Biomechanical comparison of the three techniques for arthroscopic suprapectoral biceps tenodesis: implant-free intraosseous tendon fixation with Cobra Guide, interference screw and suture anchor

Poberaj, Boris; Marjanovic, Benjamin; Zupancic, Melanie; Nabergoj, Marko; Cvetko, Erika; Balazic, M.; Senekovič, Vladimir

doi:10.1007/s12306-019-00591-5

Cited by 5 publications

(7 citation statements)

References 14 publications

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“…The systematic review aimed at creating a comprehensive catalogue of existing clamps used in the determination of biomechanical properties. These studies evaluated what kind of impact the type of clamp had on the measurement [ 35 – 39 , 41 – 46 , 48 – 53 , 55 – 57 , 59 – 66 , 68 – 82 , 84 – 87 , 89 , 90 , 92 – 96 , 98 , 99 , 101 – 104 , 106 – 111 , 113 – 117 ].A variety of clamps for use during the endurance test of tendons were categorized according to the temperature used during the measurement. The clamps are divided into three groups: room temperature clamps [ 61 , 106 , 107 ] [ 35 , 37 – 39 , 41 , 44 – 46 , 48 , 49 , 51 – 53 , 55 – 57 , 59 , 62 , 64 , 70 , 72 , 75 , 77 – 80 , 84 , 85 , 87 , 89 , 90 , 92 – 94 , 96 , 98 , 99 , 101 – 103 , 109 – 111 , ...…”

Section: Resultsmentioning

confidence: 99%

“…It is expedient to use dry ice or liquid nitrogen for freezing. A disadvantage is that it is not easy to place the freezing substance in the surroundings of the clamp [ 35 – 39 , 41 – 46 , 48 , 49 , 51 – 53 , 55 , 57 , 62 , 64 , 65 , 69 , 70 , 72 , 73 , 75 , 76 , 80 , 82 , 84 , 87 , 89 , 90 , 92 – 94 , 96 , 99 , 103 , 108 , 109 , 111 ]. Particular care should be taken that the entire tendon is not completely cooled / frozen because thus the mechanical properties of the tendon are changed.…”

Section: Resultsmentioning

confidence: 99%

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Categorize the existing clamps used for tensile test of human graft– a systematic review

Faragó

Kozma

Kiss

2022

BMC Musculoskelet Disord

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Background The use of tendon allografts for orthopedic repair has gained wide acceptance in recent years, most notably in anterior cruciate tendon reconstruction. Multiple studies support the use of tendon allografts and the benefits of its use are well accepted and understood. One of the important criteria of the use of tendon allografts is statistically similar histological and biomechanical properties to autographs. The aim of this systematic literature review is to investigate and categorize existing clamps used in the determination of the biomechanical properties of tendons such as maximum load, maximum strength, modulus of elasticity, ultimate strain, and stiffness. A variety of clamps for use during the endurance test of tendons were categorized according to the temperature used during the measurement. The clamps are divided into three groups: room temperature, cooled and heated clamps. The second goal of our review is to overview of clamps on the following aspects: name of clamp, author and date, type of clamps, type of endurance test (static or dynamic), type preloading (dynamic or static), type of tendon and measured and calculated parameters, and summarize in Table 3, as a comprehensive catalogue. Methods This systematic review was carried out in keeping with the PRISMA 2020 E&E and the PRISMA-S guidelines and checklists. A search was conducted for publications dating between 1991 and February 28th 2022 through three electronic databases (Web of Science, Scopus, and PubMed). We used Critical Appraisal Skills Program checklist to check the quality of included articles. Results The database search and additional sources resulted in 1725 records. 1635 records eliminated during the screening for various reasons (case report, other languages, book chapter, unavailable text/conference abstract, unrelated topic). The number of articles used in the final synthesis was 90. A variety of clamps for use during the endurance test of tendons were identified and categorized according to the temperature used during the measurement. Based on this, the clamps are divided into three groups: room temperature, cooled or heated clamps. Conclusions On the basis of the systematic literature review, mechanical parameters determined by usage with cooled clamps proved to be more reliable than with those at room temperature and with heated clamps. The collected information from the articles included name of clamp, author and date, type of clamps, type of endurance test (static or dynamic), type preloading (dynamic or static), type of tendon and measured and calculated parameters given in Table 3. summarized. The main advantage of the cooled clamps is that there is no limit to the type and length of the tendon. This study provides an overview of clamps and does not represent the modernity of any method.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Categorize the existing clamps used for tensile test of human graft– a systematic review

Faragó

Kozma

Kiss

2022

BMC Musculoskelet Disord

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“…These findings may suggest that patients experiencing postoperative cosmetic deformity may also perceive some functional deficit. However, these findings should be interpreted with caution because this comparison is likely underpowered given the small sample size of failures and insufficient to draw 46,53,54 Perhaps other options for suture anchor fixationdor the use of additional anchors to fortify the repairdmay lead to improved tenodesis fixation and decreased rates of deformity. In addition, an onlay technique may result in decreased tendonbone healing in comparison to tunnel-based techniques, contributing to failure.…”

Section: Discussionmentioning

confidence: 99%

“…Although biomechanical studies have shown similar fixation strengths among suture anchor, interference screw, and other arthroscopic tenodesis constructs, no clinical consensus exists regarding which is most reliable. 46 , 53 , 54 Perhaps other options for suture anchor fixation—or the use of additional anchors to fortify the repair—may lead to improved tenodesis fixation and decreased rates of deformity. In addition, an onlay technique may result in decreased tendon-bone healing in comparison to tunnel-based techniques, contributing to failure.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor

Cabarcas

Beletsky

Liu

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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To describe short-term outcomes of arthroscopic suprapectoral onlay biceps tenodesis using a single allsuture anchor with respect to validated outcome measures, return to work, objective strength and motion data, and biceps-specific testing. Methods: This study describes a consecutive series of patients undergoing arthroscopic suprapectoral onlay biceps tenodesis performed by a single surgeon from January to December 2017. Patients were evaluated preoperatively and postoperatively with the American Shoulder and Elbow Surgeons questionnaire, visual analog scale, Single Assessment Numeric Evaluation, Veterans RAND 12-Item Health Survey, and 12-Item Short Form survey, and return-to-work survey. Postoperative strength, range of motion, and biceps-specific testing was also performed. Results: This study included 50 patients (26 men and 24 women), with an average age (AE standard deviation) of 50.1 AE 10.9 years and average final follow-up of 21.3 AE 8.5 months. Among employed patients, 32 (71.1%) returned to work at an average of 4.6 AE 2.3 months. Light-duty workers returned to work at a significantly greater rate (85.7% vs 33.3%, P ¼ .016) and in less time (2.6 AE 2.0 months vs 6.8 AE 4.2 months) than heavy-duty workers. No differences were found between operative and nonoperative sides in the biceps apex distance (P ¼ .636) or range of motion in elbow flexion and extension (P > .9 for both), supination (P ¼ .192), or pronation (P ¼ .343) postoperatively. Strength in elbow flexion (P ¼ .002), as well as shoulder forward elevation (P < .001) and external rotation (P < .001), increased postoperatively. Significant patient-reported improvements were noted in the American Shoulder and Elbow Surgeons score, visual analog scale pain score, Single Assessment Numeric Evaluation score, Constant-Murley score, and Veterans RAND 12-Item Health Survey and 12-Item Short Form physical component scores (P .001 for all). A postoperative Popeye deformity developed in 5 patients (10%). Conclusions: Arthroscopic suprapectoral onlay biceps tenodesis with a single all-suture anchor can provide overall excellent clinical outcomes regarding strength, motion, and validated patient-reported outcome questionnaires. Return to occupational activities may be less predictable and more prolonged for heavy laborers. A small number of patients may experience cosmetic deformity postoperatively.

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“…Other technical factors may include patient positioning, 39 arthroscope orientation, 51 bone-tendon contact pressure, 17 anchor type, 43 or suture type and strength, 22 all of which have been studied as independent factors with the potential to affect the outcome of a procedure. Additionally, wet conditions within the joint can lead to increased friction of the suture material, 9 and knot security may ultimately be reduced compared with hand-tied knots by the requisite use of instrumentation.…”

Section: Discussionmentioning

confidence: 99%

Sliding or Nonsliding Arthroscopic Knots for Shoulder Surgery: A Systematic Review

Morrissey

Houck

Jang

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Knot tying is a crucial component of successful arthroscopic shoulder surgery. It is currently unknown whether sliding or nonsliding techniques result in superior clinical outcomes. Purpose: To assess the clinical outcomes of arthroscopic sliding knot (SK)– versus nonsliding knot (NSK)–tying techniques during arthroscopic shoulder surgery, including rotator cuff repair, Bankart repair, and superior labral anterior-posterior (SLAP) repair. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of the PubMed, Embase, and Cochrane Library databases was performed using PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. All English-language literature published between 2000 and 2018 reporting clinical outcomes utilizing SK- or NSK-tying techniques during rotator cuff repair, Bankart repair, and SLAP repair with a minimum 24-month follow-up was reviewed by 2 independent reviewers. Information on type of surgery, knot used, failure rate, patient satisfaction, and patient-reported outcomes was collected. Patient-reported outcome measures included the Constant-Murley score, Rowe score, and visual analog scale for pain. Study quality was evaluated using the modified Coleman Methodology Score. Results: Overall, 9 studies (6 level 3 and 3 level 4) with a total of 671 patients (mean age, 52.8 years [range, 16-86 years]; 65.7% male; 206 SK and 465 NSK) were included. There were 4 studies that reported on Bankart repair in 148 patients (63 SK and 85 NSK), 3 on SLAP repair in 59 patients (59 SK), and 2 on rotator cuff repair in 464 patients (84 SK and 380 NSK). Also, 6 studies compared knot-tying with knotless techniques (3 Bankart repair studies and 3 SLAP repair studies), while the studies reporting the outcomes of SLAP repair evaluated SK-tying techniques only. The failure rate for Bankart repair was 3.2% (2/63) for SKs and 4.7% (4/85) for NSKs. The failure rate for rotator cuff repair was 2.4% (2/84) for SKs and 6.3% (24/380) for NSKs. The failure rate for SLAP repair was 11.9% (7/59). Because of inconsistencies in outcomes and procedures, no quantitative analysis was possible. The mean modified Coleman Methodology Score for all studies was 65.1 ± 8.77, indicating adequate methodology. Conclusion: The literature on clinical outcomes using SKs or NSKs for shoulder procedures is limited to level 4 evidence. Future studies should be prospective and focus on comparing the use of SKs and NSKs for shoulder procedures to elucidate which arthroscopic knot results in superior clinical outcomes.

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Biomechanical comparison of the three techniques for arthroscopic suprapectoral biceps tenodesis: implant-free intraosseous tendon fixation with Cobra Guide, interference screw and suture anchor

Cited by 5 publications

References 14 publications

Categorize the existing clamps used for tensile test of human graft– a systematic review

Categorize the existing clamps used for tensile test of human graft– a systematic review

Short-Term Clinical and Return-to-Work Outcomes After Arthroscopic Suprapectoral Onlay Biceps Tenodesis With a Single Suture Anchor

Sliding or Nonsliding Arthroscopic Knots for Shoulder Surgery: A Systematic Review

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