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DOI: 10.1055/s-0038-1632925
Biomechanical evaluation of a veterinary suture anchor in the canine cadaver pelvis and femur
Publication History
Received
11 April 2004
Accepted
03 June 2004
Publication Date:
08 February 2018 (online)
Summary
A commercially available veterinary suture anchor was tested in the acetabula and femurs of canine cadavers. Size #2 suture anchor constructs were compared to a traditional screw and Teflon spiked washer constructs in a model of coxofemoral luxation repair. The screw/washer constructs failed at a higher maximum load than the #2 anchor constructs. In the acetabulum, significant differences in strength were also found in the position of the implant and in the direction of pull. The constructs in a more caudal position, and constructs pulled 90 degrees to the axis of insertion, failed at higher loads. The predominant mode of failure of the constructs was a suture failure. In the femur, size #5 suture anchors were used in a model of cranial cruciate ligament repair and collateral ligament repair. The anchor constructs failed predominantly by anchor pull-out in the distal femur. The constructs pulled 90 degrees to the axis of insertion were stronger than constructs pulled at 0 degrees to the axis of insertion. Varying the location of the implant in the femur did not affect the maximum load to failure.
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References
- 1 Allen SW, Chambers JN. Extracapsular suture stabilization of canine coxofemoral luxation. Compend Contin Educat 1986; 8 (7) 457-62.
- 2 Barber FA, Cawley P, Prudich JF. Suture anchor failure strength – an in vivo study. Arthroscopy 1993; 9 (6) 647-52.
- 3 Barber FA, Feder SM, Burkhart SS, Ahrens J. The relationship of suture anchor failure and bone density to proximal humerus location: cadaveric study. Arthroscopy 1997; 13 (3) 340-5.
- 4 Barber FA, Herbert MA. Suture anchors – update 1999. Arthroscopy 1999; 15 (7) 719-25.
- 5 Barber FA, Herbert MA, Click JN. The ultimate strength of suture anchors. Arthroscopy 1995; 11 (1) 21-8.
- 6 Barber FA, Herbert MA, Click JN. Suture anchor strength revisited. Arthroscopy 1996; 12 (1) 32-8.
- 7 Barber FA, Herbert MA, Click JN. Internal fixation strength of suture anchors – update 1997. Arthroscopy 1997; 13 (3) 355-62.
- 8 Barnes SJ, Coleman SG, Gilpin D. Repair of avulsed insertion of biceps. A new technique in four cases. J Bone Joint Surg Br 1993; 75 (6) 938-9.
- 9 Berlet GC, Johnson JA, Milne AD, Patterson SD, King GJ. distal biceps brachii tendon repair. An in vitro biomechanical study of tendon reattachment. Am J Sports Med 1998; 26 (3) 428-32.
- 10 Brustein M, Pellegrini J, Choueka J, Heminger H, Mass D. Bone suture anchors versus the pullout button for repair of distal profundus tendon injuries: a comparison of strength in human cadaveric hands. J Hand Surg [Am ] 2001; 26 (3) 489-96.
- 11 Buch BD, Innis P, McClinton MA, Kotani Y. The Mitek mini G2 suture anchor: Biomechanical analysis of use in the hand. J Hand Surg [Am ] 1995; 20 (5) 877-81.
- 12 Burkhart SS. The Deadman theory of suture anchors: Observations along a South Texas fence line. Arthroscopy 1995; 11 (1) 119-23.
- 13 Burkhart SS, Diaz Pagan JL, Wirth MA, Athanasiou KA. Cyclic loading of anchor-based rotator cuff repairs: Confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy 1997; 13 (6) 720-4.
- 14 Carpenter JE, Fish DN, Huston LJ, Goldstein SA. Pull-out strength of five suture anchors. Arthroscopy 1993; 9 (1) 109-13.
- 15 Cohen J, Cohen P. Applied multiple regression/ correlation analysis for the behavioral sciences. Hillsdale, New Jersey: Lawrence Ehrlbaum Assoc; 1983: 182-200.
- 16 Dagum AB, Antonyshyn O, Hearn T. Medial can– thopexy: an experimental and biomechanical study. Ann Plast Surg 1995; 35 (3) 262-5.
- 17 Dzwierzynsk WW, Sanger JR, Larson DL. Use of Mitek suture anchors in head and neck reconstruction. Ann Plast. Surg 1997; 38 (5) 449-54.
- 18 Edward M, Taylor RA, Franceschi RA. Clinical case applications of Mitek tissue anchors in veterinary orthopaedics. Vet Comp Orthop Traumatol 1993; 6: 208-12.
- 19 Fennell CW, Ballard JM, Pflaster DS, Adkins RH. Comparative evaluation of bone suture anchor to bone tunnel fixation of tibialis anterior tendon in cadaveric cuboid bone: a biomechanical investigation. Foot Ankle Int 1995; 16 (10) 641-5.
- 20 Goble EM, Somers WK, Clark R, Olsen RE. The development of suture anchors for use in soft tissue fixation to bone. Am J Sports Med 1994; 22 (2) 236-9.
- 21 Hecker AT, Shea M, Hayhurst JO, Myers ER, Meeks LW, Hayes WC. Pull-out strength of suture anchors for rotator cuff and Bankart lesion repairs. Am J Sports Med 1993; 21 (6) 874-9.
- 22 Lynch SA, Beard DM, Renstrom PA. Repair of distal biceps tendon rupture with suture anchors. Knee Surg Sports Traumatol Arthrosc 1999; 7 (2) 125-31.
- 23 Paulos LE, Kody MH. Arthroscopically enhanced “miniapproach” to rotator cuff repair. Am J Sports Med 1994; 22 (1) 19-25.
- 24 Piermattei DL, Flo GL, Brinker WO. Handbook of small animal orthopaedics and fracture repair. Philadelphia: WB. Saunders Company; 1997
- 25 Richmond JC, Donaldson WR, Fu F, Harner CD. Modification of the Bankart reconstruction with a suture anchor. Report of a new technique. Am J Sports Med 1991; 19 (4) 343-6.
- 26 Robertson DB, Daniel DM, Biden E. Soft tissue fixation to bone. Am J Sports Med 1986; 14 (5) 398-403.
- 27 Robinson A. Clinical application of prong-type tissue anchors in small animal surgery. J Small Animal Practice 2000; 41: 207-10.
- 28 Rossouw DJ, McElroy BJ, Amis AA, Emery RJ. A biomechanical evaluation of suture anchors in repair of the rotator cuff. J Bone Joint Surg Br 1997; 79 (3) 458-61.
- 29 Rupp S, Georg T, Gauss C, Kohn D, Seil R. Fatigue testing of suture anchors. Am J Sports Med 2002; 30 (2) 239-47.
- 30 Shetty SD, Kirkemo AK. Bilateral bone Anchor vaginal vault suspension: an initial report ofanew technique. Tech Urol 1997; 3 (1) 1-5.
- 31 Smith MR. Colposacropexy: an alternative technique. Am J Obstet Gynecol 1997; 176 (6) 1374-5.
- 32 Weigel DP, Callaghan JJ. Use of Anchor sutures to repair labral avulsions of the hip: a brief report. Iowa Orthop J 1997; 17: 141-3.
- 33 Wetzler MJ, Bartolozzi AR, Gillespie MJ, Roth CA, Ciccotti MG, Snyder-Mackler L, Santare MH. Fatigue properties of suture anchors in anterior shoulder reconstructions: Mitek GII. Arthroscopy 1996; 12 (6) 687-93.
- 34 Winters JC, Fontenot C, Glowacki C, Thomas KA, Scarpero H. Comparison of biomechanical properties of periosteal suture fixation and bone Anchor fixation to the pubic bone. Urology 2000; 55 (6) 866-9.
- 35 Yu GV, Chang T, White JM. Soft tissue Anchor systems. J Am Podiatr Med Assoc 1994; 84 (4) 157-70.