Biomechanical Testing of Three Alternative Quadrupled Tendon Graft Constructs With Adjustable Loop Suspensory Fixation for Anterior Cruciate Ligament Reconstruction Compared With Four-Strand Grafts Fixed With Screws and Femoral Fixed Loop Devices

The American Journal of Sports Medicine
Christopher J VertulloCoen A Wijdicks

Abstract

Quadrupled semitendinosus (ST) grafts for anterior cruciate ligament (ACL) reconstruction have advantages of greater graft diameter and gracilis (G) preservation compared with doubled ST-G grafts. However, a paucity of biomechanical data are available regarding different preparation techniques for these constructs. To biomechanically analyze 3 alternative tendon constructs fixed with adjustable suspensory fixation devices on the femur and tibia compared with a matched 4-strand construct fixed with a tibial screw and femoral fixed loop device. Controlled laboratory study. Three alternative quadrupled tendon preparation techniques with suspensory fixation (grafts constructs A, B, and C) were compared with a 4-strand screw-fixed loop device construct (graft construct D) in matched diameter bovine tendon graft and porcine tibia models. Graft constructs were tested with a 3-stage cyclic loading protocol (1000 cycles in position control and 1000 cycles each from 10 to 250 N and from 10 to 400 N), followed by a pull to failure. In graft construct A, the graft ends were whipstitched and tied over the tibial button; in graft construct B, the graft ends functioned as pulleys; and in graft construct C, a continuous loop was created. Initi...Continue Reading

References

Mar 1, 1993·The Journal of Bone and Joint Surgery. American Volume·D C WascherG A Finerman
Feb 5, 2000·Clinical Biomechanics·D E ToutoungiJ J O'Connor
Feb 24, 2001·The American Journal of Sports Medicine·D G NagarkattiJ P Fulkerson
Apr 20, 2004·The American Journal of Sports Medicine·Janne T NurmiTeppo L N Järvinen
Apr 28, 2004·Journal of Biomechanics·Kevin B ShelburneMichael R Torry
Mar 1, 2005·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Guoan LiThomas J Gill
May 3, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Markus P ArnoldAlbert van Kampen
Aug 12, 2009·Journal of Biomechanics·A C VieiraA T Marques
Feb 8, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hayri Baran YosmaogluAhmet Atay
Feb 7, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Robert A MagnussenWilliam E Garrett
Dec 25, 2012·The American Journal of Sports Medicine·Benjamin M PetreCoen A Wijdicks
Oct 22, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael W MariscalcoRobert A Magnussen
Jan 1, 2014·The American Journal of Sports Medicine·Stephen S BurkhartBryan T Hanypsiak
Jan 24, 2014·The American Journal of Sports Medicine·Kate E WebsterAnneka K Richmond
Feb 15, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Avijit SharmaRobert A Magnussen
Feb 26, 2016·Journal of Experimental Orthopaedics·Romain SeilDietrich Pape
May 10, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Benjamin C NoonanAsheesh Bedi
May 18, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Aníbal DebandiFreddie H Fu

❮ Previous
Next ❯

Citations

Aug 13, 2020·Orthopaedic Journal of Sports Medicine·Julia BowesMark Sommerfeldt
Sep 26, 2020·The Journal of Knee Surgery·John Hee-Young LeeJames P Stannard
May 25, 2021·Orthopaedic Journal of Sports Medicine·Lucas Graf-AlexiouLindsey Westover
Aug 7, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Junjie XuJinzhong Zhao

❮ Previous
Next ❯

Software Mentioned

SigmaPlot

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
J HöherS L Woo
Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Carlos M BarreraMichael G Baraga
© 2022 Meta ULC. All rights reserved