ArticleInternational orthopaedics2012
Initial stability of two different adhesives compared to suture repair for acute Achilles tendon rupture--a biomechanical evaluation.
Article in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 19 citations in OpenAlex.
- Efficacy and complications of open and minimally invasive surgery in acute Achilles tendon rupture: a prospective randomised clinical study--preliminary report.International orthopaedics · 2013Trial
- Absorbable versus non-absorbable sutures in Achilles tendon rupture repair: a retrospective cohort study evaluating medium- to long-term outcomes via musculoskeletal ultrasound and functional metrics.Journal of orthopaedic surgery and research · 2025Article
- Mechanically Competent Chitosan-Based Bioadhesive for Tendon-to-Bone Repair.Advanced healthcare materials · 2022Article
- Bioadhesives for musculoskeletal tissue regeneration.Acta biomaterialia · 2020Review
- Interlocking horizontal mattress suture versus Kakiuchi technique in repair of Achilles tendon rupture: a biomechanical study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017Article
- Different Sutures in the Surgical Treatment of Acute Closed Achilles Tendon Rupture.The Indian journal of surgery · 2015Article
- Is percutaneous suturing superior to open fibrin gluing in acute Achilles tendon rupture?International orthopaedics · 2015Article
- Functional evaluation of professional athletes treated with a mini-open technique for achilles tendon rupture.Muscles, ligaments and tendons journal · 2014Article
- Development of a surgically optimized graft insertion suture technique to accommodate a tissue-engineered tendon in vivo.BioResearch open access · 2013Article
- Medial Achilles tendon island flap--a novel technique to treat reruptures and neglected ruptures of the Achilles tendon.International orthopaedics · 2012Article
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTreatment of acute subcutaneous Achilles tendon rupture remains challenging. Whereas the results of conservative and operative treatment are inconsistent, early mobilisation treatment seems to be beneficial. Besides suture repair, operative treatment using adhesives reveals promising results. Our hypothesis was that a gluing technique provides initial stability comparable to sutures.
methodsIn a biomechanical study, 18 fresh frozen sheep Achilles tendons were used to compare the biomechanical properties of suture repair using PDS® II and Bunnell's technique to tendon gluing using BioGlue® and Tissucol®. Load to failure testing was performed.
resultsUltimate failure loads of sutures (146.2 ± 30.8 N) are significantly superior to the techniques using BioGlue® (38.4 ± 18.3 N; p <0.0001) or Tissucol® (4.7 ± 2.5 N; p <0.0001). Interestingly, no significant differences in stiffness were found between the application of BioGlue® and PDS® II.
conclusionsSuture repair provides significantly superior biomechanical properties compared to the use of both tested adhesives BioGlue® and Tissucol®. Based on the presented data we recommend the use of suture material for open Achilles tendon repair.
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