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International Orthopaedics
Erschienen in: International Orthopaedics 3/2012

01.03.2012 | Original Paper

Initial stability of two different adhesives compared to suture repair for acute Achilles tendon rupture—A biomechanical evaluation

verfasst von: Johannes Schneppendahl, Simon Thelen, Alberto Schek, Ioana Bala, Mohssen Hakimi, Jan-Peter Grassmann, Christian Eichler, Joachim Windolf, Michael Wild

Erschienen in: International Orthopaedics | Ausgabe 3/2012

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Abstract

Purpose

Treatment of acute subcutaneous Achilles tendon rupture remains challenging. Whereas the results of conservative and operative treatment are inconsistent, early mobilisation treatment seems to be beneficial. Besides suture repair, operative treatment using adhesives reveals promising results. Our hypothesis was that a gluing technique provides initial stability comparable to sutures.

Methods

In a biomechanical study, 18 fresh frozen sheep Achilles tendons were used to compare the biomechanical properties of suture repair using PDS® II and Bunnell’s technique to tendon gluing using BioGlue® and Tissucol®. Load to failure testing was performed.

Results

Ultimate failure loads of sutures (146.2 ± 30.8 N) are significantly superior to the techniques using BioGlue® (38.4 ± 18.3 N; p <0.0001) or Tissucol® (4.7 ± 2.5 N; p <0.0001). Interestingly, no significant differences in stiffness were found between the application of BioGlue® and PDS® II.

Conclusions

Suture repair provides significantly superior biomechanical properties compared to the use of both tested adhesives BioGlue® and Tissucol®. Based on the presented data we recommend the use of suture material for open Achilles tendon repair.
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Metadaten
Titel
Initial stability of two different adhesives compared to suture repair for acute Achilles tendon rupture—A biomechanical evaluation
verfasst von
Johannes Schneppendahl
Simon Thelen
Alberto Schek
Ioana Bala
Mohssen Hakimi
Jan-Peter Grassmann
Christian Eichler
Joachim Windolf
Michael Wild
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 3/2012
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1357-9

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