Evidence map›Paper›PMID 36852476›Full record

ArticleOrthopaedic surgery2023

Biomechanical Analysis of Lark-Loop, Lasso-Loop and Krackow Suture Technique in Tenodesis.

Min Zhou, Chuanhai Zhou, Dedong Cui, Yi Long, Yan Yan, Zhenze Zheng, Ke Meng, Jinming Zhang, Jingyi Hou, Rui Yang

Abstract read
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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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

10 authors.

Min ZhouDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.ORCID https://orcid.org/0000-0002-9755-4549
Chuanhai ZhouDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.ORCID https://orcid.org/0000-0002-2365-8417
Dedong CuiDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.
Yi LongDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.ORCID https://orcid.org/0000-0001-6840-3517
Yan YanDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.
Zhenze ZhengDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.
Ke MengDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.
Jinming ZhangDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.
Jingyi HouDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.
Rui YangDepartment of Orthopaedic Surgery, Sun Yat-Sen University 2nd Affiliated Hospital, Guangzhou, China.ORCID https://orcid.org/0000-0001-7457-5163

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStrong tendon grasping is vital to the success of a tenodesis operation. The purpose of this study was to evaluate the initial tendon-fixation strength of the Lark-Loop technique in arthroscopic suprapectoral biceps tenodesis and compare it with others commonly used techniques.

methodsThirty-three porcine superficial flexor digitorum tendons were harvested from a local slaughterhouse and randomly divided into three groups to perform three tendon fixation techniques (Lasso-Loop stich group, Lark-Loop stich group or Krackow stich group; 11 tendons each group) with a No. 2 suture, respectively. Each tendon was pre-tensioned in 5°N for 2 min and then cyclically loaded 5 to 30°N for 500 cycles to assess displacement. After cyclic loading, the tendon was loaded to ultimate tendon-suture configuration failure at the rate of 1 mm/s. Finally, the mode of failure and the construct stiffness of the tendon were recorded and calculated.

resultsAfter cyclical loading, the displacement of the Lark-Loop group was equivalent to the Krakow group (P > 0.9999) but significantly smaller than the Lasso-Loop group (P = 0.0009). The ultimate load to failure for the Lark-Loop was equivalent to the Krakow technique group (P = 0.1463) but significantly greater than the Lasso-Loop group (P < 0.0001). The stiffness for the Lark-Loop was equivalent to the Krakow group (P = 0.4718) but significantly greater than the Lasso-Loop technique group (P < 0.0001). In the Lark-Loop and Krackow group, all the tendons failed by suture breakage, while all the tendons failed by suture cutting through the tendon in the Lasso-Loop technique group.

conclusionLark-Loop suture technique has biomechanical properties comparable to Krackow and superior to the Lasso-Loop in terms of suture displacement, ultimate load to failure, and stiffness. Therefore, the Lark-Loop suture fixation technique may be beneficial for arthroscopic biceps tenodesis.

Indexed as

TenodesisAnimalsBiomechanical PhenomenaCadaverMuscle, SkeletalSuture AnchorsSuturesSuture TechniquesSwineTendonsArthroscopicBiomechanicsKrackowLark-LoopLasso-LoopSuprapectoral tenodesis

Identifiers

PMID36852476
PMCPMC10102316

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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.