Biomechanical Evaluation of Meniscal Repair Systems: A Comparison of the Meniscal Viper Repair System, the Vertical Mattress FasT-Fix Device, and Vertical Mattress Ethibond Sutures
Background The biomechanical characteristics of the Meniscal Viper Repair System have not been previously studied. Hypothesis Comparable meniscal lesion fixation standards will exist among the Meniscal Viper Repair System, the vertical FasT-Fix device, and vertical mattress sutures. Study Design Con...
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| Veröffentlicht in: | The American journal of sports medicine 2005-12, Vol.33 (12), p.1846-1852 |
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| creator | Chang, Haw C. Nyland, John Caborn, David N. M. Burden, Robert |
| description | Background
The biomechanical characteristics of the Meniscal Viper Repair System have not been previously studied.
Hypothesis
Comparable meniscal lesion fixation standards will exist among the Meniscal Viper Repair System, the vertical FasT-Fix device, and vertical mattress sutures.
Study Design
Controlled laboratory study.
Methods
Porcine menisci (3 groups of 7 menisci each) were repaired using different devices. A servohydraulic device cycled each construct between 5 N and 50 N for 500 cycles before load to failure (5 mm/min). Group differences were evaluated with 1-way analysis of variance and Tukey post hoc tests.
Results
During cyclic testing, the vertical mattress suture group (2.3 ± 0.2 mm) showed less mean displacement than did the vertical FasT-Fix or the Viper system groups (3.9 ± 0.7 mm and 3.9 ± 0.5 mm, respectively); the vertical mattress suture group (21.8 ± 2 N/mm) also displayed superior mean stiffness to the vertical FasT-Fix or the Viper system groups (13.2 ± 2 N/mm and 13.1 ± 1.8 N/mm, respectively). During load-to-failure testing, the vertical FasT-Fix group (145.9 ± 9 N) withstood greater mean loads than did the Viper system group (111.2 ± 30 N), but it did not differ significantly from loads withstood by the vertical mattress suture group (133.4 ± 10 N). The Viper system and vertical FasT-Fix groups (14.6 ± 2 N/mm and 12.1 ± 1 N/mm, respectively) displayed superior mean stiffness to the vertical mattress suture group (9.8 ± 0.5 N/mm) during load-to-failure testing.
Clinical Relevance
Standard vertical mattress sutures provided superior fixation during cyclic loading compared with the 2 all-inside methods of suture fixation, suggesting a potential for better meniscal lesion healing with vertical mattress sutures when confronted with the stresses associated with early, progressive rehabilitation activities. Stronger sutures and less meniscal segment purchase in tears located 3 to 4 mm from the periphery may contribute to the failure of the Viper repair system. |
| doi_str_mv | 10.1177/0363546505278254 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_68843992</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A139601530</galeid><sage_id>10.1177_0363546505278254</sage_id><sourcerecordid>A139601530</sourcerecordid><originalsourceid>FETCH-LOGICAL-c515t-2c1b98747e57b76ae1e599cb1f82043584cd5769e44c9c705a0494049b8c45513</originalsourceid><addsrcrecordid>eNqFkt9rFDEQx4Mo9lp990kOpYIPW5NNJj8e61Fr4aTQ6nPI5mbPlN3NdbMr9r83yx0cVywlhMDM5zuZGb6EvGP0jDGlvlAuOQgJFEqlSxAvyIwBlAXnEl6S2ZQupvwROU7pjlLKlNSvyRGTDJQGMSP8a4gt-t-uC94184s_rhndEGI3j_X8B3YhTeEb3LjQz28f0oBtekNe1a5J-Hb3npBf3y5-Lr4Xy-vLq8X5svDAYChKzyqjlVAIqlLSIUMwxles1iUVHLTwK1DSoBDeeEXBUWFEvpX2AoDxE_JpW3fTx_sR02Db3A42jeswjslKrQU3pnwWZEpwqkFm8MMj8C6OfZeHsCVTVEnJp2ofn4KYUSZDWk3U2ZZauwZt6Oo49M7ns8I2-NhhHXL8nHEjKQNOs-DzgSAzA_4d1m5MyerL5SFb_I_1sWlwjTZveXF9yNMt7_uYUo-13fShdf2DZdROTrGPnZIl73dTjlWLq71gZ40MnO4AN3mg7l3nQ9pzilMhONv3mlxubb-qpz7-B-uNyzA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1979766872</pqid></control><display><type>article</type><title>Biomechanical Evaluation of Meniscal Repair Systems: A Comparison of the Meniscal Viper Repair System, the Vertical Mattress FasT-Fix Device, and Vertical Mattress Ethibond Sutures</title><source>Access via SAGE</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Chang, Haw C. ; Nyland, John ; Caborn, David N. M. ; Burden, Robert</creator><creatorcontrib>Chang, Haw C. ; Nyland, John ; Caborn, David N. M. ; Burden, Robert</creatorcontrib><description>Background
The biomechanical characteristics of the Meniscal Viper Repair System have not been previously studied.
Hypothesis
Comparable meniscal lesion fixation standards will exist among the Meniscal Viper Repair System, the vertical FasT-Fix device, and vertical mattress sutures.
Study Design
Controlled laboratory study.
Methods
Porcine menisci (3 groups of 7 menisci each) were repaired using different devices. A servohydraulic device cycled each construct between 5 N and 50 N for 500 cycles before load to failure (5 mm/min). Group differences were evaluated with 1-way analysis of variance and Tukey post hoc tests.
Results
During cyclic testing, the vertical mattress suture group (2.3 ± 0.2 mm) showed less mean displacement than did the vertical FasT-Fix or the Viper system groups (3.9 ± 0.7 mm and 3.9 ± 0.5 mm, respectively); the vertical mattress suture group (21.8 ± 2 N/mm) also displayed superior mean stiffness to the vertical FasT-Fix or the Viper system groups (13.2 ± 2 N/mm and 13.1 ± 1.8 N/mm, respectively). During load-to-failure testing, the vertical FasT-Fix group (145.9 ± 9 N) withstood greater mean loads than did the Viper system group (111.2 ± 30 N), but it did not differ significantly from loads withstood by the vertical mattress suture group (133.4 ± 10 N). The Viper system and vertical FasT-Fix groups (14.6 ± 2 N/mm and 12.1 ± 1 N/mm, respectively) displayed superior mean stiffness to the vertical mattress suture group (9.8 ± 0.5 N/mm) during load-to-failure testing.
Clinical Relevance
Standard vertical mattress sutures provided superior fixation during cyclic loading compared with the 2 all-inside methods of suture fixation, suggesting a potential for better meniscal lesion healing with vertical mattress sutures when confronted with the stresses associated with early, progressive rehabilitation activities. Stronger sutures and less meniscal segment purchase in tears located 3 to 4 mm from the periphery may contribute to the failure of the Viper repair system.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546505278254</identifier><identifier>PMID: 16157854</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Absorbable Implants ; Analysis of Variance ; Animals ; Biological and medical sciences ; Biomechanical Phenomena ; Biomechanics ; Care and treatment ; Comparative analysis ; Complications and side effects ; Diagnosis ; Diseases of the osteoarticular system ; Implants, Artificial ; Injuries ; Injuries of the limb. Injuries of the spine ; Knee ; Knee injuries ; Load ; Materials Testing ; Medical examination ; Medical sciences ; Menisci, Tibial - surgery ; Meniscus (Anatomy) ; Miscellaneous ; Orthopedics ; Patient outcomes ; Prostheses and implants ; Prosthesis ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Sports injuries ; Sports medicine ; Surgery ; Suture Techniques - instrumentation ; Sutures ; Swine ; Tibial Meniscus Injuries ; Traumas. Diseases due to physical agents</subject><ispartof>The American journal of sports medicine, 2005-12, Vol.33 (12), p.1846-1852</ispartof><rights>2005 American Orthopaedic Society for Sports Medicine</rights><rights>2006 INIST-CNRS</rights><rights>COPYRIGHT 2005 Sage Publications, Inc.</rights><rights>Copyright Sage Publications Ltd. Dec 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c515t-2c1b98747e57b76ae1e599cb1f82043584cd5769e44c9c705a0494049b8c45513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546505278254$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546505278254$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17304431$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16157854$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Haw C.</creatorcontrib><creatorcontrib>Nyland, John</creatorcontrib><creatorcontrib>Caborn, David N. M.</creatorcontrib><creatorcontrib>Burden, Robert</creatorcontrib><title>Biomechanical Evaluation of Meniscal Repair Systems: A Comparison of the Meniscal Viper Repair System, the Vertical Mattress FasT-Fix Device, and Vertical Mattress Ethibond Sutures</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background
The biomechanical characteristics of the Meniscal Viper Repair System have not been previously studied.
Hypothesis
Comparable meniscal lesion fixation standards will exist among the Meniscal Viper Repair System, the vertical FasT-Fix device, and vertical mattress sutures.
Study Design
Controlled laboratory study.
Methods
Porcine menisci (3 groups of 7 menisci each) were repaired using different devices. A servohydraulic device cycled each construct between 5 N and 50 N for 500 cycles before load to failure (5 mm/min). Group differences were evaluated with 1-way analysis of variance and Tukey post hoc tests.
Results
During cyclic testing, the vertical mattress suture group (2.3 ± 0.2 mm) showed less mean displacement than did the vertical FasT-Fix or the Viper system groups (3.9 ± 0.7 mm and 3.9 ± 0.5 mm, respectively); the vertical mattress suture group (21.8 ± 2 N/mm) also displayed superior mean stiffness to the vertical FasT-Fix or the Viper system groups (13.2 ± 2 N/mm and 13.1 ± 1.8 N/mm, respectively). During load-to-failure testing, the vertical FasT-Fix group (145.9 ± 9 N) withstood greater mean loads than did the Viper system group (111.2 ± 30 N), but it did not differ significantly from loads withstood by the vertical mattress suture group (133.4 ± 10 N). The Viper system and vertical FasT-Fix groups (14.6 ± 2 N/mm and 12.1 ± 1 N/mm, respectively) displayed superior mean stiffness to the vertical mattress suture group (9.8 ± 0.5 N/mm) during load-to-failure testing.
Clinical Relevance
Standard vertical mattress sutures provided superior fixation during cyclic loading compared with the 2 all-inside methods of suture fixation, suggesting a potential for better meniscal lesion healing with vertical mattress sutures when confronted with the stresses associated with early, progressive rehabilitation activities. Stronger sutures and less meniscal segment purchase in tears located 3 to 4 mm from the periphery may contribute to the failure of the Viper repair system.</description><subject>Absorbable Implants</subject><subject>Analysis of Variance</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Diseases of the osteoarticular system</subject><subject>Implants, Artificial</subject><subject>Injuries</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Knee</subject><subject>Knee injuries</subject><subject>Load</subject><subject>Materials Testing</subject><subject>Medical examination</subject><subject>Medical sciences</subject><subject>Menisci, Tibial - surgery</subject><subject>Meniscus (Anatomy)</subject><subject>Miscellaneous</subject><subject>Orthopedics</subject><subject>Patient outcomes</subject><subject>Prostheses and implants</subject><subject>Prosthesis</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Sports injuries</subject><subject>Sports medicine</subject><subject>Surgery</subject><subject>Suture Techniques - instrumentation</subject><subject>Sutures</subject><subject>Swine</subject><subject>Tibial Meniscus Injuries</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt9rFDEQx4Mo9lp990kOpYIPW5NNJj8e61Fr4aTQ6nPI5mbPlN3NdbMr9r83yx0cVywlhMDM5zuZGb6EvGP0jDGlvlAuOQgJFEqlSxAvyIwBlAXnEl6S2ZQupvwROU7pjlLKlNSvyRGTDJQGMSP8a4gt-t-uC94184s_rhndEGI3j_X8B3YhTeEb3LjQz28f0oBtekNe1a5J-Hb3npBf3y5-Lr4Xy-vLq8X5svDAYChKzyqjlVAIqlLSIUMwxles1iUVHLTwK1DSoBDeeEXBUWFEvpX2AoDxE_JpW3fTx_sR02Db3A42jeswjslKrQU3pnwWZEpwqkFm8MMj8C6OfZeHsCVTVEnJp2ofn4KYUSZDWk3U2ZZauwZt6Oo49M7ns8I2-NhhHXL8nHEjKQNOs-DzgSAzA_4d1m5MyerL5SFb_I_1sWlwjTZveXF9yNMt7_uYUo-13fShdf2DZdROTrGPnZIl73dTjlWLq71gZ40MnO4AN3mg7l3nQ9pzilMhONv3mlxubb-qpz7-B-uNyzA</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Chang, Haw C.</creator><creator>Nyland, John</creator><creator>Caborn, David N. M.</creator><creator>Burden, Robert</creator><general>SAGE Publications</general><general>American Orthopaedic Society for Sports Medicine</general><general>Sage Publications, Inc</general><general>Sage Publications Ltd</general><scope>IQODW</scope><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>8GL</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Biomechanical Evaluation of Meniscal Repair Systems</title><author>Chang, Haw C. ; Nyland, John ; Caborn, David N. M. ; Burden, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-2c1b98747e57b76ae1e599cb1f82043584cd5769e44c9c705a0494049b8c45513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Absorbable Implants</topic><topic>Analysis of Variance</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Complications and side effects</topic><topic>Diagnosis</topic><topic>Diseases of the osteoarticular system</topic><topic>Implants, Artificial</topic><topic>Injuries</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Knee</topic><topic>Knee injuries</topic><topic>Load</topic><topic>Materials Testing</topic><topic>Medical examination</topic><topic>Medical sciences</topic><topic>Menisci, Tibial - surgery</topic><topic>Meniscus (Anatomy)</topic><topic>Miscellaneous</topic><topic>Orthopedics</topic><topic>Patient outcomes</topic><topic>Prostheses and implants</topic><topic>Prosthesis</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Sports injuries</topic><topic>Sports medicine</topic><topic>Surgery</topic><topic>Suture Techniques - instrumentation</topic><topic>Sutures</topic><topic>Swine</topic><topic>Tibial Meniscus Injuries</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Haw C.</creatorcontrib><creatorcontrib>Nyland, John</creatorcontrib><creatorcontrib>Caborn, David N. M.</creatorcontrib><creatorcontrib>Burden, Robert</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Haw C.</au><au>Nyland, John</au><au>Caborn, David N. M.</au><au>Burden, Robert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biomechanical Evaluation of Meniscal Repair Systems: A Comparison of the Meniscal Viper Repair System, the Vertical Mattress FasT-Fix Device, and Vertical Mattress Ethibond Sutures</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>33</volume><issue>12</issue><spage>1846</spage><epage>1852</epage><pages>1846-1852</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background
The biomechanical characteristics of the Meniscal Viper Repair System have not been previously studied.
Hypothesis
Comparable meniscal lesion fixation standards will exist among the Meniscal Viper Repair System, the vertical FasT-Fix device, and vertical mattress sutures.
Study Design
Controlled laboratory study.
Methods
Porcine menisci (3 groups of 7 menisci each) were repaired using different devices. A servohydraulic device cycled each construct between 5 N and 50 N for 500 cycles before load to failure (5 mm/min). Group differences were evaluated with 1-way analysis of variance and Tukey post hoc tests.
Results
During cyclic testing, the vertical mattress suture group (2.3 ± 0.2 mm) showed less mean displacement than did the vertical FasT-Fix or the Viper system groups (3.9 ± 0.7 mm and 3.9 ± 0.5 mm, respectively); the vertical mattress suture group (21.8 ± 2 N/mm) also displayed superior mean stiffness to the vertical FasT-Fix or the Viper system groups (13.2 ± 2 N/mm and 13.1 ± 1.8 N/mm, respectively). During load-to-failure testing, the vertical FasT-Fix group (145.9 ± 9 N) withstood greater mean loads than did the Viper system group (111.2 ± 30 N), but it did not differ significantly from loads withstood by the vertical mattress suture group (133.4 ± 10 N). The Viper system and vertical FasT-Fix groups (14.6 ± 2 N/mm and 12.1 ± 1 N/mm, respectively) displayed superior mean stiffness to the vertical mattress suture group (9.8 ± 0.5 N/mm) during load-to-failure testing.
Clinical Relevance
Standard vertical mattress sutures provided superior fixation during cyclic loading compared with the 2 all-inside methods of suture fixation, suggesting a potential for better meniscal lesion healing with vertical mattress sutures when confronted with the stresses associated with early, progressive rehabilitation activities. Stronger sutures and less meniscal segment purchase in tears located 3 to 4 mm from the periphery may contribute to the failure of the Viper repair system.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>16157854</pmid><doi>10.1177/0363546505278254</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0363-5465 |
| ispartof | The American journal of sports medicine, 2005-12, Vol.33 (12), p.1846-1852 |
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| subjects | Absorbable Implants Analysis of Variance Animals Biological and medical sciences Biomechanical Phenomena Biomechanics Care and treatment Comparative analysis Complications and side effects Diagnosis Diseases of the osteoarticular system Implants, Artificial Injuries Injuries of the limb. Injuries of the spine Knee Knee injuries Load Materials Testing Medical examination Medical sciences Menisci, Tibial - surgery Meniscus (Anatomy) Miscellaneous Orthopedics Patient outcomes Prostheses and implants Prosthesis Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Sports injuries Sports medicine Surgery Suture Techniques - instrumentation Sutures Swine Tibial Meniscus Injuries Traumas. Diseases due to physical agents |
| title | Biomechanical Evaluation of Meniscal Repair Systems: A Comparison of the Meniscal Viper Repair System, the Vertical Mattress FasT-Fix Device, and Vertical Mattress Ethibond Sutures |
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