ArticleArthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association2013
Effects of suture choice on biomechanics and physeal status after bioenhanced anterior cruciate ligament repair in skeletally immature patients: a large-animal study.
Article in Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Durability of transosseous repair of posterior soft tissues after primary total hip arthroplasty: a prospective randomized controlled trial.Archives of orthopaedic and trauma surgery · 2024Trial
- Survival and functional outcomes after hemiarthroplasty in children with proximal tibial osteosarcoma.Journal of orthopaedic surgery and research · 2024Article
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- Optimizing outcomes of ACL surgery-Is autograft reconstruction the only reasonable option?Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021Review
- Posterolateral Corner Repair With Internal Bracing and Peroneal Nerve Neurolysis.Arthroscopy techniques · 2021Article
- ACL Repair: A Game Changer or Will History Repeat Itself? A Critical Appraisal.Journal of clinical medicine · 2021Review
- Paediatric proximal ACL tears managed with direct ACL repair is safe, effective and has excellent short-term outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Primary Repair of the Lateral Collateral Ligament Using Additional Suture Augmentation.Arthroscopy techniques · 2020Article
- Treatment of Acute Proximal Anterior Cruciate Ligament Tears-Part 2: The Role of Internal Bracing on Gap Formation and Stabilization of Repair Techniques.Orthopaedic journal of sports medicine · 2020Article
- Anterior cruciate ligament repair - past, present and future.Journal of experimental orthopaedics · 2018Review
- Magnetic resonance measurements of tissue quantity and quality using TJournal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018Article
- Effect of low-temperature ethylene oxide and electron beam sterilization on the in vitro and in vivo function of reconstituted extracellular matrix-derived scaffolds.Journal of biomaterials applications · 2015Article
- Biomechanical Outcomes of Bridge-enhanced Anterior Cruciate Ligament Repair Are Influenced by Sex in a Preclinical Model.Clinical orthopaedics and related research · 2015Article
- Basic science of anterior cruciate ligament injury and repair.Bone & joint research · 2014Article
- Biomechanical outcomes after bioenhanced anterior cruciate ligament repair and anterior cruciate ligament reconstruction are equal in a porcine model.Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2012Article
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6 authors.
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Abstract
purposeThe objective of this study was to assess the effect of absorbable or nonabsorbable sutures in bioenhanced anterior cruciate ligament (ACL) repair in a skeletally immature pig model on suture tunnel and growth plate healing and biomechanical outcomes.
methodsSixteen female skeletally immature Yorkshire pigs were randomly allocated to receive unilateral, bioenhanced ACL repair with an absorbable (Vicryl) or nonabsorbable (Ethibond) suture augmented by an extracellular matrix-based scaffold (MIACH). After 15 weeks of healing, micro-computed tomography was used to measure residual tunnel diameters and growth plate status, and biomechanical outcomes were assessed.
resultsAt 15 weeks postoperatively, there was a significant difference in tunnel diameter with significantly larger diameters in the nonabsorbable suture group (4.4 ± 0.3 mm; mean ± SD) than in the absorbable group (1.8 ± 0.5 mm; P < .001). The growth plate showed a significantly greater affected area in the nonabsorbable group (15.2 ± 3.4 mm(2)) than in the absorbable group (2.7 ± 0.8 mm(2), P < .001). There was no significant difference in the linear stiffness of the repairs (29.0 ± 14.8 N/mm for absorbable v 43.3 ± 28.3 N/mm for nonabsorbable sutures, P = .531), but load to failure was higher in the nonabsorbable suture group (211 ± 121.5 N) than in the absorbable suture group (173 ± 101.4 N, P = .002). There was no difference between the 2 groups in anteroposterior laxity at 30° (P = .5117), 60° (P = .3150), and 90° (P = .4297) of knee flexion.
conclusionsThe use of absorbable sutures for ACL repair resulted in decreased physeal plate damage after 15 weeks of healing; however, use of nonabsorbable sutures resulted in 20% stronger repairs. CLINICAL RELEVANCE: Choice of suture type for ACL repair or repair of tibial avulsion fractures may depend on patient skeletal age and size, with absorbable sutures preferred in very young, small patients at higher risk with physeal damage and nonabsorbable sutures preferred in larger, prepubescent patients who may place higher loads on the repair.
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