کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10078900 | 1603620 | 2005 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Soft-Tissue Interference Fixation: Bioabsorbable Screw Versus Metal Screw
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
ارتوپدی، پزشکی ورزشی و توانبخشی
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چکیده انگلیسی
Purpose: To compare the biomechanical properties of eccentrically positioned bioabsorbable and titanium interference screws for quadrupled hamstring tendon graft (QHTG) fixation. Type of Study: In vitro, biomechanical study. Methods: In 10 paired cadaveric tibiae and femurs (mean age, 66.5 years; range, 53 to 81 years), QHTG fixation was performed in tunnels sized to within 0.5 mm of QHTG diameter using either a titanium (RCI; Smith & Nephew Donjoy, Carlsbad, CA) or a bioabsorbable (BioScrew; Linvatec, Largo, FL) screw of equal size. Constructs then underwent biomechanical load-to-failure testing on a servo-hydraulic device at 20 mm/min. Results: Load at failure was greater for femoral-side QHTG fixation using the bioabsorbable screw than the titanium screw (486 ± 223.7 N v 246 ± 99.1 N, P = .006); however, displacement did not differ (P = .81). There were no statistically significant differences between groups for tibial side load at failure (P = .54), stiffness (P = .44), or displacement (P = .50). Screw thread-induced graft laceration was more frequently observed in the titanium screw group (9 of 10 grafts during femoral-side testing, 0 of 10 grafts during tibial-side testing) than in the bioabsorbable screw group (0 of 10 grafts during femoral-side testing, 1 of 10 grafts during tibial-side testing). Conclusions: BioScrew interference screw fixation was comparable or superior to RCI titanium interference screw fixation. BioScrew interference screw fixation also produced less screw thread-induced laceration of the QHTG during load-to-failure testing. Clinical Relevance: Use of a biodegradable interference screw positioned directly against a soft-tisse graft provides fixation properties similar to those of a metal interference screw.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Arthroscopy: The Journal of Arthroscopic & Related Surgery - Volume 21, Issue 8, August 2005, Pages 911-916
Journal: Arthroscopy: The Journal of Arthroscopic & Related Surgery - Volume 21, Issue 8, August 2005, Pages 911-916
نویسندگان
Jeff C. M.D., John Ed.D., S.C.S., P.T., A.T.C., David N.M. M.D., Darren L. M.D.,