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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-07-2013 | Shoulder

Stitch positioning influences the suture hold in supraspinatus tendon repair

Authors: Karl Wieser, Stefan Rahm, Mazda Farshad, Eugene T. Ek, Christian Gerber, Dominik C. Meyer

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 7/2013

Abstract

Purpose

This study was designed to compare the pull-out strength of simple suture stitches in human supraspinatus tendons with respect to the position of the rotator cable.

Methods

Fifty-four tests were performed on 6 intact, human supraspinatus tendons, to assess the cutout strength of a simple suture configuration in different positions; medial to, lateral to, or within the rotator cable. Tendon thickness was measured and correlated for each positioned suture.

Results

Suture positioning lateral to or in the rotator cable showed significantly lower suture retention properties compared with positioning the suture medial to the cable (p = 0.002). In all tested specimens, the central stitch in the row medial to the rotator cable provided the optimum retention properties (mean: 191 N; SD: ± 44; p < 0.01), even after correcting for tendon thickness.

Conclusion

This study shows that it is desirable to identify the rotator cable and to pass sutures just medial to it, close to the middle of the tendon, which provided highest possible suture retention properties.

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Title: Stitch positioning influences the suture hold in supraspinatus tendon repair
Authors: Karl Wieser
Stefan Rahm
Mazda Farshad
Eugene T. Ek
Christian Gerber
Dominik C. Meyer
Publication date: 01-07-2013
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 7/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2103-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Stitch positioning influences the suture hold in supraspinatus tendon repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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