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Title: The use of suture-tape and suture-wire in arthroscopic rotator cuff repair: A comparative biomechanics study.
Austin Authors: Huntington, Lachlan;Coles-Black, Jasamine ;Richardson, Martin;Sobol, Tony;Caldow, Jonathon;Chuen, Jason ;Ackland, David C
Affiliation: Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Department of Orthopaedic Surgery, Epworth Healthcare, Richmond, Victoria, Australia
Department of Biomedical Engineering, University of Melbourne, Parkville, Victoria, Australia
Issue Date: 6-Sep-2018 2018-09-06
Publication information: Injury 2018; online first: 6 September
Abstract: Rotator cuff repair surgery aims to create a secure, pressurized tendon-bone footprint to permit re-establishment of the fibrovascular interface and tendon healing. Flat-braided suture-tape is an alternative suture material to traditional suture-wire that has potential to reproduce a larger repair construct contact area. The objective of this study was to compare contact pressure, area as well as the mechanical fatigue strength between suture-wire and suture-tape Suture-bridge repair constructs in an ovine model. Sixty lamb infraspinatus tendons were harvested and randomly allocated to three- and four-anchor Suture-bridge repairs performed using either suture-wire or suture-tape. Thirty-two specimens were cyclically loaded for 200 cycles in an Instron testing machine, while tendon gap formation was recorded using a high speed digital motion analysis system. Loading to failure was then performed to evaluate construct ultimate tensile strength and stiffness. The remaining 28 specimens were assessed for repair contact pressure and area using pressure-sensitive film. There was a significantly greater average tendon contact pressure (mean difference: 0.064 MPa, p = 0.04) and area (mean difference: 2.71 mm2, p = 0.03) in fiber-tape repair constructs compared to those in fiber-wire constructs for the three-anchor Suture-bridge configuration. The four-anchor suture-tape constructs had a significantly larger ultimate tensile strength than that of the four-anchor suture-wire constructs (mean difference: 56.4 N, p = 0.04). There were no significant differences in gap formation or stiffness between suture-tape and suture-wire constructs (p > 0.05). Suture-tape offers greater pressurised tendon-bone contact than suture-wire in three-anchor Suture-bridge repairs, while greater mechanical strength is achieved with the use of suture-tape in four-anchor Suture-bridge constructs.
DOI: 10.1016/j.injury.2018.09.004
ORCID: 0000-0002-8358-3779
PubMed URL: 30224178
Type: Journal Article
Subjects: Fatigue
Repair construct
Rotator cuff tear
Appears in Collections:Journal articles

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