Evidence map›Paper›PMID 38941456›Full record

ArticleScience advances2024

Python tooth-inspired fixation device for enhanced rotator cuff repair.

Iden Kurtaliaj, Ethan D Hoppe, Yuxuan Huang, David Ju, Jacob A Sandler, Donghwan Yoon, Lester J Smith, Silvio Torres Betancur, Linda Effiong, Thomas Gardner and 6 more

Abstract read
In one paragraph

Article in Science advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

16 authors.

Iden KurtaliajDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0009-0003-8320-8375
Ethan D HoppeNSF Science and Technology Center for Engineering Mechanobiology, Washington University in St. Louis, St. Louis, MO 63130, USA.
Yuxuan HuangNSF Science and Technology Center for Engineering Mechanobiology, Washington University in St. Louis, St. Louis, MO 63130, USA.
David JuNSF Science and Technology Center for Engineering Mechanobiology, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0009-0006-7586-4243
Jacob A SandlerNSF Science and Technology Center for Engineering Mechanobiology, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0009-0007-3531-5896
Donghwan YoonNSF Science and Technology Center for Engineering Mechanobiology, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0000-0001-8389-2697
Lester J SmithDepartment of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN 46202, USA.ORCID 0000-0003-4950-7569
Silvio Torres BetancurDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0009-0002-6349-4979
Linda EffiongDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0009-0009-1638-2908
Thomas GardnerDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.
Liana TedescoDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0001-5927-4469
Sohil DesaiDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0001-8225-5100
Victor BirmanDepartment of Mechanical and Aerospace Engineering, Missouri University of Science and Technology, St. Louis, MO 65409, USA.ORCID 0000-0001-5369-434X
William N LevineDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0002-2826-1179
Guy M GeninNSF Science and Technology Center for Engineering Mechanobiology, Washington University in St. Louis, St. Louis, MO 63130, USA.ORCID 0000-0003-3612-4729
Stavros ThomopoulosDepartment of Orthopaedic Surgery, Columbia University, New York, NY 10032, USA.ORCID 0000-0003-1531-4849

Funding

Strain Analysis Software for Open ScienceR01AR077793 · NIAMS · WASHINGTON UNIVERSITY · PI Guy M Genin, Stavros Thomopoulos · 2020 to 2026
$5.2M
Adhesive materials for tendon-to-bone repairR21AR076008 · NIAMS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AHN, KOLLBE, GENIN, GUY M · 2019 to 2020
$414k
NIAMS NIH HHS R01 AR077793NIAMS NIH HHS R21 AR076008
6 · The paper itself

Abstract

Rotator cuff repair surgeries fail frequently, with 20 to 94% of the 600,000 repairs performed annually in the United States resulting in retearing of the rotator cuff. The most common cause of failure is sutures tearing through tendons at grasping points. To address this issue, we drew inspiration from the specialized teeth of snakes of the Pythonoidea superfamily, which grasp soft tissues without tearing. To apply this nondamaging gripping approach to the surgical repair of tendon, we developed and optimized a python tooth-inspired device as an adjunct to current rotator cuff suture repair and found that it nearly doubled repair strength. Integrated simulations, 3D printing, and ex vivo experiments revealed a relationship between tooth shape and grasping mechanics, enabling optimization of the clinically relevant device that substantially enhances rotator cuff repair by distributing stresses over the attachment footprint. This approach suggests an alternative to traditional suturing paradigms and may reduce the risk of tendon retearing after rotator cuff repair.

Indexed as

BoidaeRotator CuffAnimalsBiomechanical PhenomenaHumansPrinting, Three-DimensionalRotator Cuff InjuriesSuture TechniquesTooth

Identifiers

PMID38941456
PMCPMC11212709

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.