Evidence map›Paper›PMID 25266229›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Biomechanical comparison of fixation techniques for medial collateral ligament anatomical augmented repair.

Mohamed Omar, Maximilian Petri, Antonios Dratzidis, Simon El Nehmer, Christof Hurschler, Christian Krettek, Michael Jagodzinski, Max Ettinger

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
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  7. Article
  8. Review
  9. Suture tape augmentation improves laxity of MCL repair in the ACL reconstructed knee.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  10. Article
  11. Article
  12. Clinical outcomes after multiligament injured knees: medial versus lateral reconstructions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Mohamed OmarTrauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. omar.mohamed@mh-hannover.de.
Maximilian PetriTrauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Antonios DratzidisOrthopaedic Surgery Department, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany.
Simon El NehmerTrauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Christof HurschlerLaboratory for Biomaterials and Biomechanics, Orthopaedic Surgery Department, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany.
Christian KrettekTrauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Michael JagodzinskiTrauma Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
Max EttingerOrthopaedic Surgery Department, Hannover Medical School, Anna-von-Borries-Str. 1-7, 30625, Hannover, Germany.
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough the majority of medial collateral ligament (MCL) ruptures can be treated conservatively with good results, some injuries require operative treatment. Besides MCL reconstruction, anatomical augmented repair may be considered. This study was to assess biomechanical properties of different fixation techniques regarding elongation and ultimate load to failure.

methodsMCL anatomical augmented repair was simulated by fixation of porcine superficial digital flexor tendon grafts at porcine tibiae. Ten different fixation techniques were assessed. Fixation of the tendon graft was performed using 4.0-mm cancellous screws and either (1) 13.5-mm spiked polyether ketone (PEEK) washers; (2) 14-mm spiked washers; (3) 14-mm suture washers; (4) 14-mm customized washers; (5-8) combination of washers and No. 2 polyester sutures (FiberWire©); or using (9) single or (10) double 5.5-mm titanium suture anchors with No. 2 polyethylene sutures (Ultrabraid

resultsSpiked PEEK washers secured with polyester sutures (5) yielded best biomechanical properties at time zero for both, elongation during cyclic loading (2.9 ± 0.7 mm) and ultimate failure load (469.8 ± 64.3 N).

conclusionsThese results suggest that spiked PEEK washers secured with polyester sutures are the most appropriate fixation technique for MCL anatomical augmented repair, thus providing best requirements to allow early knee mobilization and prevent secondary knee laxity.

Indexed as

AnimalsBenzophenonesBiomechanical PhenomenaBone ScrewsFemaleKetonesKnee JointMaleMedial Collateral Ligament, KneeModels, AnimalOrthopedic ProceduresPlastic Surgery ProceduresPolyethylenePolyethylene GlycolsPolymersRuptureBenzophenonesKetonespolyetheretherketonePolyethylenePolyethylene GlycolsPolymersBiomechanicsKneeMedial collateral ligamentPolyester suturesSuture anchorsWasher

Identifiers

PMID25266229
OpenAlexW1993875162

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.