FHNW Fachhochschule Nordwestschweiz
  • Startseite
  • Publikationen
  • Projekte
  • Studentische Arbeiten
  • de
  •  Login
Eintraganzeige 
  •   IRF Home
  • Hochschule für Life Sciences
  • Institut für Medizintechnik und Medizininformatik
  • Eintraganzeige
  • Hochschule für Life Sciences
  • Institut für Medizintechnik und Medizininformatik
  • Eintraganzeige
JavaScript is disabled for your browser. Some features of this site may not work without it.

Increased construct stiffness with meniscal repair sutures and devices increases the risk of cheese-wiring during biomechanical load-to-failure testing

Autor/Autorin
Müller, Sebastian
Schwenk, Tanja
de Wild, Michael
Dimitrou, Dimitris
Rosso, Claudio
Datum
15.06.2021
Metadata
Zur Langanzeige
Type
01 - Zeitschriftenartikel, Journalartikel oder Magazin
Zusammenfassung
Background: Cheese-wiring, the suture that cuts through the meniscus, is a well-known issue in meniscal repair. So far, contributing factors are neither fully understood nor sufficiently studied. Hypothesis/purpose: To investigate whether the construct stiffness of repair sutures and devices correlates with suture cut-through (cheese-wiring) during load-to-failure testing. Study design: Controlled laboratory study. Methods: In 131 porcine menisci, longitudinal bucket-handle tears were repaired using either inside-out sutures (n = 66; No. 0 Ultrabraid, 2-0 Orthocord, 2-0 FiberWire, and 2-0 Ethibond) or all-inside devices (n = 65; FastFix360, Omnispan, and Meniscal Cinch). After cyclic loading, load-to-failure testing was performed. The mode of failure and construct stiffness were recorded. A receiver operating characteristic curve analysis was performed to define the optimal stiffness threshold for predicting meniscal repair failure by cheese-wiring. The 2-tailed t test and analysis of variance were used to test significance. Results: Loss of suture fixation was the most common mode of failure in all specimens (58%), except for the Omnispan, which failed most commonly because of anchor pull-through. The Omnispan demonstrated the highest construct stiffness (30.8 ± 3.5 N/mm), whereas the Meniscal Cinch (18.0 ± 8.8 N/mm) and Ethibond (19.4 ± 7.8 N/mm) demonstrated the lowest construct stiffness. The Omnispan showed significantly higher stiffness compared with the Meniscal Cinch (P < .001) and Ethibond (P = .02), whereas the stiffness of the Meniscal Cinch was significantly lower compared with that of the FiberWire (P = .01), Ultrabraid (P = .04), and FastFix360 (P = .03). While meniscal repair with a high construct stiffness more often failed by cheese-wiring, meniscal repair with a lower stiffness failed by loss of suture fixation, knot slippage, or anchor pull-through. Meniscal repair with a stiffness >26.5 N/mm had a 3.6 times higher risk of failure due to cheese-wiring during load-to-failure testing (95% CI, 1.4-8.2; P < .0001). Conclusion: Meniscal repair using inside-out sutures and all-inside devices with a higher construct stiffness (>26.5 N/mm) was more likely to fail through suture cut-through (cheese-wiring) than that with a lower stiffness (≤26.5 N/mm). Clinical relevance: This is the first study investigating the impact of construct stiffness on meniscal repair failure by suture cut-through (cheese-wiring).
URI
https://irf.fhnw.ch/handle/11654/33357
DOI der Originalausgabe
https://doi.org/10.1177/23259671211015674
Übergeordnetes Werk
Orthopaedic journal of sports medicine
Jahrgang
9
Ausgabe
6
Verlag / Hrsg. Institution
SAGE
Zitation

Stöbern

Gesamter BestandBereiche & SammlungenErscheinungsdatumAutoren/AutorinnenTitelThemenDiese SammlungErscheinungsdatumAutoren/AutorinnenTitelThemen

Mein Benutzerkonto

EinloggenRegistrieren
Erweiterter Export: CSVErweiterter Export: RISErweiterter Export: BibTeX

Kontakt

Fachhochschule Nordwestschweiz FHNW
Vizepräsidium Hochschulentwicklung
Bahnhofstrasse 6
5210 Windisch

E-Mail: irf@fhnw.ch

Über das IRF

Das IRF ist das digitale Repositorium der Fachhochschule Nordwestschweiz FHNW. Es enthält Publikationen, studentische Arbeiten und Projekte.

Links

IRF Handbuch
Liste der IRF Power User
Feedbackformular

www.fhnw.ch | Impressum | Datenschutz | Urheberrecht | IRF-Reglement