nach oben

Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.03.2010 | Arthroscopy and Sports Medicine

Biomechanical comparison of screw-in suture anchor–suture combinations used for Bankart repair

verfasst von: Brad S. Sparks, John Nyland, Akbar Nawab, Ethan Blackburn, Ryan Krupp, David N. M. Caborn

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 3/2010

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Bankart repair laxity may contribute to pathologic joint instability. This biomechanical study compared two screw-in suture anchor–suture combinations under tensile loads.

Methods

Twelve pairs of scapulae were implanted with either a 3 mm diameter, 14 mm long poly-l/d-lactide suture anchor with a suture eyelet (Group 1) or a 3.1 mm diameter, 11 mm long polylactide suture anchor with a molded eyelet (Group 2). Constructs were cyclically loaded between 25 and 50 N with a 25 N load increase every 25 cycles.

Results

Group 2 displayed greater displacement at failure, had more specimens with ≥2 mm displacement by the 50 N interval (P = 0.014), and had displaced more by 100 N (P ≤ 0.046). Group 1 displayed a stronger load–displacement at failure relationship than Group 2 (r ² = 0.67 vs. r ² = 0.37).

Conclusion

Construct differences may influence decisions regarding the required number of suture anchor–suture loops, the rehabilitation timetable, and the timing of return to unrestricted activities.

Bankart ASB (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. BMJ 26:23–29

Barber FA, Coons DA, Ruiz-Suarez M (2007) Cyclic load testing of biodegradable suture anchors containing 2 high-strength sutures. Arthroscopy 23(4):355–360. doi:10.1016/j.arthro.2006.12.009 PubMedCrossRef

Barber FA, Herbert MA, Click JN (1997) Internal fixation strength of suture anchors—update 1997. Arthroscopy 13(3):355–362. doi:10.1016/S0749-8063(97)90034-7 PubMed

Burkhart SS, Diaz Pagan JL, Wirth MA, Athanasiou KA (1997) Cyclic loading of anchor-based rotator cuff repairs: confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy 13(6):720–724. doi:10.1016/S0749-8063(97)90006-2 PubMed

Cole BJ, Romeo AA (2001) Arthroscopic shoulder stabilization with suture anchors: technique, technology, and pitfalls. Clin Orthop Relat Res 390:17–30. doi:10.1097/00003086-200109000-00005 CrossRefPubMed

Cole BJ, Warner JJ (2000) Arthroscopic versus open Bankart repair for traumatic anterior shoulder instability. Clin Sports Med 19:19–48. doi:10.1016/S0278-5919(05)70294-5 CrossRefPubMed

DeBerardino TM, Arciero RA, Taylor DC, Uhorchak JM (2001) Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes: two- to five-year follow-up. Am J Sports Med 29(5):586–592PubMed

Ekelund A (1998) Cartilage injuries in the shoulder joint caused by migration of suture anchors or mini screw. J Shoulder Elbow Surg 7:537–539. doi:10.1016/S1058-2746(98)90208-7 CrossRefPubMed

Frich LH, Odgaard A, Dalstra M (1998) Glenoid bone architecture. J Shoulder Elbow Surg 7:356–361. doi:10.1016/S1058-2746(98)90023-4 CrossRefPubMed

10.

Gartsman GM, Roddey TS, Hammerman SM (2000) Arthroscopic treatment of anterior–inferior glenohumeral instability: two to five-year follow-up. J Bone Joint Surg Am 82(7):991–1003PubMed

11.

Green MR, Christensen KP (1993) Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications. Arthroscopy 9(4):371–374. doi:10.1016/S0749-8063(05)80308-1 PubMed

12.

Ilahi O, Al-Fahl T, Bahrani H, Luo Z (2004) Glenoid suture anchor fixation strength: effect of insertion angle. Arthroscopy 20(6):609–613. doi:10.1016/j.arthro.2004.04.063 PubMed

13.

Kagaya K, Yoneda M, Hayashida K, Wakitani S, Nakagawa S, Maeda A, Izawa K (1999) Modified Caspari technique for traumatic anterior shoulder instability: comparison of absorbable sutures versus absorbable plus nonabsorbable sutures. Arthroscopy 15(4):400–407. doi:10.1016/S0749-8063(99)70058-7 PubMedCrossRef

14.

Kim SH, Ha KI, Cho YB, Ryu BD, Oh I (2003) Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J Bone Joint Surg Am 85(8):1511–1518PubMed

15.

Kim SH, Ha KI, Jung MW, Lim MS, Kim YM, Park JH (2003) Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study. Arthroscopy 19(7):722–731. doi:10.1016/S0749-8063(03)00397-9 PubMedCrossRef

16.

Kim SH, Ha KI, Kim SH (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18:755–763. doi:10.1053/jars.2002.31701 PubMedCrossRef

17.

Klein AH, Harner CD, Fu FH (1995) The Bankart lesion of the shoulder: a biomechanical analysis following repair. Knee Surg Sports Traumatol Arthrosc 3(2):117–120. doi:10.1007/BF01552387 CrossRefPubMed

18.

Lehtinen JT, Tingart MJ, Apreleva M, Warner JP (2004) Total, trabecular, and cortical bone mineral density in different regions of the glenoid. J Shoulder Elbow Surg 13:344–348. doi:10.1016/j.jse.2004.01.012 CrossRefPubMed

19.

Lenters TR, Franta AK, Wolf FM, Leopold SS, Matsen FAIII (2007) Arthroscopic compared with open repairs for recurrent anterior shoulder instability. J Bone Joint Surg Am 89(2):244–254. doi:10.2106/JBJS.E.01139 CrossRefPubMed

20.

Lieurance RK, Pflaster DS, Abbott D, Nottage WM (2003) Failure characteristics of various arthroscopically tied knots. Clin Orthop Relat Res 408:311–318. doi:10.1097/00003086-200303000-00042 CrossRefPubMed

21.

McFarland EG, Park HB, Keyurapan E, Gill HS, Selhi HS (2005) Suture anchors and tacks for shoulder surgery, Part 1. Am J Sports Med 33(12):1918–1923. doi:10.1177/0363546505282621 CrossRefPubMed

22.

Meyer D, Gerber C (2004) Failure of anterior shoulder instability repair caused by eyelet cutout of absorbable suture anchors. Arthroscopy 20(5):521–523. doi:10.1016/j.arthro.2004.01.033 PubMedCrossRef

23.

Mimar R, Limb D, Hall RM (2008) Evaluation of mechanical and architectural properties of glenoid bone. J Shoulder Elbow Surg 17:336–341. doi:10.1016/j.jse.2007.07.024 CrossRefPubMed

24.

Mueller MB, Fredrich HH, Steinhauser E, Schreiber U, Arians A, Imhoff AB (2005) Biomechanical evaluation of different suture anchors for the stabilization of anterior labrum lesions. Arthroscopy 21(5):611–619. doi:10.1016/j.arthro.2005.01.012 PubMedCrossRef

25.

Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS (2007) Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg 16:419–424. doi:10.1016/j.jse.2006.05.016 CrossRefPubMed

26.

Nyland JA, Caborn DN, Johnson DL (1998) The human glenohumeral joint. A proprioceptive and stability alliance. Knee Surg Sports Traumatol Arthrosc 6(1):50–61. doi:10.1007/s001670050072 CrossRefPubMed

27.

Pagnani MJ, Dome DC (2002) Surgical treatment of traumatic anterior shoulder instability in American football players. J Bone Joint Surg Am 84(5):711–715PubMed

28.

Penna J, Deramo D, Nelson CO, Sileo MJ, Levin SM, Tompkins B, Ianuzzi A (2008) Determination of anterior labral repair stress during passive arm motion in a cadaveric model. Arthroscopy 24(8):930–935. doi:10.1016/j.arthro.2008.03.010 PubMedCrossRef

29.

Rhee YG, Ha JH, Cho NS (2006) Anterior shoulder stabilization in collision athletes: arthroscopic versus open Bankart repair. Am J Sports Med 34(6):979–985. doi:10.1177/0363546505283267 CrossRefPubMed

30.

Roth CA, Bartolozzi AR, Ciccotti MG, Wetzler MJ, Gillespie MJ, Snyder-Mackler L, Santare MH (1998) Failure properties of suture anchors in the glenoid and the effects of cortical thickness. Arthroscopy 14(2):186–191. doi:10.1016/S0749-8063(98)70039-8 PubMedCrossRef

31.

Rupp S, Georg T, Gauss C, Kohn D, Seil R (2002) Fatigue testing of suture anchors. Am J Sports Med 30(2):239–247PubMed

32.

Silver MD, Daigneault JP (2000) Symptomatic interarticular migration of glenoid suture anchors. Arthroscopy 16(1):102–105. doi:10.1016/S0749-8063(00)90136-1 PubMedCrossRef

33.

Sparks BS, Nyland J, Nawab A, Blackburn E, Krupp R, Burden R (2008) Biomechanical comparison of Bio-Suture Tak and Bio Mini-Revo suture anchors in cadaveric scapulae: an incremental cyclic loading study. Knee Surg Sports Traumatol Arthrosc 16(3):317–325. doi:10.1007/s00167-007-0445-2 CrossRefPubMed

34.

Tamai K, Higashi A, Tanabe T, Hamada J (1999) Recurrences after the open Bankart repair: a potential risk with use of suture anchors. J Shoulder Elbow Surg 8:37–41. doi:10.1016/S1058-2746(99)90052-6 CrossRefPubMed

35.

Wust DM, Meyer DC, Favre P, Gerber C (2006) Mechanical and handling properties of braided polyblend polyethylene sutures in comparison to braided polyester and monofilament polydioxanone sutures. Arthroscopy 22(11):1146–1153. doi:10.1016/j.arthro.2006.06.013 PubMedCrossRef

Titel: Biomechanical comparison of screw-in suture anchor–suture combinations used for Bankart repair
verfasst von: Brad S. Sparks
John Nyland
Akbar Nawab
Ethan Blackburn
Ryan Krupp
David N. M. Caborn
Publikationsdatum: 01.03.2010
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 3/2010
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0926-5

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Introduction

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2010

Osteonecrosis of the lateral femoral condyle following anterior cruciate ligament reconstruction: is bone bruising a risk factor?

A new conservative-dynamic treatment for the acute ruptured Achilles tendon

Chondrocyte function after osteochondral transfer: comparison of concave and plane punches

Osteocartilaginous lesions of the talus in soccer players

The effect of intraarticular combinations of tramadol and ropivacaine with ketamine on postoperative pain after arthroscopic meniscectomy