Biomechanical Comparison of the FasT-Fix Meniscal Repair Suture System with Vertical Mattress Sutures and Meniscus Arrows

Background: A meniscal repair technique that combines the strength of vertical mattress sutures and the decreased tissue morbidity of an all-inside technique would be advantageous. Hypothesis: The FasT-Fix Meniscal Repair Suture System will provide load at failure, stiffness, and displacement equiva...

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Veröffentlicht in:The American journal of sports medicine 2003-05, Vol.31 (3), p.374-378
Hauptverfasser: Borden, Peter, Nyland, John, Caborn, David N. M., Pienkowski, David
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container_end_page 378
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container_title The American journal of sports medicine
container_volume 31
creator Borden, Peter
Nyland, John
Caborn, David N. M.
Pienkowski, David
description Background: A meniscal repair technique that combines the strength of vertical mattress sutures and the decreased tissue morbidity of an all-inside technique would be advantageous. Hypothesis: The FasT-Fix Meniscal Repair Suture System will provide load at failure, stiffness, and displacement equivalent to that of vertical mattress sutures and superior to that of Meniscus Arrows. Study Design: In vitro biomechanical study. Methods: After repair of a 2-cm vertical longitudinal medial meniscal lesion, three groups of six human cadaveric knees were biomechanically tested in a random order on a servohydraulic device, and three groups of five specimens underwent cyclic loading. Results: Specimens repaired with Meniscus Arrows had reduced load at failure, stiffness, and displacement, but there were no differences between the FasT-Fix and vertical mattress suture methods. During cyclic loading, specimens repaired with two Meniscus Arrows failed before test completion, whereas specimens repaired with two vertical mattress sutures (6.0 ± 3.7 mm) or with two FasT-Fix implants (5.1 ± 1.4 mm) maintained fixation with comparable displacements. Conclusions: The FasT-Fix provided load at failure, stiffness, and displacement comparable with that of vertical mattress sutures. Clinical Relevance: The results suggest that the FasT-Fix may be preferable to Meniscus Arrows for meniscal repair with minimal associated tissue morbidity.
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M. ; Pienkowski, David</creator><creatorcontrib>Borden, Peter ; Nyland, John ; Caborn, David N. M. ; Pienkowski, David</creatorcontrib><description>Background: A meniscal repair technique that combines the strength of vertical mattress sutures and the decreased tissue morbidity of an all-inside technique would be advantageous. Hypothesis: The FasT-Fix Meniscal Repair Suture System will provide load at failure, stiffness, and displacement equivalent to that of vertical mattress sutures and superior to that of Meniscus Arrows. Study Design: In vitro biomechanical study. Methods: After repair of a 2-cm vertical longitudinal medial meniscal lesion, three groups of six human cadaveric knees were biomechanically tested in a random order on a servohydraulic device, and three groups of five specimens underwent cyclic loading. Results: Specimens repaired with Meniscus Arrows had reduced load at failure, stiffness, and displacement, but there were no differences between the FasT-Fix and vertical mattress suture methods. During cyclic loading, specimens repaired with two Meniscus Arrows failed before test completion, whereas specimens repaired with two vertical mattress sutures (6.0 ± 3.7 mm) or with two FasT-Fix implants (5.1 ± 1.4 mm) maintained fixation with comparable displacements. Conclusions: The FasT-Fix provided load at failure, stiffness, and displacement comparable with that of vertical mattress sutures. 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M.</creatorcontrib><creatorcontrib>Pienkowski, David</creatorcontrib><title>Biomechanical Comparison of the FasT-Fix Meniscal Repair Suture System with Vertical Mattress Sutures and Meniscus Arrows</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background: A meniscal repair technique that combines the strength of vertical mattress sutures and the decreased tissue morbidity of an all-inside technique would be advantageous. Hypothesis: The FasT-Fix Meniscal Repair Suture System will provide load at failure, stiffness, and displacement equivalent to that of vertical mattress sutures and superior to that of Meniscus Arrows. Study Design: In vitro biomechanical study. Methods: After repair of a 2-cm vertical longitudinal medial meniscal lesion, three groups of six human cadaveric knees were biomechanically tested in a random order on a servohydraulic device, and three groups of five specimens underwent cyclic loading. Results: Specimens repaired with Meniscus Arrows had reduced load at failure, stiffness, and displacement, but there were no differences between the FasT-Fix and vertical mattress suture methods. During cyclic loading, specimens repaired with two Meniscus Arrows failed before test completion, whereas specimens repaired with two vertical mattress sutures (6.0 ± 3.7 mm) or with two FasT-Fix implants (5.1 ± 1.4 mm) maintained fixation with comparable displacements. Conclusions: The FasT-Fix provided load at failure, stiffness, and displacement comparable with that of vertical mattress sutures. 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M.</au><au>Pienkowski, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biomechanical Comparison of the FasT-Fix Meniscal Repair Suture System with Vertical Mattress Sutures and Meniscus Arrows</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2003-05-01</date><risdate>2003</risdate><volume>31</volume><issue>3</issue><spage>374</spage><epage>378</epage><pages>374-378</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background: A meniscal repair technique that combines the strength of vertical mattress sutures and the decreased tissue morbidity of an all-inside technique would be advantageous. Hypothesis: The FasT-Fix Meniscal Repair Suture System will provide load at failure, stiffness, and displacement equivalent to that of vertical mattress sutures and superior to that of Meniscus Arrows. Study Design: In vitro biomechanical study. 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subjects Analysis of Variance
Biological and medical sciences
Biomechanical Phenomena
Cadaver
Evaluation
Female
Humans
Knee
Knee injuries
Male
Medical procedures
Medical sciences
Menisci, Tibial - surgery
Methods
Middle Aged
Orthopedic surgery
Sports injuries
Sports medicine
Stress, Mechanical
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Suture Techniques
Suturing
Technology. Biomaterials. Equipments
Tissues
title Biomechanical Comparison of the FasT-Fix Meniscal Repair Suture System with Vertical Mattress Sutures and Meniscus Arrows
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