Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison
Quadriceps tendon with a patellar bone block may be a viable alternative to Achilles tendon for anterior cruciate ligament reconstruction (ACL-R) if it is, at a minimum, a biomechanically equivalent graft. The objective of this study was to directly compare the biomechanical properties of quadriceps...
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| Veröffentlicht in: | Cell and tissue banking 2014-12, Vol.15 (4), p.523-529 |
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| description | Quadriceps tendon with a patellar bone block may be a viable alternative to Achilles tendon for anterior cruciate ligament reconstruction (ACL-R) if it is, at a minimum, a biomechanically equivalent graft. The objective of this study was to directly compare the biomechanical properties of quadriceps tendon and Achilles tendon allografts. Quadriceps and Achilles tendon pairs from nine research-consented donors were tested. All specimens were processed to reduce bioburden and terminally sterilized by gamma irradiation. Specimens were subjected to a three phase uniaxial tension test performed in a custom environmental chamber to maintain the specimens at a physiologic temperature (37 ± 2 °C) and misted with a 0.9 % NaCl solution. There were no statistical differences in seven of eight structural and mechanical between the two tendon types. Quadriceps tendons exhibited a significantly higher displacement at maximum load and significantly lower stiffness than Achilles tendons. The results of this study indicated a biomechanical equivalence of aseptically processed, terminally sterilized quadriceps tendon grafts with bone block to Achilles tendon grafts with bone block. The significantly higher displacement at maximum load, and lower stiffness observed for quadriceps tendons may be related to the failure mode. Achilles tendons had a higher bone avulsion rate than quadriceps tendons (86 % compared to 12 %, respectively). This was likely due to observed differences in bone block density between the two tendon types. This research supports the use of quadriceps tendon allografts in lieu of Achilles tendon allografts for ACL-R. |
| doi_str_mv | 10.1007/s10561-014-9421-5 |
| format | Article |
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The objective of this study was to directly compare the biomechanical properties of quadriceps tendon and Achilles tendon allografts. Quadriceps and Achilles tendon pairs from nine research-consented donors were tested. All specimens were processed to reduce bioburden and terminally sterilized by gamma irradiation. Specimens were subjected to a three phase uniaxial tension test performed in a custom environmental chamber to maintain the specimens at a physiologic temperature (37 ± 2 °C) and misted with a 0.9 % NaCl solution. There were no statistical differences in seven of eight structural and mechanical between the two tendon types. Quadriceps tendons exhibited a significantly higher displacement at maximum load and significantly lower stiffness than Achilles tendons. The results of this study indicated a biomechanical equivalence of aseptically processed, terminally sterilized quadriceps tendon grafts with bone block to Achilles tendon grafts with bone block. The significantly higher displacement at maximum load, and lower stiffness observed for quadriceps tendons may be related to the failure mode. Achilles tendons had a higher bone avulsion rate than quadriceps tendons (86 % compared to 12 %, respectively). This was likely due to observed differences in bone block density between the two tendon types. This research supports the use of quadriceps tendon allografts in lieu of Achilles tendon allografts for ACL-R.</description><identifier>ISSN: 1389-9333</identifier><identifier>EISSN: 1573-6814</identifier><identifier>DOI: 10.1007/s10561-014-9421-5</identifier><identifier>PMID: 24414293</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Achilles Tendon - physiology ; Achilles Tendon - transplantation ; Adult ; Aged ; Allografts ; Anterior Cruciate Ligament - physiopathology ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Anterior Cruciate Ligament Reconstruction - methods ; Biomechanical Phenomena - physiology ; Biomechanics ; Biomedical and Life Sciences ; Biomedicine ; Cell Biology ; Elasticity - physiology ; Humans ; Joint surgery ; Life Sciences ; Ligaments ; Male ; Middle Aged ; Original Paper ; Quadriceps Muscle ; Skin & tissue grafts ; Sterilization ; Tendons ; Tendons - physiology ; Tendons - transplantation ; Tissue Donors ; Transplant Surgery ; Weight-Bearing - physiology</subject><ispartof>Cell and tissue banking, 2014-12, Vol.15 (4), p.523-529</ispartof><rights>Springer Science+Business Media Dordrecht 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-6f89e68cdedf97e30f3f8d6b017d716ef893e53d32a5a6aea5e1c9de011b18683</citedby><cites>FETCH-LOGICAL-c475t-6f89e68cdedf97e30f3f8d6b017d716ef893e53d32a5a6aea5e1c9de011b18683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10561-014-9421-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10561-014-9421-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24414293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mabe, Isaac</creatorcontrib><creatorcontrib>Hunter, Shawn</creatorcontrib><title>Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison</title><title>Cell and tissue banking</title><addtitle>Cell Tissue Bank</addtitle><addtitle>Cell Tissue Bank</addtitle><description>Quadriceps tendon with a patellar bone block may be a viable alternative to Achilles tendon for anterior cruciate ligament reconstruction (ACL-R) if it is, at a minimum, a biomechanically equivalent graft. The objective of this study was to directly compare the biomechanical properties of quadriceps tendon and Achilles tendon allografts. Quadriceps and Achilles tendon pairs from nine research-consented donors were tested. All specimens were processed to reduce bioburden and terminally sterilized by gamma irradiation. Specimens were subjected to a three phase uniaxial tension test performed in a custom environmental chamber to maintain the specimens at a physiologic temperature (37 ± 2 °C) and misted with a 0.9 % NaCl solution. There were no statistical differences in seven of eight structural and mechanical between the two tendon types. Quadriceps tendons exhibited a significantly higher displacement at maximum load and significantly lower stiffness than Achilles tendons. The results of this study indicated a biomechanical equivalence of aseptically processed, terminally sterilized quadriceps tendon grafts with bone block to Achilles tendon grafts with bone block. The significantly higher displacement at maximum load, and lower stiffness observed for quadriceps tendons may be related to the failure mode. Achilles tendons had a higher bone avulsion rate than quadriceps tendons (86 % compared to 12 %, respectively). This was likely due to observed differences in bone block density between the two tendon types. This research supports the use of quadriceps tendon allografts in lieu of Achilles tendon allografts for ACL-R.</description><subject>Achilles Tendon - physiology</subject><subject>Achilles Tendon - transplantation</subject><subject>Adult</subject><subject>Aged</subject><subject>Allografts</subject><subject>Anterior Cruciate Ligament - physiopathology</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Anterior Cruciate Ligament Reconstruction - methods</subject><subject>Biomechanical Phenomena - physiology</subject><subject>Biomechanics</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cell Biology</subject><subject>Elasticity - physiology</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Life Sciences</subject><subject>Ligaments</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Quadriceps Muscle</subject><subject>Skin & tissue grafts</subject><subject>Sterilization</subject><subject>Tendons</subject><subject>Tendons - physiology</subject><subject>Tendons - transplantation</subject><subject>Tissue Donors</subject><subject>Transplant Surgery</subject><subject>Weight-Bearing - physiology</subject><issn>1389-9333</issn><issn>1573-6814</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkV1r2zAUhkXpWNJsP6A3xdCb3bjV0Zft3ZWyrYVAKXTXQpGOEwfZyiS70H9fZelGKR0MBBI6z3mFzkPIKdALoLS6TEClgpKCKBvBoJRHZA6y4qWqQRznM6-bsuGcz8hJSltKGa0Y_0hmTAgQrOFzsrmfjIudxV0qRhxcGArjfVhH046pMHntL0aMgxm7RyzGUFzZTec9vsN_LUyx6kKPdmOGzhpf2NDvTOxSGD6RD63xCT-_7Avy8_u3h-ubcnn34_b6allaUcmxVG3doKqtQ9c2FXLa8rZ2akWhchUozGWOkjvOjDTKoJEItnFIAVZQq5ovyJdD7i6GXxOmUfddsui9GTBMSYNiVaN4_vz_oGw_YAoZPX-DbsOUZ-J_U1QKJqjKFBwoG0NKEVu9i11v4pMGqvfG9MGYzsb03piWuefsJXla9ej-dvxRlAF2AFIuDWuMr57-Z-ozdkahTg</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Mabe, Isaac</creator><creator>Hunter, Shawn</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20141201</creationdate><title>Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison</title><author>Mabe, Isaac ; Hunter, Shawn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-6f89e68cdedf97e30f3f8d6b017d716ef893e53d32a5a6aea5e1c9de011b18683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Achilles Tendon - physiology</topic><topic>Achilles Tendon - transplantation</topic><topic>Adult</topic><topic>Aged</topic><topic>Allografts</topic><topic>Anterior Cruciate Ligament - physiopathology</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Anterior Cruciate Ligament Reconstruction - methods</topic><topic>Biomechanical Phenomena - physiology</topic><topic>Biomechanics</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cell Biology</topic><topic>Elasticity - physiology</topic><topic>Humans</topic><topic>Joint surgery</topic><topic>Life Sciences</topic><topic>Ligaments</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Quadriceps Muscle</topic><topic>Skin & tissue grafts</topic><topic>Sterilization</topic><topic>Tendons</topic><topic>Tendons - physiology</topic><topic>Tendons - transplantation</topic><topic>Tissue Donors</topic><topic>Transplant Surgery</topic><topic>Weight-Bearing - 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Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Cell and tissue banking</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mabe, Isaac</au><au>Hunter, Shawn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison</atitle><jtitle>Cell and tissue banking</jtitle><stitle>Cell Tissue Bank</stitle><addtitle>Cell Tissue Bank</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>15</volume><issue>4</issue><spage>523</spage><epage>529</epage><pages>523-529</pages><issn>1389-9333</issn><eissn>1573-6814</eissn><abstract>Quadriceps tendon with a patellar bone block may be a viable alternative to Achilles tendon for anterior cruciate ligament reconstruction (ACL-R) if it is, at a minimum, a biomechanically equivalent graft. The objective of this study was to directly compare the biomechanical properties of quadriceps tendon and Achilles tendon allografts. Quadriceps and Achilles tendon pairs from nine research-consented donors were tested. All specimens were processed to reduce bioburden and terminally sterilized by gamma irradiation. Specimens were subjected to a three phase uniaxial tension test performed in a custom environmental chamber to maintain the specimens at a physiologic temperature (37 ± 2 °C) and misted with a 0.9 % NaCl solution. There were no statistical differences in seven of eight structural and mechanical between the two tendon types. Quadriceps tendons exhibited a significantly higher displacement at maximum load and significantly lower stiffness than Achilles tendons. The results of this study indicated a biomechanical equivalence of aseptically processed, terminally sterilized quadriceps tendon grafts with bone block to Achilles tendon grafts with bone block. The significantly higher displacement at maximum load, and lower stiffness observed for quadriceps tendons may be related to the failure mode. Achilles tendons had a higher bone avulsion rate than quadriceps tendons (86 % compared to 12 %, respectively). This was likely due to observed differences in bone block density between the two tendon types. This research supports the use of quadriceps tendon allografts in lieu of Achilles tendon allografts for ACL-R.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>24414293</pmid><doi>10.1007/s10561-014-9421-5</doi><tpages>7</tpages></addata></record> |
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| subjects | Achilles Tendon - physiology Achilles Tendon - transplantation Adult Aged Allografts Anterior Cruciate Ligament - physiopathology Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries Anterior Cruciate Ligament Reconstruction - methods Biomechanical Phenomena - physiology Biomechanics Biomedical and Life Sciences Biomedicine Cell Biology Elasticity - physiology Humans Joint surgery Life Sciences Ligaments Male Middle Aged Original Paper Quadriceps Muscle Skin & tissue grafts Sterilization Tendons Tendons - physiology Tendons - transplantation Tissue Donors Transplant Surgery Weight-Bearing - physiology |
| title | Quadriceps tendon allografts as an alternative to Achilles tendon allografts: a biomechanical comparison |
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