The effect of polydioxanone hemicerclage suture on the occurrence of fracture during tibial tuberosity advancement with an elongated bi‐directional hinged osteotomy
Objective To investigate the effect of hemicerclage suture on the occurrence of fractures during advancement of an elongated bi‐directional hinged osteotomy (EBHO) for tibial tuberosity advancement (TTA) in dogs. Study design Experimental ex vivo study. Animals Canine cadavers (n = 14) Methods A uni...
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| Veröffentlicht in: | Veterinary surgery 2017-05, Vol.46 (4), p.486-493 |
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| creator | Bleakley, Seth Palmer, Ross H. Bresina, Stephen Roca, Sy Ping Tepic, Slobodan |
| description | Objective
To investigate the effect of hemicerclage suture on the occurrence of fractures during advancement of an elongated bi‐directional hinged osteotomy (EBHO) for tibial tuberosity advancement (TTA) in dogs.
Study design
Experimental ex vivo study.
Animals
Canine cadavers (n = 14)
Methods
A uniform EBHO was performed in 28 cadaveric hind limbs (n = 28) from 14 skeletally mature, medium‐sized, mixed breed dogs. Paired limbs were randomly assigned with or without hemicerclage suture. The osteotomy was slowly spread (TTA) at a rate 1.5 mm every 15 seconds to a maximum distance of 24 mm or until a fracture was detected as an audible crack, visible propagation of the distal osteotomy or transverse fracture of the cortical bridge. The occurrence of fractures was compared between limbs with hemicerclage and without hemicerclage (control) suture using a chi‐square analysis. The advancement distance at the time of fracture was compared using a paired t test. A P value |
| doi_str_mv | 10.1111/vsu.12642 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1878819077</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1895050627</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-81f1b947a9e41846f8475651b149ca1423330ce9e4ad000b1dc2fcd821eeabe53</originalsourceid><addsrcrecordid>eNp1kU1uFDEQhS0EIkNgwQWQJTawmMTVdv8tURQgUqQsSBC7lttdnnHUbQ_-SegdR-AUHIyT4M4EFpHiTUmu7z1V1SPkNbAjyO_4JqQjKCpRPCErKHmxbkv27SlZMahgzUXbHpAXIVwzxloh-HNyUDQcBKvqFfl9uUWKWqOK1Gm6c-M8GPdDWmeRbnEyCr0a5QZpSDF5pM7SmCVOqeQ9WoWLTHup7rpD8sZuaDS9kSONqUfvgokzlcONzPCENtJbE7dUWoqjsxsZcaC9-fPz12B8nsI4m5Xb7JL_XYjoopvml-SZlmPAV_f1kFx9PL08-bw-v_h0dvLhfK34sncDGvpW1LJFAY2odCPqsiqhB9EqCaLgnDOFuSuHfI0eBlVoNTQFIMoeS35I3u19d959TxhiN5mgcBylRZdCB03dNNCyus7o2wfotUs-D79QOYCSVcVCvd9TKh8ieNTdzptJ-rkD1i3hdTm87i68zL65d0z9hMN_8l9aGTjeA7dmxPlxp-7rl6u95V8_Faie</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1895050627</pqid></control><display><type>article</type><title>The effect of polydioxanone hemicerclage suture on the occurrence of fracture during tibial tuberosity advancement with an elongated bi‐directional hinged osteotomy</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Bleakley, Seth ; Palmer, Ross H. ; Bresina, Stephen ; Roca, Sy Ping ; Tepic, Slobodan</creator><creatorcontrib>Bleakley, Seth ; Palmer, Ross H. ; Bresina, Stephen ; Roca, Sy Ping ; Tepic, Slobodan</creatorcontrib><description>Objective
To investigate the effect of hemicerclage suture on the occurrence of fractures during advancement of an elongated bi‐directional hinged osteotomy (EBHO) for tibial tuberosity advancement (TTA) in dogs.
Study design
Experimental ex vivo study.
Animals
Canine cadavers (n = 14)
Methods
A uniform EBHO was performed in 28 cadaveric hind limbs (n = 28) from 14 skeletally mature, medium‐sized, mixed breed dogs. Paired limbs were randomly assigned with or without hemicerclage suture. The osteotomy was slowly spread (TTA) at a rate 1.5 mm every 15 seconds to a maximum distance of 24 mm or until a fracture was detected as an audible crack, visible propagation of the distal osteotomy or transverse fracture of the cortical bridge. The occurrence of fractures was compared between limbs with hemicerclage and without hemicerclage (control) suture using a chi‐square analysis. The advancement distance at the time of fracture was compared using a paired t test. A P value <.05 was considered significant.
Results
The cumulative occurrence of intraoperative fracture was significantly greater without hemicerclage than with hemicerclage at advancements of 12, 15, 18, and 24 mm. The mean (SD) spreading distance at the time of fracture was significantly less without hemicerclage at 16.85 (4.10) mm with a range of 12‐24 mm, than with hemicerclage at 20.62 (2.39) mm with a range of 18‐24 mm (P = .029).
Conclusion
The occurrence of immediate intraoperative fracture during advancement of an EBHO of the tibial tuberosity is less when a hemicerclage suture is placed.</description><identifier>ISSN: 0161-3499</identifier><identifier>EISSN: 1532-950X</identifier><identifier>DOI: 10.1111/vsu.12642</identifier><identifier>PMID: 28314067</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Animals ; Biocompatibility ; Cadaver ; Cadavers ; Cortex ; Crack propagation ; Dogs ; Dogs - surgery ; Elongation ; Fractures ; Fractures, Bone - etiology ; Fractures, Bone - veterinary ; Hindlimb - surgery ; Limbs ; Osteotomy ; Osteotomy - methods ; Osteotomy - veterinary ; Polydioxanone ; Surgical outcomes ; Sutures - adverse effects ; Sutures - veterinary ; Veterinary medicine</subject><ispartof>Veterinary surgery, 2017-05, Vol.46 (4), p.486-493</ispartof><rights>2017 The American College of Veterinary Surgeons</rights><rights>2017 The American College of Veterinary Surgeons.</rights><rights>Copyright 2017 by The American College of Veterinary Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-81f1b947a9e41846f8475651b149ca1423330ce9e4ad000b1dc2fcd821eeabe53</citedby><cites>FETCH-LOGICAL-c3532-81f1b947a9e41846f8475651b149ca1423330ce9e4ad000b1dc2fcd821eeabe53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvsu.12642$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvsu.12642$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28314067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bleakley, Seth</creatorcontrib><creatorcontrib>Palmer, Ross H.</creatorcontrib><creatorcontrib>Bresina, Stephen</creatorcontrib><creatorcontrib>Roca, Sy Ping</creatorcontrib><creatorcontrib>Tepic, Slobodan</creatorcontrib><title>The effect of polydioxanone hemicerclage suture on the occurrence of fracture during tibial tuberosity advancement with an elongated bi‐directional hinged osteotomy</title><title>Veterinary surgery</title><addtitle>Vet Surg</addtitle><description>Objective
To investigate the effect of hemicerclage suture on the occurrence of fractures during advancement of an elongated bi‐directional hinged osteotomy (EBHO) for tibial tuberosity advancement (TTA) in dogs.
Study design
Experimental ex vivo study.
Animals
Canine cadavers (n = 14)
Methods
A uniform EBHO was performed in 28 cadaveric hind limbs (n = 28) from 14 skeletally mature, medium‐sized, mixed breed dogs. Paired limbs were randomly assigned with or without hemicerclage suture. The osteotomy was slowly spread (TTA) at a rate 1.5 mm every 15 seconds to a maximum distance of 24 mm or until a fracture was detected as an audible crack, visible propagation of the distal osteotomy or transverse fracture of the cortical bridge. The occurrence of fractures was compared between limbs with hemicerclage and without hemicerclage (control) suture using a chi‐square analysis. The advancement distance at the time of fracture was compared using a paired t test. A P value <.05 was considered significant.
Results
The cumulative occurrence of intraoperative fracture was significantly greater without hemicerclage than with hemicerclage at advancements of 12, 15, 18, and 24 mm. The mean (SD) spreading distance at the time of fracture was significantly less without hemicerclage at 16.85 (4.10) mm with a range of 12‐24 mm, than with hemicerclage at 20.62 (2.39) mm with a range of 18‐24 mm (P = .029).
Conclusion
The occurrence of immediate intraoperative fracture during advancement of an EBHO of the tibial tuberosity is less when a hemicerclage suture is placed.</description><subject>Animals</subject><subject>Biocompatibility</subject><subject>Cadaver</subject><subject>Cadavers</subject><subject>Cortex</subject><subject>Crack propagation</subject><subject>Dogs</subject><subject>Dogs - surgery</subject><subject>Elongation</subject><subject>Fractures</subject><subject>Fractures, Bone - etiology</subject><subject>Fractures, Bone - veterinary</subject><subject>Hindlimb - surgery</subject><subject>Limbs</subject><subject>Osteotomy</subject><subject>Osteotomy - methods</subject><subject>Osteotomy - veterinary</subject><subject>Polydioxanone</subject><subject>Surgical outcomes</subject><subject>Sutures - adverse effects</subject><subject>Sutures - veterinary</subject><subject>Veterinary medicine</subject><issn>0161-3499</issn><issn>1532-950X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1uFDEQhS0EIkNgwQWQJTawmMTVdv8tURQgUqQsSBC7lttdnnHUbQ_-SegdR-AUHIyT4M4EFpHiTUmu7z1V1SPkNbAjyO_4JqQjKCpRPCErKHmxbkv27SlZMahgzUXbHpAXIVwzxloh-HNyUDQcBKvqFfl9uUWKWqOK1Gm6c-M8GPdDWmeRbnEyCr0a5QZpSDF5pM7SmCVOqeQ9WoWLTHup7rpD8sZuaDS9kSONqUfvgokzlcONzPCENtJbE7dUWoqjsxsZcaC9-fPz12B8nsI4m5Xb7JL_XYjoopvml-SZlmPAV_f1kFx9PL08-bw-v_h0dvLhfK34sncDGvpW1LJFAY2odCPqsiqhB9EqCaLgnDOFuSuHfI0eBlVoNTQFIMoeS35I3u19d959TxhiN5mgcBylRZdCB03dNNCyus7o2wfotUs-D79QOYCSVcVCvd9TKh8ieNTdzptJ-rkD1i3hdTm87i68zL65d0z9hMN_8l9aGTjeA7dmxPlxp-7rl6u95V8_Faie</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Bleakley, Seth</creator><creator>Palmer, Ross H.</creator><creator>Bresina, Stephen</creator><creator>Roca, Sy Ping</creator><creator>Tepic, Slobodan</creator><general>Blackwell Publishing Ltd</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>8FD</scope><scope>FR3</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>The effect of polydioxanone hemicerclage suture on the occurrence of fracture during tibial tuberosity advancement with an elongated bi‐directional hinged osteotomy</title><author>Bleakley, Seth ; Palmer, Ross H. ; Bresina, Stephen ; Roca, Sy Ping ; Tepic, Slobodan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-81f1b947a9e41846f8475651b149ca1423330ce9e4ad000b1dc2fcd821eeabe53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animals</topic><topic>Biocompatibility</topic><topic>Cadaver</topic><topic>Cadavers</topic><topic>Cortex</topic><topic>Crack propagation</topic><topic>Dogs</topic><topic>Dogs - surgery</topic><topic>Elongation</topic><topic>Fractures</topic><topic>Fractures, Bone - etiology</topic><topic>Fractures, Bone - veterinary</topic><topic>Hindlimb - surgery</topic><topic>Limbs</topic><topic>Osteotomy</topic><topic>Osteotomy - methods</topic><topic>Osteotomy - veterinary</topic><topic>Polydioxanone</topic><topic>Surgical outcomes</topic><topic>Sutures - adverse effects</topic><topic>Sutures - veterinary</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bleakley, Seth</creatorcontrib><creatorcontrib>Palmer, Ross H.</creatorcontrib><creatorcontrib>Bresina, Stephen</creatorcontrib><creatorcontrib>Roca, Sy Ping</creatorcontrib><creatorcontrib>Tepic, Slobodan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bleakley, Seth</au><au>Palmer, Ross H.</au><au>Bresina, Stephen</au><au>Roca, Sy Ping</au><au>Tepic, Slobodan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of polydioxanone hemicerclage suture on the occurrence of fracture during tibial tuberosity advancement with an elongated bi‐directional hinged osteotomy</atitle><jtitle>Veterinary surgery</jtitle><addtitle>Vet Surg</addtitle><date>2017-05</date><risdate>2017</risdate><volume>46</volume><issue>4</issue><spage>486</spage><epage>493</epage><pages>486-493</pages><issn>0161-3499</issn><eissn>1532-950X</eissn><abstract>Objective
To investigate the effect of hemicerclage suture on the occurrence of fractures during advancement of an elongated bi‐directional hinged osteotomy (EBHO) for tibial tuberosity advancement (TTA) in dogs.
Study design
Experimental ex vivo study.
Animals
Canine cadavers (n = 14)
Methods
A uniform EBHO was performed in 28 cadaveric hind limbs (n = 28) from 14 skeletally mature, medium‐sized, mixed breed dogs. Paired limbs were randomly assigned with or without hemicerclage suture. The osteotomy was slowly spread (TTA) at a rate 1.5 mm every 15 seconds to a maximum distance of 24 mm or until a fracture was detected as an audible crack, visible propagation of the distal osteotomy or transverse fracture of the cortical bridge. The occurrence of fractures was compared between limbs with hemicerclage and without hemicerclage (control) suture using a chi‐square analysis. The advancement distance at the time of fracture was compared using a paired t test. A P value <.05 was considered significant.
Results
The cumulative occurrence of intraoperative fracture was significantly greater without hemicerclage than with hemicerclage at advancements of 12, 15, 18, and 24 mm. The mean (SD) spreading distance at the time of fracture was significantly less without hemicerclage at 16.85 (4.10) mm with a range of 12‐24 mm, than with hemicerclage at 20.62 (2.39) mm with a range of 18‐24 mm (P = .029).
Conclusion
The occurrence of immediate intraoperative fracture during advancement of an EBHO of the tibial tuberosity is less when a hemicerclage suture is placed.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>28314067</pmid><doi>10.1111/vsu.12642</doi><tpages>8</tpages></addata></record> |
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| ispartof | Veterinary surgery, 2017-05, Vol.46 (4), p.486-493 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Animals Biocompatibility Cadaver Cadavers Cortex Crack propagation Dogs Dogs - surgery Elongation Fractures Fractures, Bone - etiology Fractures, Bone - veterinary Hindlimb - surgery Limbs Osteotomy Osteotomy - methods Osteotomy - veterinary Polydioxanone Surgical outcomes Sutures - adverse effects Sutures - veterinary Veterinary medicine |
| title | The effect of polydioxanone hemicerclage suture on the occurrence of fracture during tibial tuberosity advancement with an elongated bi‐directional hinged osteotomy |
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