) Arthroscopic shoulder capsulorrhaphy using metal staples. Orth Clin North Am 24:71–88
12.
go back to reference Ekelund A (1998) Cartilage injuries in the shoulder joint caused by migration of suture anchors or mini screw. J Shoulder Elbow Surg 7:537–539PubMedCrossRef Ekelund A (1998) Cartilage injuries in the shoulder joint caused by migration of suture anchors or mini screw. J Shoulder Elbow Surg 7:537–539PubMedCrossRef
13.
go back to reference Gill TJ, Micheli LJ, Gebhard F, Binder C (1997) Bankart repair for anterior instability of the shoulder. Long-term outcome. J Bone Joint Surg Am 79:850–857PubMed Gill TJ, Micheli LJ, Gebhard F, Binder C (1997) Bankart repair for anterior instability of the shoulder. Long-term outcome. J Bone Joint Surg Am 79:850–857PubMed
14.
go back to reference Green MR, Christensen KP (1993) Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications. Arthroscopy 9(4):371–374PubMedCrossRef Green MR, Christensen KP (1993) Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications. Arthroscopy 9(4):371–374PubMedCrossRef
15.
go back to reference Hayashida K, Yoneda M, Mizuno N, Fukushima S, Nakagawa S (2006) Arthroscopic Bankart repair with knotless suture anchor for traumatic anterior shoulder instability: results of short-term follow-up. Arthroscopy 22(6):620–626PubMedCrossRef Hayashida K, Yoneda M, Mizuno N, Fukushima S, Nakagawa S (2006) Arthroscopic Bankart repair with knotless suture anchor for traumatic anterior shoulder instability: results of short-term follow-up. Arthroscopy 22(6):620–626PubMedCrossRef
16.
go back to reference Ilahi O, Al-Fahl T, Bahrani H, Luo Z (2004) Glenoid suture anchor fixation strength: effect of insertion angle. Arthroscopy 20(6):609–613PubMedCrossRef Ilahi O, Al-Fahl T, Bahrani H, Luo Z (2004) Glenoid suture anchor fixation strength: effect of insertion angle. Arthroscopy 20(6):609–613PubMedCrossRef
17.
go back to reference Kim SH, Ha KI, Jung MW, Lim MS, Kim YM, Park J-H (2003) Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study. Arthroscopy 19(7):722–731PubMedCrossRef Kim SH, Ha KI, Jung MW, Lim MS, Kim YM, Park J-H (2003) Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study. Arthroscopy 19(7):722–731PubMedCrossRef
18.
go back to reference Kim SH, Ha KI, Kim SH (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18:755–763PubMedCrossRef Kim SH, Ha KI, Kim SH (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18:755–763PubMedCrossRef
19.
go back to reference Klein AH, Harner CD, Fu FH (1995) The Bankart lesion of the shoulder: a biomechanical analysis following repair. Knee Surg Sports Traumatol Arthrosc 3(2):117–120PubMedCrossRef Klein AH, Harner CD, Fu FH (1995) The Bankart lesion of the shoulder: a biomechanical analysis following repair. Knee Surg Sports Traumatol Arthrosc 3(2):117–120PubMedCrossRef
20.
go back to reference Lieurance RK, Pflaster DS, Abbott D, Nottage WM (2003) Failure characteristics of various arthroscopically tied knots. Clin Orthop 408:311–318PubMedCrossRef Lieurance RK, Pflaster DS, Abbott D, Nottage WM (2003) Failure characteristics of various arthroscopically tied knots. Clin Orthop 408:311–318PubMedCrossRef
21.
go back to reference Lundeen GA, Knecht SL, Vajda EG, Bloebaum RD, Hofmann AA (2001) The contribution of cortical and cancellous bone to dual-energy X-ray absorptiometry measurements in the female proximal femur. Osteoporos Int 12(3):192–198PubMedCrossRef Lundeen GA, Knecht SL, Vajda EG, Bloebaum RD, Hofmann AA (2001) The contribution of cortical and cancellous bone to dual-energy X-ray absorptiometry measurements in the female proximal femur. Osteoporos Int 12(3):192–198PubMedCrossRef
22.
go back to reference Magkos F, Kavouras SA, Yannakoulia M, Karipidou M, Sidossi S, Sidossis LS (2007) The bone response to non-weight-bearing exercise is sport-, site-, and sex-specific. Clin J Sports Med 17(2):123–128CrossRef Magkos F, Kavouras SA, Yannakoulia M, Karipidou M, Sidossi S, Sidossis LS (2007) The bone response to non-weight-bearing exercise is sport-, site-, and sex-specific. Clin J Sports Med 17(2):123–128CrossRef
23.
go back to reference Meyer DC, Fucentese SF, Ruffieux K, Jacob HAC, Gerber C (2003) Mechanical testing of absorbable suture anchors. Arthroscopy 19(2):188–193PubMedCrossRef Meyer DC, Fucentese SF, Ruffieux K, Jacob HAC, Gerber C (2003) Mechanical testing of absorbable suture anchors. Arthroscopy 19(2):188–193PubMedCrossRef
24.
go back to reference Meyer DC, Gerber C (2004) Failure of anterior shoulder instability repair cause by eyelet cutout of absorbable suture anchors. Arthroscopy 20(5):521–523PubMedCrossRef Meyer DC, Gerber C (2004) Failure of anterior shoulder instability repair cause by eyelet cutout of absorbable suture anchors. Arthroscopy 20(5):521–523PubMedCrossRef
25.
go back to reference Mueller MB, Fredrich HH, Steinhauser E, Schreiber U, Arians A, Imhoff AB (2005) Biomechanical evaluation of different suture anchors for the stabilization of anterior labrum lesions. Arthroscopy 21(5):611–619PubMedCrossRef Mueller MB, Fredrich HH, Steinhauser E, Schreiber U, Arians A, Imhoff AB (2005) Biomechanical evaluation of different suture anchors for the stabilization of anterior labrum lesions. Arthroscopy 21(5):611–619PubMedCrossRef
26.
go back to reference Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS (2007) Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg 16:419–424PubMedCrossRef Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS (2007) Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg 16:419–424PubMedCrossRef
27.
go back to reference Renno AC, Silveira Gomes AR, Mascimento RB, Salvini T, Parizoto N (2007) Effects of a progressive loading exercise program on the bone and skeletal muscle properties of female osteopenic rats. Exp Gerontol 42(6):517–522PubMedCrossRef Renno AC, Silveira Gomes AR, Mascimento RB, Salvini T, Parizoto N (2007) Effects of a progressive loading exercise program on the bone and skeletal muscle properties of female osteopenic rats. Exp Gerontol 42(6):517–522PubMedCrossRef
28.
go back to reference Roth CA, Bartolozzi AR, Ciccotti MG, Wetzler MJ, Gillespie MJ, Snyder-Mackler L, Santare MH (1998) Failure properties of suture anchors in the glenoid and the effects of cortical thickness. Arthroscopy 14(2):186–191PubMedCrossRef Roth CA, Bartolozzi AR, Ciccotti MG, Wetzler MJ, Gillespie MJ, Snyder-Mackler L, Santare MH (1998) Failure properties of suture anchors in the glenoid and the effects of cortical thickness. Arthroscopy 14(2):186–191PubMedCrossRef
29.
go back to reference Rowe C, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60:1–16PubMed Rowe C, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60:1–16PubMed
30.
go back to reference Silver MD, Daigneault JP (2000) Symptomatic interarticular migration of glenoid suture anchors. Arthroscopy 16(1):102–105PubMedCrossRef Silver MD, Daigneault JP (2000) Symptomatic interarticular migration of glenoid suture anchors. Arthroscopy 16(1):102–105PubMedCrossRef
31.
32.
go back to reference Speer KP, Deng X, Borrero S, Torzilli PA, Altchek DA, Warren RF (1994) Biomechanical evaluation of a simulated Bankart lesion. J Bone Joint Surg Am 76:1819–1826PubMed Speer KP, Deng X, Borrero S, Torzilli PA, Altchek DA, Warren RF (1994) Biomechanical evaluation of a simulated Bankart lesion. J Bone Joint Surg Am 76:1819–1826PubMed
33.
go back to reference Speer KP, Warren RF, Pagnani M, Warner JJ (1996) An arthroscopic technique for anterior stabilisation of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am 78:1801–1807PubMed Speer KP, Warren RF, Pagnani M, Warner JJ (1996) An arthroscopic technique for anterior stabilisation of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am 78:1801–1807PubMed
34.
go back to reference Tamai K, Higashi A, Tanabe T, Hamada J (1999) Recurrences after the open Bankart repair: a potential risk with use of suture anchors. J Shoulder Elbow Surg 8:37–41PubMedCrossRef Tamai K, Higashi A, Tanabe T, Hamada J (1999) Recurrences after the open Bankart repair: a potential risk with use of suture anchors. J Shoulder Elbow Surg 8:37–41PubMedCrossRef
35.
go back to reference Thal R, Nofziger M, Bridges M, Kim JJ (2007) Arthroscopic Bankart repair using knotless or Bioknotless suture anchors: 2- to 7-year results. Arthroscopy 23(4):367–375PubMedCrossRef Thal R, Nofziger M, Bridges M, Kim JJ (2007) Arthroscopic Bankart repair using knotless or Bioknotless suture anchors: 2- to 7-year results. Arthroscopy 23(4):367–375PubMedCrossRef
36.
go back to reference Torchia ME, Caspari RB, Asselmeier MA, Beach WR, Gayari M (1997) Arthroscopic transglenoid multiple suture repair: 2 to 8 year results in 150 shoulders. Arthroscopy 13:609–619PubMedCrossRef Torchia ME, Caspari RB, Asselmeier MA, Beach WR, Gayari M (1997) Arthroscopic transglenoid multiple suture repair: 2 to 8 year results in 150 shoulders. Arthroscopy 13:609–619PubMedCrossRef
37.
go back to reference Trenhaile SW, Savoie III FH (2002) New frontiers in arthroscopic treatment of glenohumeral instability. Arthroscopy 18(2):76–87PubMedCrossRef Trenhaile SW, Savoie III FH (2002) New frontiers in arthroscopic treatment of glenohumeral instability. Arthroscopy 18(2):76–87PubMedCrossRef
38.
go back to reference Walch G, Boileau P, Levigne C, Mandrino A, Neyret P, Donell S (1995) Arthroscopic stabilization for recurrent anterior shoulder dislocation: results of 59 cases. Arthroscopy 11:173–179PubMed Walch G, Boileau P, Levigne C, Mandrino A, Neyret P, Donell S (1995) Arthroscopic stabilization for recurrent anterior shoulder dislocation: results of 59 cases. Arthroscopy 11:173–179PubMed
39.
go back to reference Wust DM, Meyer DC, Favre P, Gerber C (2006) Mechanical and handling properties of braided polyblend polyethylene sutures in comparison to braided polyester and monofilament polydioxanone sutures. Arthroscopy 22(11):1146–1153PubMedCrossRef Wust DM, Meyer DC, Favre P, Gerber C (2006) Mechanical and handling properties of braided polyblend polyethylene sutures in comparison to braided polyester and monofilament polydioxanone sutures. Arthroscopy 22(11):1146–1153PubMedCrossRef
Metadata
Title
Cyclic loading comparison of Bio-SutureTak-#2 FiberWire and Bio Mini-Revo-#2 Hi-Fi suture anchor-sutures in cadaveric scapulae
Authors
Brad S. Sparks
John Nyland
Akbar Nawab
Ethan Blackburn
Ryan Krupp
Robert Burden
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2008
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-007-0445-2

Other articles of this Issue 3/2008

Knee Surgery, Sports Traumatology, Arthroscopy 3/2008 Go to the issue