Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture

Yakup Yildirim; Baransel Saygi; Hasan Kara; Cengiz Kabukoglu; Tanil Esemenli

doi:10.3944/aott.v40i2.609

Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture

Year 2006, Volume: 40 Issue: 2, 164 - 168, 11.09.2006

Yakup Yildirim Baransel Saygi Hasan Kara Cengiz Kabukoglu Tanil Esemenli

Abstract

Objectives: We evaluated tendon holding capacities of suture materials that are commonly used in repair of Achilles tendon ruptures.
Methods: Achilles tendons of 60 sheep were removed by incisions 2-cm proximal to the calcaneal insertion and 1-cm distal to the musculotendinous junction. The tendos were randomly divided into six groups and sutures were placed with the Kessler technique at the distal end of the tendons using one of the following suture materials: 2 polydioxanone (PDS), 1 PDS, 2 Vicryl, 1 Vicryl, 2 Ethibond, and 1 Prolene. The distal end of the suture material was left free. Each specimen was mounted in an Instron machine, with the tendon being placed proximally and the suture material distally. The system was loaded with a displacement rate of 20 mm/min.
Results: Failure of all the specimens was due to pull-out of the suture material through the tendon. There were no failures due to suture breakage. The highest and the lowest tendon holding capacities were found with 2 PDS and 2 Ethibond sutures, respectively.
Conclusion: Following Achilles tendon repair, the healing period, in particular the first three weeks, is precarious for pull-out of the suture material through the tendon. Thus, tendon holding capacity of the suture material is an important factor for the strength of the repair. Among the tested suture materials, 2 PDS was found to have the highest tendon holding capacity.

Keywords

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Aşil tendonu tamirinde kullanılan dikiş materyallerinin tendonu tutma kapasiteleri

Year 2006, Volume: 40 Issue: 2, 164 - 168, 11.09.2006

Yakup Yildirim Baransel Saygi Hasan Kara Cengiz Kabukoglu Tanil Esemenli

Abstract

Amaç: Bu çalışmada Aşil tendonu tamirinde sık kullanılan dikiş materyallerinin tendonu tutma kapasiteleri değerlendirildi.
Çalışma planı: Altmış adet koyun Aşil tendonu, muskülotendinöz bileşkenin 1 cm distalinden ve kalkaneus yapışma yerinin 2 cm proksimalinden kesilerek hazırlandı. Rastgele altı gruba ayrılan tendonların distal ucuna, dikiş materyalinin ucu boşta kalacak şekilde, 2 polidioksanon (PDS), 1 PDS, 2 vikril, 1 vikril, 2 etibond ve 1 prolen dikiş materyallerinden biri kullanılarak Kessler konfigürasyonu yapıldı. Hazırlanan örnekler Instron germe cihazına, tendon üst çeneye, dikiş materyali alt çeneye gelecek şekilde yerleştirildi. Cihaz 20 mm/dk germe hızına ayarlanarak yükleme yapıldı.
Sonuçlar: Tüm deneylerde yetersizlik nedeni dikiş materyalinin tendondan sıyrılmasıydı. Dikiş materyali kopmasına bağlı yetersizlik oluşmadı. Tendonu tutma kapasitesi en yüksek dikiş materyali 2 PDS, en düşük dikiş materyali 2 etibond olarak bulundu.
Çıkarımlar: Aşil tendonu tamiri sonrasında iyileşmenin özellikle ilk üç haftası, dikiş materyalinin tendondan sıyrılmasıyla tamir dokusunun bozulması açısından riskli bir dönemdir. Bu nedenle, tamirde kullanılan dikiş materyalinin tendonu tutma kapasitesi önemli bir faktördür. Çalışmamızda tendonu tutma kapasitesi en yüksek dikiş materyalinin 2 PDS olduğu görüldü.

Keywords

Achilles tendon/injuries/surgery;biomechanics;materials testing;polydioxanone;suture techniques;tendon injuries/ surgery;wound healing

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Details

Primary Language	English
Journal Section	Experimental Study
Authors	Yakup Yildirim This is me Baransel Saygi This is me Hasan Kara This is me Cengiz Kabukoglu This is me Tanil Esemenli This is me
Publication Date	September 11, 2006
Published in Issue	Year 2006 Volume: 40 Issue: 2

Cite

APA	Yildirim, Y., Saygi, B., Kara, H., Kabukoglu, C., et al. (2006). Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture. Acta Orthopaedica Et Traumatologica Turcica, 40(2), 164-168. https://doi.org/10.3944/aott.v40i2.609
AMA	Yildirim Y, Saygi B, Kara H, Kabukoglu C, Esemenli T. Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture. Acta Orthopaedica et Traumatologica Turcica. September 2006;40(2):164-168. doi:10.3944/aott.v40i2.609
Chicago	Yildirim, Yakup, Baransel Saygi, Hasan Kara, Cengiz Kabukoglu, and Tanil Esemenli. “Tendon Holding Capacities of the Suture Materials Used in Repairing Achilles Tendon Rupture”. Acta Orthopaedica Et Traumatologica Turcica 40, no. 2 (September 2006): 164-68. https://doi.org/10.3944/aott.v40i2.609.
EndNote	Yildirim Y, Saygi B, Kara H, Kabukoglu C, Esemenli T (September 1, 2006) Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture. Acta Orthopaedica et Traumatologica Turcica 40 2 164–168.
IEEE	Y. Yildirim, B. Saygi, H. Kara, C. Kabukoglu, and T. Esemenli, “Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture”, Acta Orthopaedica et Traumatologica Turcica, vol. 40, no. 2, pp. 164–168, 2006, doi: 10.3944/aott.v40i2.609.
ISNAD	Yildirim, Yakup et al. “Tendon Holding Capacities of the Suture Materials Used in Repairing Achilles Tendon Rupture”. Acta Orthopaedica et Traumatologica Turcica 40/2 (September 2006), 164-168. https://doi.org/10.3944/aott.v40i2.609.
JAMA	Yildirim Y, Saygi B, Kara H, Kabukoglu C, Esemenli T. Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture. Acta Orthopaedica et Traumatologica Turcica. 2006;40:164–168.
MLA	Yildirim, Yakup et al. “Tendon Holding Capacities of the Suture Materials Used in Repairing Achilles Tendon Rupture”. Acta Orthopaedica Et Traumatologica Turcica, vol. 40, no. 2, 2006, pp. 164-8, doi:10.3944/aott.v40i2.609.
Vancouver	Yildirim Y, Saygi B, Kara H, Kabukoglu C, Esemenli T. Tendon holding capacities of the suture materials used in repairing Achilles tendon rupture. Acta Orthopaedica et Traumatologica Turcica. 2006;40(2):164-8.