ArticleCureus2025
Does Suture Configuration Matter in Achilles Tendon Repairs?
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
- Biomechanical comparison of innovative suture techniques for repair of Achilles tendon rupture in a porcine flexor tendon model.Archives of orthopaedic and trauma surgery · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe human Achilles tendon is functionally important for dynamic activities and is a common site of tendon rupture, resulting in pain, weakness, and removal from sport. While treatment options vary and the opinions regarding optimal management are not uniform, percutaneous repair through commercially available guides is one option that has been used in the United States. HYPOTHESIS/PURPOSE: The purpose of this study was to test the mechanical properties of four common suture configurations in the repair of Achilles tendon ruptures. STUDY
designThis biomechanical study utilized porcine toe flexor tendons as an analogue for the human Achilles tendon.
methodsSimulated rupture was performed, and tendons were repaired using a percutaneous guide. The technique was uniform with predetermined allotment into one of four groups based on suture configuration (single or double locked) and type (round or flat), with a total of 10 specimens in each group. Specimens then underwent a static creep test, a dynamic load creep test, and finally a load-to-failure test. An analysis of variance was performed to test for differences between the variables, followed by pairwise comparisons using independent t-tests to assess inter-group differences if significant effects were found, adjusted for multiple comparisons.
resultsNo significant differences were seen between conditions for the creep tests. The suture configuration used was determined to have a significant effect on the maximum load to failure of the constructs (p = 0.018) and maximum stress in the construct during the load-to-failure test (p = 0.019). Double tape had a significantly greater load to failure than the single round and single conditions and reached greater stresses before failure (respectively). No significant differences were found between the double tape and double round techniques, nor between the double round and either of the single techniques for any of the load-to-failure variables.
conclusionThe results of this study, using a porcine model to simulate a minimally invasive technique for Achilles tendon repairs, suggest that the use of a double-locked tape suture configuration leads to a stronger overall construct.
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