Clinical assessment and comparison of ACL reconstruction using synthetic graft (Neoligaments versus FiberTape)

Barnaś, Michał; Kentel, Maciej; Morasiewicz, Piotr; Witkowski, Jarosław; Reichert, Paweł

doi:10.17219/acem/132036

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…Bodendorfer et al [14] presented a retrospective comparison of outcomes in patients undergoing ACLR with and without FiberTape® suture augmentation, with augmentation demonstrating less pain, improved PROMs and improved early return to activity, without evidence of over-constraint. A retrospective cohort study published by Barnas et al [51] reported comparable functional outcomes in patients undergoing surgery for partial ACL tears with synthetic augmentation using either a polyethylene terephthalate tape (Neoligaments) or Fiber-Tape® suture augmentation. A recent retrospective comparison published by Hopper et al [52] reported comparable re-injury and secondary surgery rates in patients undergoing ACLR versus those undergoing ACL repair with suture tape augmentation, in the context of acute proximal ACL ruptures.…”

Section: Discussionmentioning

confidence: 99%

Good clinical scores, no evidence of excessive anterior tibial translation, a high return to sport rate and a low re-injury rate is observed following anterior cruciate ligament reconstruction using autologous hamstrings augmented with suture tape

Ebert

Edwards

Annear

2023

Arch Orthop Trauma Surg

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Introduction Augmented anterior cruciate ligament reconstruction (ACLR) techniques have been proposed to reduce the high reported re-injury rates and low rates of return to sport (RTS). This study reports clinical outcomes, RTS and re-injury rates in patients undergoing ACLR using autologous hamstrings augmented with suture tape. Materials and methods A total of 53 patients were prospectively recruited, undergoing ACLR using hamstrings with suture tape augmentation, combined with a structured rehabilitation programme. Outcomes were collected to 24 months, including patient-reported outcome measures (PROMs), KT-1000 measurements, peak isokinetic knee strength and a four hop test battery. Limb Symmetry Indices (LSIs) were calculated for performance measures, whilst RTS rates, re-tears and re-operations were presented. Results There were no significant side-to-side differences in anterior tibial translation between the operated and non-operated knees at 6 months (p = 0.433), with no increase (p = 0.841) in side-to-side anterior tibial translation from 6 to 24 months. At 24 months, 98.0% of patients demonstrated normal (< 3 mm) or near normal (3–5 mm) side-to-side differences. LSIs for peak knee extensor torque (p < 0.0001) and the single (p = 0.001), triple (p = 0.001) and triple crossover (p < 0.0001) hop tests for distance significantly improved. All PROMs significantly improved (p < 0.0001), with 70.2% and 85.7% of patients actively participating in pivoting sports at 12 and 24 months, respectively. Three patients underwent secondary procedures for meniscal symptoms. One patient suffered an ACL re-tear (17 months), with no further ipsilateral or contralateral injuries. Conclusion ACLR with suture tape augmentation demonstrated no evidence of excessive anterior tibial translation, high-scoring PROMs, sound performance scores, a high rate of RTS and low re-injury rate.

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Section: Discussionmentioning

confidence: 99%

Good clinical scores, no evidence of excessive anterior tibial translation, a high return to sport rate and a low re-injury rate is observed following anterior cruciate ligament reconstruction using autologous hamstrings augmented with suture tape

Ebert

Edwards

Annear

2023

Arch Orthop Trauma Surg

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“…24 In humans, suture tape applications include rotator cuff repair, anterior cruciate ligament reconstruction, ulnar collateral ligament repair, olecranon fracture repair, and patellar fracture repair, among others. [25][26][27][28][29] Suture tape is most commonly used in veterinary medicine as a lateral suture at the stifle and in toggle rod procedures for repair of coxofemoral luxation. [30][31][32] Based on a review of the literature at the time of writing, suture tape has not been reported for median sternotomy closure in companion animals.…”

Section: Introductionmentioning

confidence: 99%

“…A recent publication reporting on the clinical use of suture tape for sternal closure in humans reported no complications when compared with closure with wire, which had a complication rate of 28.6% requiring surgical intervention 24 . In humans, suture tape applications include rotator cuff repair, anterior cruciate ligament reconstruction, ulnar collateral ligament repair, olecranon fracture repair, and patellar fracture repair, among others 25–29 . Suture tape is most commonly used in veterinary medicine as a lateral suture at the stifle and in toggle rod procedures for repair of coxofemoral luxation 30–32 .…”

Section: Introductionmentioning

confidence: 99%

Biomechanical comparison of canine median sternotomy closure using suture tape and orthopedic wire cerclage

Rivenburg,

Maxwell,

Bertran

et al. 2023

Veterinary Surgery

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ObjectiveTo compare the mechanical properties of suture tape and orthopedic wire cerclage in an ex vivo canine median sternotomy model.Study designEx vivo.AnimalsTwelve large‐breed canine cadaveric sternums.MethodsMedian sternotomies were performed, leaving the manubrium intact. The specimens were randomly assigned to group W (20‐gauge stainless steel orthopedic wire cerclage in a figure‐of‐eight pattern) or group ST (suture tape in a figure‐of‐eight pattern). Each specimen was laterally distracted until failure using an electrodynamic materials‐testing system.ResultsNo differences were observed for displacement, yield load, maximum load, implant failure between the groups. The orthopedic wire construct was stiffer than the suture tape construct.ConclusionSuture tape was biomechanically similar to orthopedic wire cerclage for sternotomy closure in dogs, although wire constructs were stiffer.Clinical significanceSuture tape may represent an alternative to cerclage wire for sternotomy closure in dogs. Additional studies evaluating its clinical use are needed.

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“…Previous studies have confirmed that ACL repair has mechanical weaknesses at the suture site, and internal bracing technology can effectively limit the gap expansion at the suture site, reduce the risk of reinjury, and improve the postoperative joint function score. [ 12 , 13 ] In ACL reconstruction, the overall mechanical strength of the tendon graft will decline due to the disintegration of the original collagen fiber in the process of ligamentation, and it will also face the risk of fracture of the mechanical weak point during active rehabilitation. [ 14 , 15 ] In recent years, scholars have studied the feasibility and effectiveness of internal support technologies such as FiberTape TM and InternalBrace TM in ACL reconstruction, and obtained good in vivo and in vitro biomechanical, histological, and clinical results.…”

Section: Introductionmentioning

confidence: 99%

The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation

Yang

et al. 2022

Medicine

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Aggressive rehabilitation after anterior cruciate ligament (ACL) reconstruction may result in better clinical outcomes and fewer complications such as knee stiffness and weakness. We explored the effect of the Chinese knotting technique (CKT) for aggressive rehabilitation after ACL reconstruction.Ninety-one anatomical ACL reconstruction cases from 2016 to 2020 were retrospectively reviewed. All patients were operated by the same senior physician and his team. According to the reconstruction with or without CKT, the patients were divided into 2 groups. Both groups received aggressive rehabilitation.The follow-up time of 91 patients was more than 2 years. In total, 43 out of the 91 patients were in the CKT group, and 48 were in the routine group. The knee joint kinematics recorded by Opti_Knee revealed no significant difference among the CKT group, the routine group, and healthy adults at 3, 6, 12, and 24 months after the operation, respectively. The internal and external rotation angle and the anteroposterior displacement at 3 and 6 months after the operation in the CKT group were smaller than in the routine group and were similar to that of the healthy adults. There was no significant difference in flexion and extension angle, varus or valgus angle, proximal-distal displacement, or the internal or external displacement between the 2 groups. In addition, there was no significant difference in 6 degrees of freedom of the knee between the 2 groups at 12 and 24 months after the operation, respectively, which was similar to healthy adults. Compared to the routine group, the International Knee Documentation Committee scores were significantly higher in the CKT group at the 3, 6, and 12 months, respectively, but no difference was observed at 24 months (P = .749). The Lysholm score was significantly higher in the CKT group at the 3 and 6 months postoperatively, while there was no difference at 12 and 24 months, respectively.In short-term observation, the ACL reconstruction with CKT, which can sustain aggressive rehabilitation and prevent the loosening of ACL graft, can lead to better clinical outcomes and kinematics recovery of the knee compared to routine technique.

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Clinical assessment and comparison of ACL reconstruction using synthetic graft (Neoligaments versus FiberTape)

Cited by 6 publications

References 32 publications

Good clinical scores, no evidence of excessive anterior tibial translation, a high return to sport rate and a low re-injury rate is observed following anterior cruciate ligament reconstruction using autologous hamstrings augmented with suture tape

Good clinical scores, no evidence of excessive anterior tibial translation, a high return to sport rate and a low re-injury rate is observed following anterior cruciate ligament reconstruction using autologous hamstrings augmented with suture tape

Biomechanical comparison of canine median sternotomy closure using suture tape and orthopedic wire cerclage

The Chinese knotting technique assist anatomical anterior cruciate ligament reconstruction for aggressive rehabilitation

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