Evidence map›Paper›PMID 30269194›Full record

ArticleJournal of experimental orthopaedics2018

Biomechanical properties of adjustable extracortical graft fixations in ACL reconstruction.

M Ettinger, R Karkosch, H Horstmann, P Savov, T Calliess, T Smith, M Petri, ESSKA under 45-committee (2016-2018)

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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.

M EttingerOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany. max.ettinger@diakovere.de.
R KarkoschOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany.
H HorstmannOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany.
P SavovOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany.
T CalliessOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany.
T SmithOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany.
M PetriOrthopaedic Surgery Department, Hannover Medical School (MHH), Anna-von-Borries-Str. 1-7, D-30625, Hannover, Germany.
ESSKA under 45-committee (2016-2018)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReliable biomechanical data about the strength of different tibial extracortical graft fixation devices is sparse. This biomechanical study compares the properties of tibial graft fixation in ACL reconstruction with either the ACL Tight Rope™ or the Rigid Loop Adjustable™ device. The hypothesis was that both fixation devices would provide comparable results concerning gap formation during cyclic loading and ultimate failure load.

methodsSixteen sawbone tibiae (Sawbones™) underwent extracortical fixation of porcine flexor digitorum profundus grafts for ACL reconstruction. Either the ACL Tight Rope™ (Arthrex) or the Rigid Loop Adjustable™ (DePuy Mitek) fixation device were used, resulting in 2 groups with 8 specimens per group. Biomechanical analysis included pretensioning the constructs 10 times with 0.75 Hz, then cyclic loading of 1,000 position-controlled cycles and 1,000 force-controlled cycles applied with a servohydraulic testing machine. Elongation during cyclic loading was recorded. After this, ultimate failure load and failure mode analysis were performed.

resultsNo statistically significant difference could be noted between the groups regarding gap formation during cyclic loading (4.6 ± 2.6 mm for the Rigid Loop Adjustable™ vs. 6.6 ± 1.5 mm for the ACL Tight Rope™ (p > 0.05)), and ultimate failure loads (980 ± 101.9 N for the Rigid Loop Adjustable™ vs. 861 ± 115 N ACL Tight Rope™ (p > 0.05)).

conclusionACL Tight Rope™ and the Rigid Loop Adjustable™ fixation devices yield comparable biomechanical results for tibial extracortical graft fixation in ACL reconstruction. These findings may be of relevance for the future surgical decision-making in ACL reconstruction. Randomized controlled clinical trials comparing both fixation devices are desirable for the future.

Indexed as

Anterior cruciate ligament, Anterior cruciate ligament reconstruction, Tibial fixation, Extracortical graft fixation, Biomechanics

Identifiers

PMID30269194
PMCPMC6163122

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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.