| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
Orthopaedic and Arthritic Hospital, Toronto General Hospital (Wester), Toronto, Ontario, Canada
Orthopaedic and Arthritic Hospital, Toronto General Hospital (Wester), Toronto, Ontario, Canada
Department of Orthopaedic Surgery, Toronto General Hospital (Wester), Toronto, Ontario, Canada
We performed a biomechanical comparison of two ro tator cuff repair techniques using fresh-frozen human cadavers. Nine pairs of cadaveric shoulders had stan dardized full-thickness tears made at the supraspina tus tendon insertion. One of each pair of the cadaveric shoulders was repaired by pulling the tendon into a bone trough in the humeral head using standard su tures. The remaining half of the pairs was repaired using anchor sutures. The repairs were tested using a servohydraulically operated material testing system. The anchor suture repair was significantly stronger than the standard suture technique irrespective of bone quality. Failure occurred predominantly through bone in the suture repairs and as a result of suture breakage in the anchor repairs. The anchors should be placed into the edge of the subchondral bone adjacent to the articular surface. The surgeon should direct the anchor so that the direction of the pull is approximately 90 degrees to the anchor, with the humerus at 30 degrees of abduction.
This article has been cited by other articles:
|
|
 |
|
  K. Morse, A. D. Davis, R. Afra, E. K. Kaye, A. Schepsis, and I. Voloshin Arthroscopic Versus Mini-open Rotator Cuff Repair: A Comprehensive Review and Meta-analysis Am. J. Sports Med., September 1, 2008; 36(9): 1824 - 1828. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Ahmad, C. Kleweno, A. M. Jacir, J. E. Bell, T. R. Gardner, W. N. Levine, and L. U. Bigliani Biomechanical Performance of Rotator Cuff Repairs With Humeral Rotation: A New Rotator Cuff Repair Failure Model Am. J. Sports Med., May 1, 2008; 36(5): 888 - 892. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. J. Nho, M. K. Shindle, S. L. Sherman, K. B. Freedman, S. Lyman, and J. D. MacGillivray Systematic Review of Arthroscopic Rotator Cuff Repair and Mini-Open Rotator Cuff Repair J. Bone Joint Surg. Am., October 1, 2007; 89(suppl_3): 127 - 136. [Full Text] [PDF]
|
|
|
|
|
|
H. Sano, T. Yamashita, I. Wakabayashi, and E. Itoi Stress Distribution in the Supraspinatus Tendon After Tendon Repair: Suture Anchors Versus Transosseous Suture Fixation Am. J. Sports Med., April 1, 2007; 35(4): 542 - 546. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. D. Bushnell, I. R. Byram, P. S. Weinhold, and R. A. Creighton The Use of Suture Anchors in Repair of the Ruptured Patellar Tendon: A Biomechanical Study Am. J. Sports Med., September 1, 2006; 34(9): 1492 - 1499. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. H. Kim, N. S. ElAttrache, J. E. Tibone, B.-J. Jun, S. N. DeLaMora, R. S. Kvitne, and T. Q. Lee Biomechanical Comparison of a Single-Row Versus Double-Row Suture Anchor Technique for Rotator Cuff Repair Am. J. Sports Med., March 1, 2006; 34(3): 407 - 414. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Ahmad, A. M. Stewart, R. Izquierdo, and L. U. Bigliani Tendon-Bone Interface Motion in Transosseous Suture and Suture Anchor Rotator Cuff Repair Techniques Am. J. Sports Med., November 1, 2005; 33(11): 1667 - 1671. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. C. Park, E. R. Cadet, W. N. Levine, L. U. Bigliani, and C. S. Ahmad Tendon-to-Bone Pressure Distributions at a Repaired Rotator Cuff Footprint Using Transosseous Suture and Suture Anchor Fixation Techniques Am. J. Sports Med., August 1, 2005; 33(8): 1154 - 1159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. De Carli, A. Vadala, E. Monaco, L. Labianca, E. Zanzotto, and A. Ferretti Effect of Cyclic Loading on New Polyblend Suture Coupled With Different Anchors Am. J. Sports Med., February 1, 2005; 33(2): 214 - 219. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. J. Petit, R. Boswell, A. Mahar, J. Tasto, and R. A. Pedowitz Biomechanical Evaluation of a New Technique for Rotator Cuff Repair Am. J. Sports Med., November 1, 2003; 31(6): 849 - 853. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Tingart, M. Apreleva, D. Zurakowski, and J. J.P. Warner Pullout Strength of Suture Anchors Used in Rotator Cuff Repair J. Bone Joint Surg. Am., November 1, 2003; 85(11): 2190 - 2198. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. L. Waltrip, N. Zheng, J. R. Dugas, and J. R. Andrews Rotator Cuff Repair: A Biomechanical Comparison of Three Techniques Am. J. Sports Med., July 1, 2003; 31(4): 493 - 497. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yamaguchi, W. N. Levine, G. Marra, L. M. Galatz, S. Klepps, and E. Flatow Transitioning to Arthroscopic Rotator Cuff Repair: The Pros and Cons J. Bone Joint Surg. Am., January 17, 2003; 85(1): 144 - 155. [Full Text] [PDF]
|
|
|
|
|
|
A. G. Schneeberger, A. von Roll, F. Kalberer, H. A.C. Jacob, and C. Gerber Mechanical Strength of Arthroscopic Rotator Cuff Repair Techniques: An in Vitro Study J. Bone Joint Surg. Am., December 9, 2002; 84(12): 2152 - 2160. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Hatakeyama, E. Itoi, R. L. Pradhan, M. Urayama, and K. Sato Effect of Arm Elevation and Rotation on the Strain in the Repaired Rotator Cuff Tendon: A Cadaveric Study Am. J. Sports Med., November 1, 2001; 29(6): 788 - 794. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Yamaguchi Mini-Open Rotator Cuff Repair : An Updated Perspective J. Bone Joint Surg. Am., May 1, 2001; 83(5): 764 - 772. [Full Text] [PDF]
|
|
|
|
|
|
J. C. Hersch and N. A. Sgaglione Arthroscopically Assisted Mini-Open Rotator Cuff Repairs: Functional Outcome at 2- to 7-Year Follow-up Am. J. Sports Med., May 1, 2000; 28(3): 301 - 311. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
