| Yazarlar |
Onur Hapa
Dokuz Eylül Üniversitesi, Türkiye |
|
Fa Barber
|
|
Onur Başcı
Dokuz Eylül Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Levent HOROZ
Dokuz Eylül Üniversitesi, Türkiye |
|
Fatih Ertem
Dokuz Eylül Üniversitesi, Türkiye |
|
Ahmet Karakaşlı
Dokuz Eylül Üniversitesi, Türkiye |
|
Hasan Havıtçıoğlu
Dokuz Eylül Üniversitesi, Türkiye |
| Özet |
| Purpose: To determine the strength of various suture techniques and the impact of suture passer size on cyclically loaded hip labra. Methods: We assigned 63 bovine hip labra to 9 simple knotless suture technique groups using OrthoCord suture: (1) penetrating grasper (2.6 mm)-placed horizontal mattress, (2) penetrating grasper-placed vertical mattress, (3) SutureLasso (1.8 mm)-placed vertical mattress, (4) penetrating grasper-placed oblique repair, (5) penetrating grasper-placed vertical mattress plus radiofrequency, (6) SutureLasso-placed horizontal mattress, (7) SutureLasso-placed oblique mattress, (8) SutureLasso-placed horizontal mattress plus radiofrequency, and (9) SutureLasso-placed oblique mattress plus radiofrequency. After 20 cycles of uniaxial tensile loading (5 to 80 N), destructive testing was performed. Results: Penetrating grasper-placed horizontal mattress sutures showed lower ultimate failure loads than vertical and oblique mattress sutures (P < .05). Penetrating grasper-placed vertical mattress sutures had higher peak-to-peak displacement than SutureLasso-placed vertical mattress sutures (P = .04). SutureLasso-placed oblique mattress sutures had a higher ultimate load (P < .01) and stiffness (P = .04) than SutureLasso-placed horizontal mattress sutures. SutureLasso-placed horizontal mattress sutures had lower cyclic elongation than penetrating grasper-placed horizontal mattress sutures (P = .01) and lower ultimate load (P < .01) and stiffness than SutureLasso-placed vertical mattress sutures (P < .01). Horizontal mattress sutures with radiofrequency had a higher ultimate load (P = .02), stiffness, and cyclic elongation (P < .01) than without radiofrequency. Conclusions: A horizontal mattress hip labrum stitch shows a lower ultimate failure load than vertical or oblique mattress stitches. Smaller-diameter suture-passing devices show less cyclic displacement and elongation than larger-diameter devices. Radiofrequency labral treatment does not alter vertical stitch strength but does alter horizontal mattress stitch strength. Clinical Relevance: Vertical and oblique stitches are stronger than horizontal stitches. A 1.8-mm passing device shows a better cyclic loading performance than a 2.6-mm device. |
| Anahtar Kelimeler |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY |
| Dergi ISSN | 0749-8063 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q1 |
| Makale Dili | İngilizce |
| Basım Tarihi | 06-2016 |
| Cilt No | 32 |
| Sayı | 6 |
| Sayfalar | 1010 / 1016 |
| Doi Numarası | 10.1016/j.arthro.2015.12.044 |
| Makale Linki | https://www.arthroscopyjournal.org/article/S0749-8063(15)01074-9/fulltext |
