Biomechanical Evaluation of Different Tibial Fixation Methods in the Reconstruction of the Anterolateral Ligament in Swine Bones
The present study aims to evaluate different methods of tibial fixation in the reconstruction of the anterolateral ligament (ALL). In addition, the present paper aims to compare the effectiveness of these methods and their mechanisms of failure in swine knees. A total of 40 freshly frozen swine lim...
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| Veröffentlicht in: | Revista brasileira de ortopedia 2019-04, Vol.54 (2), p.183-189 |
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| creator | Costa, Rogério Nascimento Nadal, Rubens Rosso Saggin, Paulo Renato Fernandes Lopes Junior, Osmar Valadão Spinelli, Leandro de Freitas Israel, Charles Leonardo |
| description | The present study aims to evaluate different methods of tibial fixation in the reconstruction of the anterolateral ligament (ALL). In addition, the present paper aims to compare the effectiveness of these methods and their mechanisms of failure in swine knees.
A total of 40 freshly frozen swine limbs were divided into 4 groups of 10 specimens, according to the tibial fixation technique used. In group A, the tibial fixation of the tendon graft was made through an anchor passing the graft. In group B, the tibial fixation was performed through a metal interference screw in a single bone tunnel. In group C, the tibial fixation included an anchor associated with a tendinous suture (but not with a wire crossing the tendon). In group D, two confluent bony tunnels were drilled and combined with an interference screw in one of them.
The lowest mean force (70.56 N) was observed in group A, and the highest mean force (244.85 N) was observed in group B; the mean values in the other 2 groups ranged from 171.68 N (group C) to 149.43 N (group D). Considering the margin of error (5%), there was a significant difference between the groups (
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| doi_str_mv | 10.1016/j.rbo.2017.09.001 |
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A total of 40 freshly frozen swine limbs were divided into 4 groups of 10 specimens, according to the tibial fixation technique used. In group A, the tibial fixation of the tendon graft was made through an anchor passing the graft. In group B, the tibial fixation was performed through a metal interference screw in a single bone tunnel. In group C, the tibial fixation included an anchor associated with a tendinous suture (but not with a wire crossing the tendon). In group D, two confluent bony tunnels were drilled and combined with an interference screw in one of them.
The lowest mean force (70.56 N) was observed in group A, and the highest mean force (244.85 N) was observed in group B; the mean values in the other 2 groups ranged from 171.68 N (group C) to 149.43 N (group D). Considering the margin of error (5%), there was a significant difference between the groups (
< 0.001).
Fixation with an interference screw in a single tunnel bone showed the highest tensile strength among the evaluated techniques.</description><identifier>ISSN: 0102-3616</identifier><identifier>ISSN: 1982-4378</identifier><identifier>EISSN: 1982-4378</identifier><identifier>DOI: 10.1016/j.rbo.2017.09.001</identifier><identifier>PMID: 31363265</identifier><language>eng</language><publisher>Germany: Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda</publisher><subject>joelho ; ligamento cruzado anterior ; ligamentos articulares ; Original | Artigo Original ; ORTHOPEDICS ; procedimentos ortopédicos</subject><ispartof>Revista brasileira de ortopedia, 2019-04, Vol.54 (2), p.183-189</ispartof><rights>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6529319/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6529319/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31363265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Costa, Rogério Nascimento</creatorcontrib><creatorcontrib>Nadal, Rubens Rosso</creatorcontrib><creatorcontrib>Saggin, Paulo Renato Fernandes</creatorcontrib><creatorcontrib>Lopes Junior, Osmar Valadão</creatorcontrib><creatorcontrib>Spinelli, Leandro de Freitas</creatorcontrib><creatorcontrib>Israel, Charles Leonardo</creatorcontrib><title>Biomechanical Evaluation of Different Tibial Fixation Methods in the Reconstruction of the Anterolateral Ligament in Swine Bones</title><title>Revista brasileira de ortopedia</title><addtitle>Rev Bras Ortop (Sao Paulo)</addtitle><description>The present study aims to evaluate different methods of tibial fixation in the reconstruction of the anterolateral ligament (ALL). In addition, the present paper aims to compare the effectiveness of these methods and their mechanisms of failure in swine knees.
A total of 40 freshly frozen swine limbs were divided into 4 groups of 10 specimens, according to the tibial fixation technique used. In group A, the tibial fixation of the tendon graft was made through an anchor passing the graft. In group B, the tibial fixation was performed through a metal interference screw in a single bone tunnel. In group C, the tibial fixation included an anchor associated with a tendinous suture (but not with a wire crossing the tendon). In group D, two confluent bony tunnels were drilled and combined with an interference screw in one of them.
The lowest mean force (70.56 N) was observed in group A, and the highest mean force (244.85 N) was observed in group B; the mean values in the other 2 groups ranged from 171.68 N (group C) to 149.43 N (group D). Considering the margin of error (5%), there was a significant difference between the groups (
< 0.001).
Fixation with an interference screw in a single tunnel bone showed the highest tensile strength among the evaluated techniques.</description><subject>joelho</subject><subject>ligamento cruzado anterior</subject><subject>ligamentos articulares</subject><subject>Original | Artigo Original</subject><subject>ORTHOPEDICS</subject><subject>procedimentos ortopédicos</subject><issn>0102-3616</issn><issn>1982-4378</issn><issn>1982-4378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkU9v1DAQxSMEotvCB-CCcuSyYWzHdnxBaksLlRYh0XK2Js5416usXfKnwK0fHS_bInqxrXl-vxm9KYo3DCoGTL3fVkObKg5MV2AqAPasWDDT8GUtdPO8WAADvhSKqaPieBy3ANIorl4WR4IJJbiSi-L-LKQduQ3G4LAvL-6wn3EKKZbJlx-D9zRQnMqb0IYsX4ZfB_ELTZvUjWWI5bSh8hu5FMdpmN2jdV89jRMNqcd8Zu8qrHG3Z2XP9c8QqTxLkcZXxQuP_UivH-6T4vvlxc355-Xq66er89PVsuNMiSVzoumoY1AjNcaj1wjYakIDTjsN6BV2tVSsqx13xghqfF2LxvMajJdenBRXB26XcGtvh7DD4bdNGOzfQhrWFocpuJ4s8BY1l1LlR81BY-OQy07mwJSkTmdWdWCNLlCf7DbNQ8zD2-t94nafeF6KAQCel9KIbPhwMNzO7Y46l2PIkTyZ4qkSw8au051VkhvBTAa8ewAM6cdM42R3YXTU9xgpzaPlXOkalBYyf337f69_TR53Lv4AHyGung</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Costa, Rogério Nascimento</creator><creator>Nadal, Rubens Rosso</creator><creator>Saggin, Paulo Renato Fernandes</creator><creator>Lopes Junior, Osmar Valadão</creator><creator>Spinelli, Leandro de Freitas</creator><creator>Israel, Charles Leonardo</creator><general>Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda</general><general>Sociedade Brasileira de Ortopedia e Traumatologia</general><general>Thieme Revinter Publicações Ltda</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>201904</creationdate><title>Biomechanical Evaluation of Different Tibial Fixation Methods in the Reconstruction of the Anterolateral Ligament in Swine Bones</title><author>Costa, Rogério Nascimento ; Nadal, Rubens Rosso ; Saggin, Paulo Renato Fernandes ; Lopes Junior, Osmar Valadão ; Spinelli, Leandro de Freitas ; Israel, Charles Leonardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d2163-1c38ded104ae89faf7a0ab7ea90c7c70af6ad4561d4c2c993e8f4438f2409f5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>joelho</topic><topic>ligamento cruzado anterior</topic><topic>ligamentos articulares</topic><topic>Original | Artigo Original</topic><topic>ORTHOPEDICS</topic><topic>procedimentos ortopédicos</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Costa, Rogério Nascimento</creatorcontrib><creatorcontrib>Nadal, Rubens Rosso</creatorcontrib><creatorcontrib>Saggin, Paulo Renato Fernandes</creatorcontrib><creatorcontrib>Lopes Junior, Osmar Valadão</creatorcontrib><creatorcontrib>Spinelli, Leandro de Freitas</creatorcontrib><creatorcontrib>Israel, Charles Leonardo</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Revista brasileira de ortopedia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costa, Rogério Nascimento</au><au>Nadal, Rubens Rosso</au><au>Saggin, Paulo Renato Fernandes</au><au>Lopes Junior, Osmar Valadão</au><au>Spinelli, Leandro de Freitas</au><au>Israel, Charles Leonardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biomechanical Evaluation of Different Tibial Fixation Methods in the Reconstruction of the Anterolateral Ligament in Swine Bones</atitle><jtitle>Revista brasileira de ortopedia</jtitle><addtitle>Rev Bras Ortop (Sao Paulo)</addtitle><date>2019-04</date><risdate>2019</risdate><volume>54</volume><issue>2</issue><spage>183</spage><epage>189</epage><pages>183-189</pages><issn>0102-3616</issn><issn>1982-4378</issn><eissn>1982-4378</eissn><abstract>The present study aims to evaluate different methods of tibial fixation in the reconstruction of the anterolateral ligament (ALL). In addition, the present paper aims to compare the effectiveness of these methods and their mechanisms of failure in swine knees.
A total of 40 freshly frozen swine limbs were divided into 4 groups of 10 specimens, according to the tibial fixation technique used. In group A, the tibial fixation of the tendon graft was made through an anchor passing the graft. In group B, the tibial fixation was performed through a metal interference screw in a single bone tunnel. In group C, the tibial fixation included an anchor associated with a tendinous suture (but not with a wire crossing the tendon). In group D, two confluent bony tunnels were drilled and combined with an interference screw in one of them.
The lowest mean force (70.56 N) was observed in group A, and the highest mean force (244.85 N) was observed in group B; the mean values in the other 2 groups ranged from 171.68 N (group C) to 149.43 N (group D). Considering the margin of error (5%), there was a significant difference between the groups (
< 0.001).
Fixation with an interference screw in a single tunnel bone showed the highest tensile strength among the evaluated techniques.</abstract><cop>Germany</cop><pub>Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda</pub><pmid>31363265</pmid><doi>10.1016/j.rbo.2017.09.001</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | joelho ligamento cruzado anterior ligamentos articulares Original | Artigo Original ORTHOPEDICS procedimentos ortopédicos |
| title | Biomechanical Evaluation of Different Tibial Fixation Methods in the Reconstruction of the Anterolateral Ligament in Swine Bones |
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