Gebauer, Matthias and Beil, Frank Timo and Beckmann, Johannes and Sarvary, Andras M. and Ueblacker, Peter (2007) Mechanical evaluation of different techniques for Achilles tendon repair. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 127 (9). pp. 795-799. ISSN 0936-8051, 1434-3916
Full text not available from this repository. (Request a copy)Abstract
Introduction One aim of the surgical treatment of acute Achilles tendon ruptures is to obtain a maximum primary stability of the sutured tendon. Therefore, we investigated the primary stability of sutured human Achilles tendons depending on different applied techniques. Methods The strength of 60 repaired cadaveric human Achilles tendons was tested depending on either the suture technique (Bunnell or Kessler), the suture material (PDS-thread or PDS-cord) or an additional plantaris tendon augmentation (PDS-thread with or without augmentation). Following anatomic reconstruction the repaired specimens were loaded to failure. Results The use of Bunnell's technique resulted in a stronger primary suture stability compared to Kessler's technique. Sutures carried out with a PDS-thread were of lower strength than those accomplished with a PDS-cord (Bunnell: thread 139 N +/- 29.8; cord 291 N +/- 55.2/Kessler: thread 137 N +/- 37.3; cord 180 N +/- 41.1). Sutures performed according to Bunnell's technique with a PDS-thread and an additional autologous plantaris tendon augmentation reached the highest primary stability (326 N +/- 124.9). Conclusion The findings identify the Achilles tendon suture with a PDS-cord according to Bunnell's technique as a mechanically strong method. A plantaris tendon augmentation in addition to a PDS-thread can even add more stability to the Achilles tendon suture.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NONOPERATIVE MANAGEMENT; BIOMECHANICAL BEHAVIOR; PERCUTANEOUS REPAIR; IN-VITRO; RUPTURE; MUSCLE; STRENGTH; POSTURE; Achilles tendon; tendon rupture; suture technique; plantaris tendon augmentation; biomechanical testing; failure load |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 30 Nov 2020 09:55 |
| Last Modified: | 30 Nov 2020 09:55 |
| URI: | https://pred.uni-regensburg.de/id/eprint/31943 |
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