Biomechanical comparison of double-row versus transtendon single-row suture anchor technique for rep

来源 :中华医学杂志(英文版) | 被引量 : 0次 | 上传用户:kjnojn
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background For partial-thickness tears of the rotator cuff, double-row fixation and transtendon single-row fixation restore insertion site anatomy, with excellent results. We compared the biomechanical properties of double-row and transtendon single-row suture anchor techniques for repair of grade Ⅲ partial articular-sided rotator cuff tears.Methods In 10 matched pairs of fresh-frozen sheep shoulders, the infraspinatus tendon from 1 shoulder was repaired with a double-row suture anchor technique. This comprised placement of 2 medial anchors with horizontal mattress sutures at an angle of .≤45° into the medial margin of the infraspinatus footprint, just lateral to the articular surface, and 2 lateral anchors with horizontal mattress sutures. Standardized, 50% partial, articular-sided infraspinatus lesions were created in the contralateral shoulder. The infraspinatus tendon from the contralateral shoulder was repaired using two anchors with transtendon single-row mattress sutures. Each specimen underwent cyclic loading from 10 to 100 N for 50 cycles, followed by tensile testing to failure. Gap formation and strain over the footprint area were measured using a motion capture system; stiffness and failure load were determined from testing data.Results Gap formation for the transtendon single-row repair was significantly smaller (P <0.05) when compared with the double-row repair for the first cycle ((1.74±0.38) mm vs. (2.86±0.46) mm, respectively) and the last cycle ((3.77±0.45) mm vs. (5.89±0.61) mm, respectively). The strain over the footprint area for the transtendon single-row repair was significantly smaller (P <0.05) when compared with the double-row repair. Also, it had a higher mean ultimate tensile load and stiffness.Conclusions For grade Ⅲ partial articular-sided rotator cuff tears, transtendon single-row fixation exhibited superior biomechanical properties when compared with double-row fixation.
其他文献
研究利用固相萃取-高效液相色谱技术检测淡水产品中的微囊藻毒素MC-LR和MC-RR。样品经80%甲醇水溶液提取后,以固相萃取小柱进行净化,氮吹浓缩后以高效液相色谱进行分析。以65
“新36条”明确了我国微型金融领域对民间资本的全面开放,这无论在理论层面还是现实层面均具有制度正当性与价值合理性.鉴于国际金融监管以及国内金融民营化的发展趋势,我国
背景:为改善胶原支架的降解性能,作者对胶原支架的高温脱水物理交联方法进行了改进,将交联时间由24 h增加到48 h,将交联温度由105℃提高到115℃。目的:验证改进高温脱水物理
本文研究了金融风险管理理论中风险价值(VaR)的非参数核光滑估计和经验估计的效率问题.对非独立的时间序列损失/收益样本,在均方误差(MSE)准则的意义下引入“亏量”的概念,亏
2000年起日本实施的“护理保险制度”受“福利多元主义”影响,实现了向“护理钻石”结构的转变,克服了“社会性住院”困境。此制度与2008年韩国实行的“老人长期疗养保险制度
Objective To analyze the allergic status to common inhalant allergens and food allergens in clinical patients in Harbin in northeastern China and provide eviden
Objective: To determine the nature and extent of Iranian casualties by ballistic missile attacks dur-ing the eight years of the Iraq-Iran war.Methods: The data
Objective To explore the effects of resveratrol-induced apoptosis and autophagy in T-cell acute lymphoblastic leukemia (T-ALL) cells and potential molecular mec
Bartter syndrome type Ⅲ is a Bartter syndrome subtype, which has a group of autosomal-recessive inherited disorders with clinical characteristics such as renal