Double‐loop cerclage resists greater loads for more cycles than twist and single‐loop cerclage

2021 ◽  
Author(s):  
Lauren Butare‐Smith ◽  
Simon C. Roe
Keyword(s):  
2019 ◽  
Vol 10 (7) ◽  
pp. 1446 ◽  
Author(s):  
Muhammad Ilham Rizaldi ◽  
Arif Rahman ◽  
Deendarlianto Deendarlianto ◽  
Nining Betawati Prihantini ◽  
Nasruddin Nasruddin
Keyword(s):  

Heart Rhythm ◽  
2021 ◽  
Author(s):  
Takuro Nishimura ◽  
Gaurav A. Upadhyay ◽  
Zaid A. Aziz ◽  
Andrew D. Beaser ◽  
Dalise Y. Shatz ◽  
...  

Open Medicine ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. 293-298
Author(s):  
Stephan Frosch ◽  
Gottfried Buchhorn ◽  
Fabian Kück ◽  
Tim Alexander Walde ◽  
Wolfgang Lehmann ◽  
...  

Abstract In rotator cuff repair, strong and reliable suturing is necessary to decrease failure rates. The biomechanics of two self-cinching stitches – the single-loop knot stitch (SLKS) and the double-loop knot stitch (DLKS) – and the modified Mason-Allen stitch (mMAS) were compared. Twenty-seven porcine infraspinatus tendons were randomized among the three stitches. Each was cyclically loaded (10–80–200 N for 50 cycles each) while the gap formation was measured. Next, ultimate load to failure was tested. The gap widths after cyclic loading were 8.72 ± 0.93 mm for the DLKS, 8.65 ± 1.33 mm for the mMAS, and 9.14 ± 0.89 mm for the SLKS, without significant differences. The DLKS showed the highest ultimate load (350.52 ± 38.54 N) compared with the mMAS (320.88 ± 53.29 N; p = 0.304) and the SLKS (290.54 ± 60.51 N; p < 0.05). The DLKS showed similar reliability and better strength compared with the mMAS, while the SLKS showed a slight but not significant decrease in performance. In our experience, the DLKS and SLKS have clinical advantages, as they are easy to perform and the self-cinching loop knot allows the surgeon to grasp degenerative tendon tissue. Initial intraoperative tightening of the suture complex (preloading) before locking is important in order to decrease postoperative elongation.


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