Skip to main content
Top
Published in: International Orthopaedics 2/2017

01-02-2017 | Original Paper

Does a different dose of gamma irradiation have the same effect on five different types of tendon allografts? — a biomechanical study

Authors: Gyorgy Hangody, Gábor Szebényi, Bence Abonyi, Rita Kiss, László Hangody, Károly Pap

Published in: International Orthopaedics | Issue 2/2017

Login to get access

Abstract

Introduction

The goals of our study were to evaluate the biomechanical differences between five tendons and the changes in biomechanical properties caused by irradiation.

Methods

Achilles, quadriceps, semitendinosus + gracilis (STG), tibialis anterior (TA) and the peroneus longus (PL) were harvested from 30 donors. Group A contained 50 tendons without gamma irradiation. The groups were irradiated with a dose of 21 kGy (group B 50 tendons) and with a dose of 42 kGy (group C 50 tendons). The grafts were soaked in a radio-protectant solution and frozen at −80 °C. Cyclic loading tests were performed followed by load to failure tests. Young modulus of elasticity, maximum force, strain at tensile strength and strain at rupture were calculated.

Results

The Achilles tendons had significantly lower Young modulus than the TA (p = 0.0036) in group A. The Achilles showed significantly lower than PL (p = 0.000042) and TA (p = 0.00142) in group B and C. The quadriceps and the ST (p = 0.0037) provided poorer values than the TA (p = 0.0432) in group C. We found no difference in maximum loads among the tendons in group A. The maximum load of the Achilles and quadriceps showed better results than the PL (p = 0.0016), (p = 0.0018) and the STG (p = 0.0066), (p = 0.0019) in group C. The TA had similar results like the Achilles and quadriceps.

Discussion and conclusions

The vulnerability of gamma irradiation of TA was less than Achilles and quadriceps tendons.
Literature
1.
go back to reference Takigami J, Hashimoto Y, Yamasaki S, Terai S, Nakamura H (2015) Direct bone-to-bone integration between recombinant human bone morphogenetic protein-2-injected tendon graft and tunnel wall in an anterior cruciate ligament reconstruction model. Int Orthop 39:1441–1447CrossRefPubMed Takigami J, Hashimoto Y, Yamasaki S, Terai S, Nakamura H (2015) Direct bone-to-bone integration between recombinant human bone morphogenetic protein-2-injected tendon graft and tunnel wall in an anterior cruciate ligament reconstruction model. Int Orthop 39:1441–1447CrossRefPubMed
2.
3.
go back to reference Schwarting T, Benölken M, Ruchholtz S, Frink M, Lechler P (2015) Bone morphogenetic protein-7 enhances bone-tendon integration in a murine in vitro co-culture model. Int Orthop 39:799–805CrossRefPubMed Schwarting T, Benölken M, Ruchholtz S, Frink M, Lechler P (2015) Bone morphogenetic protein-7 enhances bone-tendon integration in a murine in vitro co-culture model. Int Orthop 39:799–805CrossRefPubMed
4.
go back to reference Hoburg A, Keshalf S, Schmidt T, Smith M, Gohs U, Perka C, Pruss C, Scheffler S (2015) High-dose electron beam sterilization of soft tissue grafts maintains significantly improved biomechanical properties compared to standard gamma treatment. Cell Tissue Bank 16:219–226CrossRefPubMed Hoburg A, Keshalf S, Schmidt T, Smith M, Gohs U, Perka C, Pruss C, Scheffler S (2015) High-dose electron beam sterilization of soft tissue grafts maintains significantly improved biomechanical properties compared to standard gamma treatment. Cell Tissue Bank 16:219–226CrossRefPubMed
5.
go back to reference Cvetanovich GL, Mascarenhas R, Saccomanno MF et al (2014) Hamstring autograft versus soft-tissue allograft in anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomized controlled trials. Arthroscopy 30:1616–1624CrossRefPubMed Cvetanovich GL, Mascarenhas R, Saccomanno MF et al (2014) Hamstring autograft versus soft-tissue allograft in anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomized controlled trials. Arthroscopy 30:1616–1624CrossRefPubMed
6.
go back to reference Schandl K, Horváthy DB, Doros A, Majzik E, Schwarz CM, Csönge L, Abkarovits G, Bucsi L, Lacza Z (2016) Bone-Albumin filling decreases donor site morbidity and enhances bone formation after anterior cruciate ligament reconstruction with bone-patellar tendon-bone autografts. Int Orthop. doi:10.1007/s00264-016-3246-8 PubMed Schandl K, Horváthy DB, Doros A, Majzik E, Schwarz CM, Csönge L, Abkarovits G, Bucsi L, Lacza Z (2016) Bone-Albumin filling decreases donor site morbidity and enhances bone formation after anterior cruciate ligament reconstruction with bone-patellar tendon-bone autografts. Int Orthop. doi:10.​1007/​s00264-016-3246-8 PubMed
7.
go back to reference Yanke AB, Bell R, Lee A et al (2013) The biomechanical effects of 1.0 to 1.2 Mrad of gamma irradiation on human bone-patellar tendon- bone allografts. Am J Sports Med 41:835–840CrossRefPubMed Yanke AB, Bell R, Lee A et al (2013) The biomechanical effects of 1.0 to 1.2 Mrad of gamma irradiation on human bone-patellar tendon- bone allografts. Am J Sports Med 41:835–840CrossRefPubMed
8.
go back to reference Kainer MA, Linden JV (2004) Closridium infections associated with musculoskeletal-tissue allografts. N Engl J Med 350:2564–2571CrossRefPubMed Kainer MA, Linden JV (2004) Closridium infections associated with musculoskeletal-tissue allografts. N Engl J Med 350:2564–2571CrossRefPubMed
9.
go back to reference Scheffler SU, Scherler J, Pruss A, von Versen R, Weiler A (2005) Biomechanical comparison of human bone-patellar tendon- bone grafts after sterilization with peracetic acid ethanol. Cell Tissue Bank 6:109–115CrossRefPubMed Scheffler SU, Scherler J, Pruss A, von Versen R, Weiler A (2005) Biomechanical comparison of human bone-patellar tendon- bone grafts after sterilization with peracetic acid ethanol. Cell Tissue Bank 6:109–115CrossRefPubMed
10.
go back to reference Schmidt T, Hoburg A, Broziat C et al (2012) Sterilization with electron beam irradiation influences the biomechanical properties and the early remodeling of tendon allografts for reconstruction of the anterior cruciate ligament (ACL). Cell Tissue Bank 13:387–400CrossRefPubMed Schmidt T, Hoburg A, Broziat C et al (2012) Sterilization with electron beam irradiation influences the biomechanical properties and the early remodeling of tendon allografts for reconstruction of the anterior cruciate ligament (ACL). Cell Tissue Bank 13:387–400CrossRefPubMed
11.
go back to reference Greaves L, Hecker A, Brown C (2008) The effect of donor age and low-dose gamma irradiationon the initial biomechanical properties of human tibialis tendon allografts. Am J Sports Med 36:1358–1366CrossRefPubMed Greaves L, Hecker A, Brown C (2008) The effect of donor age and low-dose gamma irradiationon the initial biomechanical properties of human tibialis tendon allografts. Am J Sports Med 36:1358–1366CrossRefPubMed
12.
go back to reference Ng K, Wanivenhaus F, Chen T et al (2013) Differential cross-linking and radio-protective effects of geninpin on mature bovine and patella tendons. Cell Tissue Bank 14:21–32CrossRefPubMed Ng K, Wanivenhaus F, Chen T et al (2013) Differential cross-linking and radio-protective effects of geninpin on mature bovine and patella tendons. Cell Tissue Bank 14:21–32CrossRefPubMed
13.
go back to reference Dziedzic-Goclawska A, Kaminski A, Uhrynowska-Tyszkiewicz I, Stachowicz W (2005) Irradiation as a safety procedure in tissue banking. Cell Tissue Bank 6:201–219CrossRefPubMed Dziedzic-Goclawska A, Kaminski A, Uhrynowska-Tyszkiewicz I, Stachowicz W (2005) Irradiation as a safety procedure in tissue banking. Cell Tissue Bank 6:201–219CrossRefPubMed
14.
go back to reference Wei W, Liu Y, Yang X et al (2013) Fraction of 50 kGy electron beam irradiation: effects on biomechanich of human flexor digitorum superficialis tendons treated with absorbate. J Biomech 46:658–661CrossRefPubMed Wei W, Liu Y, Yang X et al (2013) Fraction of 50 kGy electron beam irradiation: effects on biomechanich of human flexor digitorum superficialis tendons treated with absorbate. J Biomech 46:658–661CrossRefPubMed
15.
go back to reference Grieb TA, Forng RY, Bogdansky S, Ronholdt C, Parks B, Drohan WN, Burgess WH, Lin J (2006) High-dose gamma irradiation for soft tissue allografts: high margin of safety with biomechanical integrity. J Orthop Res 24:1011–1018CrossRefPubMed Grieb TA, Forng RY, Bogdansky S, Ronholdt C, Parks B, Drohan WN, Burgess WH, Lin J (2006) High-dose gamma irradiation for soft tissue allografts: high margin of safety with biomechanical integrity. J Orthop Res 24:1011–1018CrossRefPubMed
16.
go back to reference Gy H, Pánics G, Szebényi G, Kiss R, Hangody L, Pap K (2016) Pitfalls during biomechanical testing—evaluation of different fixation methods for measuring tendons endurance properties. Acta Physiol Hung 103:86–93CrossRef Gy H, Pánics G, Szebényi G, Kiss R, Hangody L, Pap K (2016) Pitfalls during biomechanical testing—evaluation of different fixation methods for measuring tendons endurance properties. Acta Physiol Hung 103:86–93CrossRef
17.
go back to reference Jung HJ, Vangipuram G, Fisher MB et al (2011) The effects of multiple freeze-thaw cycles on the biomechanical properties of the human bone-patellar tendon-bone allograft. J Orthop Res 8:1193–1198CrossRef Jung HJ, Vangipuram G, Fisher MB et al (2011) The effects of multiple freeze-thaw cycles on the biomechanical properties of the human bone-patellar tendon-bone allograft. J Orthop Res 8:1193–1198CrossRef
18.
go back to reference Conrad BP, Rappé M, Horodyski M, Farmer KW, Indelicato PA (2013) The effect of sterilization on mechanical properties of soft tissue allografts. Cell Tissue Bank 14:359–366CrossRefPubMed Conrad BP, Rappé M, Horodyski M, Farmer KW, Indelicato PA (2013) The effect of sterilization on mechanical properties of soft tissue allografts. Cell Tissue Bank 14:359–366CrossRefPubMed
19.
go back to reference Almqvist KF, Jan H, Vercruysse C, Verbeeck R, Verdonk R (2007) The tibialis tendon as a valuable anterior cruciate ligament allograft substitute: biomechanical properties. Knee Surg Sports Traumatol Arthrosc 15:1326–1330CrossRefPubMed Almqvist KF, Jan H, Vercruysse C, Verbeeck R, Verdonk R (2007) The tibialis tendon as a valuable anterior cruciate ligament allograft substitute: biomechanical properties. Knee Surg Sports Traumatol Arthrosc 15:1326–1330CrossRefPubMed
20.
go back to reference Pearsall AW, Hollis MJ, Russel GV, Scheer Z (2003) A biomechanical comparison of three lower extremity tendons for ligamentous reconstruction about the knee. Arthroscopy 19:1091–1096CrossRefPubMed Pearsall AW, Hollis MJ, Russel GV, Scheer Z (2003) A biomechanical comparison of three lower extremity tendons for ligamentous reconstruction about the knee. Arthroscopy 19:1091–1096CrossRefPubMed
21.
go back to reference Hoburg AT, Keshlaf S, Schmidt T et al (2010) Effect of electron beam irradiation on biomechanical properties of patellar tendon allograft in anterior cruciate reconstruction. Am J Sports Med 38:1134–1140CrossRefPubMed Hoburg AT, Keshlaf S, Schmidt T et al (2010) Effect of electron beam irradiation on biomechanical properties of patellar tendon allograft in anterior cruciate reconstruction. Am J Sports Med 38:1134–1140CrossRefPubMed
22.
go back to reference Nagura T, Matsumoto H, Kiriyama Y, Chaudhari A, Andriacchi TP (2006) Tibiofemoral joint contact force in deep knee flexion and its consideration in knee osteoarhrosis and joint replacement. J Appl Biomech 22:305–313CrossRefPubMed Nagura T, Matsumoto H, Kiriyama Y, Chaudhari A, Andriacchi TP (2006) Tibiofemoral joint contact force in deep knee flexion and its consideration in knee osteoarhrosis and joint replacement. J Appl Biomech 22:305–313CrossRefPubMed
23.
go back to reference Noyes F, Butler D, Grood E et al (1984) Biomechnical analysis of human ligament grafts used in knee-ligament repairs and reconstructions. J Bone Joint Surg Am 66:344–352CrossRefPubMed Noyes F, Butler D, Grood E et al (1984) Biomechnical analysis of human ligament grafts used in knee-ligament repairs and reconstructions. J Bone Joint Surg Am 66:344–352CrossRefPubMed
24.
go back to reference Mabe I, Hunter S (2014) Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison. Cell Tissue Bank 15:523–529CrossRefPubMed Mabe I, Hunter S (2014) Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison. Cell Tissue Bank 15:523–529CrossRefPubMed
25.
go back to reference Samsell BJ, Moore AM (2012) Use of controlled low dose gamma irradiation to sterilize allograft tendons for ACL reconstruction: biomechanical and clinical perspectives. Cell Tissue Bank 13:217–223CrossRefPubMed Samsell BJ, Moore AM (2012) Use of controlled low dose gamma irradiation to sterilize allograft tendons for ACL reconstruction: biomechanical and clinical perspectives. Cell Tissue Bank 13:217–223CrossRefPubMed
Metadata
Title
Does a different dose of gamma irradiation have the same effect on five different types of tendon allografts? — a biomechanical study
Authors
Gyorgy Hangody
Gábor Szebényi
Bence Abonyi
Rita Kiss
László Hangody
Károly Pap
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 2/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-016-3336-7

Other articles of this Issue 2/2017

International Orthopaedics 2/2017 Go to the issue