Strength of side-to-side and step-cut repairs in tendon transfers: biomechanical testing of porcine flexor tendons

2020 ◽  
Vol 45 (10) ◽  
pp. 1061-1065
Author(s):  
Eivind Strandenes ◽  
Peter Ellison ◽  
Anders O. Mølster ◽  
Nils R. Gjerdet ◽  
Irene O. Moldestad ◽  
...  
Keyword(s):  
Tensile Properties ◽  
Testing Machine ◽  
Biomechanical Testing ◽  
Maximum Load ◽  
Side Group ◽  
Tendon Transfers ◽  
Flexor Tendons ◽  
Active Mobilization ◽  
The Difference

The aim of the study was to compare side-to-side with step-cut repairs to determine how much of the width it is possible to remove and still keep the repair strong enough to start active mobilization. Porcine flexor tendons were used to create side-to-side, one-third step-cut and half step-cut repairs. There were 15 repairs in each group. The tensile properties of the constructs were measured in a biomechanical testing machine. All repairs failed by the sutures splitting the tendon longitudinally. The maximum load and stiffness were highest in the side-to-side group. Our findings suggest that the half step-cut repair can withstand the forces exerted during active unrestricted movement of the digits in tendons of this size. The advantage of the step-cut repair is reduced bulkiness and less friction, which might compensate for the difference in strength.

scholarly journals Biomechanical properties of a novel biodegradable magnesium-based interference screw

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Marco Ezechieli ◽  
Hanna Meyer ◽  
Arne Lucas ◽  
Patrick Helmecke ◽  
Christoph Becher ◽  
...  
Keyword(s):  
Cruciate Ligament ◽  
Testing Machine ◽  
Biomechanical Testing ◽  
Maximum Load ◽  
Biomechanical Properties ◽  
Interference Screw ◽  
Biomechanical Analysis ◽  
Interference Screws ◽  
Standard Implant ◽  
Biodegradable Magnesium

Magnesium-based interference screws may be an alternative in anterior/posterior cruciate ligament reconstruction. The well-known osteoconductive effects of biodegradable magnesium alloys may be useful. It was the purpose of this study to evaluate the biomechanical properties of a magnesium based interference screw and compare it to a standard implant. A MgYREZr-alloy interference screw and a standard implant (Milagro®; De Puy Mitek, Raynham, MA, USA) were used for graft fixation. Specimens were placed into a tensile loading fixation of a servohydraulic testing machine. Biomechanical analysis included pretensioning of the constructs at 20 N for 1 min following cyclic pretensioning of 20 cycles between 20 and 60 N. Biomechanical elongation was evaluated with cyclic loading of 1000 cycles between 50 and 200 N at 0.5 Hz. Maximum load to failure was 511.3±66.5 N for the Milagro® screw and 529.0±63.3 N for magnesium-based screw (ns, P=0.57). Elongations after preload, during cyclical loading and during failure load were not different between the groups (ns, P>0.05). Stiffness was 121.1±13.8 N/mm for the magnesiumbased screw and 144.1±18.4 for the Milagro® screw (ns, P=0.32). MgYREZr alloy interference screws show comparable results in biomechanical testing to standard implants and may be an alternative for anterior cruciate reconstruction in the future.

Biomechanical Testing of Epitenon Suture Strength in Achilles Tendon Repairs

2007 ◽  
Vol 28 (10) ◽  
pp. 1074-1077 ◽  
Author(s):  
Michelle E. Shepard ◽  
Derek P. Lindsey ◽  
Loretta B. Chou
Keyword(s):  
Achilles Tendon ◽  
Adhesion Formation ◽  
Testing Machine ◽  
Biomechanical Testing ◽  
Gap Formation ◽  
Load To Failure ◽  
Fresh Frozen ◽  
Tendon Ruptures ◽  
Active Mobilization ◽  
Eden Prairie

Background: Recent evidence that early, active mobilization protocols after Achilles tendon repairs increase recovery speed and strength make operative repair strength critical to positive outcomes after Achilles tendon ruptures. While previous research has focused on core (tendon proper) repair techniques, no previous literature has reported testing of core repairs augmented with epitenon sutures, which have been shown to increase the strength of repairs of flexor tendons of the hand. Methods: Five matched pairs of fresh frozen human Achilles tendons were tested with and without the addition of an epitenon suture to the core repair suture. All specimens were repaired using a No. 2 Ethibond Krakow locking loop core suture. The epitenon suture was added to one tendon randomly chosen from each pair, using a 40 nylon suture. All specimens were mounted on an MTS testing machine (MTS Systems Corp., Eden Prairie, MN) and loaded to failure, which was defined as a 1-cm gap formation. Results: The addition of epitenon sutures significantly increased the force necessary to produce a 2-mm gap as compared to core sutures alone by 74%, and it increased the average load to failure by 119%. Also, initial tendon stiffness was 173% greater in tendons reinforced with epitenon sutures. Conclusions: This study demonstrates that greater resistance to gap formation, approximation of tissue ends, and tensile strength were achieved by the addition of an epitenon suture. Clinical relevance may improve healing by decreased gap formation at the repair site and a lower risk of adhesion formation.

scholarly journals A Preliminary Study on Tensile Properties of Gellan Gum/KCF Biocomposite Films

2020 ◽  
pp. 22-28
Author(s):  
Ahmad Adlie Shamsuri ◽  
Khalina Abdan ◽  
Tatsuo Kaneko
Keyword(s):  
Tensile Properties ◽  
Testing Machine ◽  
Weight Ratio ◽  
Tensile Modulus ◽  
Maximum Load ◽  
Gellan Gum ◽  
Test Results ◽  
Biocomposite Films ◽  
Preliminary Study ◽  
Core Fiber

In this preliminary study, kenaf core fiber (KCF) was utilized as a natural filler for the preparation of the gellan gum/KCF biocomposite films. The films were prepared by casting gellan gum solutions containing glycerol and KCF, followed by gelation and drying. The weight ratio of gellan gum and glycerol was fixed at 2:3, while the content of KCF varied from 6 to 15 wt.% relative to the weight of gellan gum. The tensile properties of the prepared films have been determined by using a universal testing machine. The tensile test results demonstrated that the tensile extension and tensile energy at break of the biocomposite films have significantly increased with the incorporation of KCF. Nevertheless, the tensile stress and tensile modulus at maximum load have drastically decreased with the increase of KCF content. This study implied that the incorporation of KCF had enhanced the ductility of the gellan gum/KCF biocomposite films and at the same time, reduced the stiffness of the films.

Increased Suture Embedment in Tendons: An Effective Method to Improve Repair Strength

2002 ◽  
Vol 27 (4) ◽  
pp. 333-336 ◽  
Author(s):  
B. WANG ◽  
J. B. TANG
Keyword(s):  
Tensile Strength ◽  
Tensile Properties ◽  
Ultimate Strength ◽  
Tensile Testing ◽  
Testing Machine ◽  
Gap Formation ◽  
Tensile Testing Machine ◽  
Flexor Tendons ◽  
Important Contributor ◽  
Complete Failure

We evaluated the effect of length of suture embedment within tendons on the tensile strength of repaired tendons. Thirty fresh pig flexor tendons were divided into three groups and subjected to repairs with the Halsted tendon sutures in which 1/3, 1/2, and 2/3 of the length of the longitudinal sutures was embedded within the tendons. The repaired tendons were pulled to complete failure by an Instron tensile testing machine. The 2 mm gap-formation force, ultimate strength, stiffness, and energy to failure were greatest when 2/3 of the suture length was embedded within the tendon. The results indicate that suture embedment is an important contributor to the tensile properties of the repair, and that increase in length of suture embedment is an effective way to strengthen tendon repairs.

scholarly journals Comparison of Fracture Resistance in Thermal and Self-Curing Acrylic Resins—An In Vitro Study

Polymers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1234
Author(s):  
António Sérgio Silva ◽  
Aurora Carvalho ◽  
Pedro Barreiros ◽  
Juliana de Sá ◽  
Carlos Aroso ◽  
...  
Keyword(s):  
Fracture Resistance ◽  
Research Work ◽  
Testing Machine ◽  
In Vitro Study ◽  
Dimensional Accuracy ◽  
Acrylic Resin ◽  
Thermosetting Resins ◽  
Acrylic Resins ◽  
The Difference

Thermal and self-curing acrylic resins are frequently and versatilely used in dental medicine since they are biocompatible, have no flavor or odor, have satisfactory thermal qualities and polishing capacity, and are easy and fast. Thus, given their widespread use, their fracture resistance behavior is especially important. In this research work, we comparatively analyzed the fracture resistance capacity of thermo and self-curing acrylic resins in vitro. Materials and Methods: Five prosthesis bases were created for each of the following acrylic resins: Lucitone®, ProBase®, and Megacryl®, which were submitted to different forces through the use of the CS® Dental Testing Machine, usually mobilized in the context of fatigue tests. To this end, a point was defined in the center of the anterior edge of the aforementioned acrylic resin bases, for which the peak tended until a fracture occurred. Thermosetting resins were, on average, more resistant to fracture than self-curable resins, although the difference was not statistically significant. The thermosetting resins of the Lucitone® and Probase® brands demonstrated behavior that was more resistant to fracture than the self-curing homologues, although the difference was not statistically significant. Thermosetting resins tended to be, on average, more resistant to fracture and exhibited the maximum values for impact strength, compressive strength, tensile strength, hardness, and dimensional accuracy than self-curing resins, regardless of brand.

scholarly journals Trans-obturator cable fixation of open book pelvic injuries

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Martin C. Jordan ◽  
Veronika Jäckle ◽  
Sebastian Scheidt ◽  
Fabian Gilbert ◽  
Stefanie Hölscher-Doht ◽  
...  
Keyword(s):  
Pelvic Ring ◽  
Testing Machine ◽  
Biomechanical Testing ◽  
Pubic Symphysis ◽  
Cadaver Study ◽  
Steel Cable ◽  
Reliable Technique ◽  
Peak Displacement ◽  
Total Displacement ◽  
Cable Fixation

AbstractOperative treatment of ruptured pubic symphysis by plating is often accompanied by complications. Trans-obturator cable fixation might be a more reliable technique; however, have not yet been tested for stabilization of ruptured pubic symphysis. This study compares symphyseal trans-obturator cable fixation versus plating through biomechanical testing and evaluates safety in a cadaver experiment. APC type II injuries were generated in synthetic pelvic models and subsequently separated into three different groups. The anterior pelvic ring was fixed using a four-hole steel plate in Group A, a stainless steel cable in Group B, and a titan band in Group C. Biomechanical testing was conducted by a single-leg-stance model using a material testing machine under physiological load levels. A cadaver study was carried out to analyze the trans-obturator surgical approach. Peak-to-peak displacement, total displacement, plastic deformation and stiffness revealed a tendency for higher stability for trans-obturator cable/band fixation but no statistical difference to plating was detected. The cadaver study revealed a safe zone for cable passage with sufficient distance to the obturator canal. Trans-obturator cable fixation has the potential to become an alternative for symphyseal fixation with less complications.

Effect of Film Thickness on Fatigue Strength of TiAl Alloy Coated with TiAlN Film at Elevated Temperature

2005 ◽  
Vol 297-300 ◽  
pp. 1446-1451 ◽  
Author(s):  
Takeshi Kasuya ◽  
Hideto Suzuki
Keyword(s):  
Thin Film ◽  
Fatigue Strength ◽  
Film Thickness ◽  
Thick Film ◽  
Physical Vapor Deposition ◽  
Tial Alloy ◽  
Testing Machine ◽  
Intermetallic Alloy ◽  
Fracture Control ◽  
The Difference

The fatigue strength of TiAl intermetallic alloy coated with TiAlN film was studied in vacuum at 1073K using a SEM-servo testing machine. In addition, three kinds of TiAlN films were given by physical vapor deposition (1, 3, and 10μ m). The fatigue strength of 3μ m was highest. Also, the fatigue strength of 1μ m was lowest. From this result, existence of optimum film thickness was suggested because the difference of fatigue strength arose in each film thickness. The justification for existence of optimum film thickness is competition of 45-degree crack and 90-degree crack. The 45-degree crack is phenomenon seen in the thin film (1μ m), and is caused by plastic deformation of TiAl substrate. The 45-degree crack is the factor of the fatigue strength fall by the side of thin film. In contrast, the 90-degree crack is phenomenon in the thick film (10μ m), and is caused as result of reaction against load to film. The 90-degree crack is the factor of the fatigue strength fall by the side of thick film. In conclusion, the optimum film thickness can perform meso fracture control, and improves fatigue strength.

Effect of Flaw Dimensions on Ductile Fracture Behavior of Non-Aligned Multiple Flaws in a Plate

2011 ◽  
Author(s):  
Katsumasa Miyazaki ◽  
Kunio Hasegawa ◽  
Koichi Saito
Keyword(s):  
Ductile Fracture ◽  
Flat Plate ◽  
Fracture Behavior ◽  
Maximum Load ◽  
Surface Flaws ◽  
Fracture Tests ◽  
The Difference ◽  
Almost All ◽  
Maximum Minimum

The fitness-for-service codes require the characterization of non-aligned multiple flaws for flaw evaluation, which is performed using a flaw proximity rule. Worldwide, almost all such codes provide their own proximity rule, often with unclear technical bases of the application of proximity rule to ductile or fully plastic fracture. In particular, the effect of flaw dimensions of multiple surface flaws on fully plastic fracture of non-aligned multiple flaws had not been clear. To clarify the effect of the difference of part through-wall and through-wall flaws on the behavior of fully plastic fracture, the fracture tests of flat plate specimens with non-aligned multiple part through-wall flaws were conducted. When the flaw depth a was shallow with 0.4 in ratio of a to thickness t, the maximum load Pmax occurred at penetration of multiple flaws and the effect of vertical distance of non-aligned multiple flaws H on Pmax was not so significant. However, when flaw depth was deep with 0.8 in a/t, Pmax occurred after penetration of flaws and the effect of H on Pmax could be seen clearly. It was judged that the through-wall flaw tests were appropriate for discussion of the effect of H on Pmax and the alignment rule of multiple flaws. In addition, in order to clarify the appropriate length parameter to estimate Pmax of test specimens with dissimilar non-aligned through-wall multiple flaws, the fracture tests of plate specimens were also conducted. The effect of different flaw length on Pmax was discussed with maximum, minimum and averages of dissimilar non-aligned multiple flaw lengths. Experimental results showed that the maximum length lmax would be an appropriate length parameter to estimate Pmax, when the non-aligned multiple through-wall flaws were dissimilar.

Dynamic Behaviour of Reinforcing Steel Bars in Tension

2011 ◽  
Vol 82 ◽  
pp. 86-91 ◽  
Author(s):  
Ezio Cadoni ◽  
Matteo Dotta ◽  
Daniele Forni ◽  
Nicoletta Tesio
Keyword(s):  
Testing Machine ◽  
Maximum Load ◽  
Gauge Length ◽  
Strain Rates ◽  
Reinforcing Bars ◽  
Static Tests ◽  
Split Hopkinson Tensile Bar ◽  
Steel Bars ◽  
Split Hopkinson ◽  
Reinforced Steel

In this paper the preliminary results of the tensile behavior of reinforced steel in a large range of strain rates are presented. Tensile testing at several strain rates, using different experimental set-ups, was carried out. For the quasi-static tests a universal electromechanical testing machine with the maximum load-bearing capacity of 50 kN was used, while for the intermediate and high-strain rate regimes a hydro-pneumatic apparatus and a JRC-Split Hopkinson Tensile Bar respectively were used. The target strain rates were set at the following five levels: 10-3, 30, 250, 500, and 1000 1/s. The specimens used in this research were round samples having 3mm in diameter and 5mm of gauge length obtained from reinforcing bars. Finally, the material parameters for Cowper-Symonds and Johnson-Cook models were determined.

scholarly journals Outcome of early active mobilization after flexor tendons repair in zones II-V in hand

2010 ◽  
Vol 44 (3) ◽  
pp. 314 ◽  
Author(s):  
Narender Saini ◽  
Vishal Kundnani ◽  
Purnima Patni ◽  
SP Gupta
Keyword(s):  
Flexor Tendons ◽  
Active Mobilization
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