Yıl: 2020 Cilt: 54 Sayı: 1 Sayfa Aralığı: 97 - 103 Metin Dili: İngilizce DOI: doi:10.5152/j.aott.2020.01.439 İndeks Tarihi: 20-11-2020

Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee

Öz:
Objective: Due to the biomechanical importance of the meniscal root ligament, several surgical techniques have been defined in order to treat meniscal root tear. Different application techniques have different levels of difficulty. We aimed to find a stronger and simpler repair technique. Methods: Sixteen bovine knee joints were prepared. The posterior root of the medial meniscus was dissected and repaired with one of two different techniques. The knees in group 1 (“knotted group”) were repaired with the knotted suture anchor technique, and the knees in group 2 (“knotless group”) were repaired using the knotless suture anchor technique. The strength of the repairs was tested biomechanically. Results: Cyclic loading tests were done. On the 0–20 N one-cycle test, the knotted anchor group’s equivalent stiffness average was 5.28 N/mm, and the knotless anchor group’s equivalent stiffness average was 5.48 N/mm. The 5–20 N two-cycle test results were 8.29 N/ mm for the knotted group and 8.66 N/mm for the knotless group. On the 5–20 N 100-cycle test, the equivalent stiffness averages were 8.59 N/mm for the knotted group and 10.18 N/mm for the knotless group. Elongation was 5.83 mm for the knotted group and 4.86 mm for the knotless group. After performing load-to-failure tests, the failure forces were recorded as 237.83 N for the knotted group and 204.90 N for the knotless group. The failure test elongation values were 26.83 mm for the knotted group and 18.70 mm for the knotless group. The failure energies were 3.87 J for the knotted group and 1.83 J for the knotless group. Except for elongation until failure (p=0.009), there were no significant differences between the two groups tested (p>0.05). The average elongation was significantly less in group 2, showing that the knotless anchor had an advantage, with less meniscal excursion compared to the sutured anchor. Conclusion: Knotless anchors have a mechanical advantage over knotted anchors for preventing meniscal excursion. When thought together with technical simplicity during arthroscopic surgery, knotless anchors could be used safely for the fixation of the meniscal root ligament.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA Eren M, AŞCI M, TÖNÜK E, Balta O, kurnaz r (2020). Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. , 97 - 103. doi:10.5152/j.aott.2020.01.439
Chicago Eren Mehmet Burtaç,AŞCI Murat,TÖNÜK Ergin,Balta Orhan,kurnaz recep Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. (2020): 97 - 103. doi:10.5152/j.aott.2020.01.439
MLA Eren Mehmet Burtaç,AŞCI Murat,TÖNÜK Ergin,Balta Orhan,kurnaz recep Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. , 2020, ss.97 - 103. doi:10.5152/j.aott.2020.01.439
AMA Eren M,AŞCI M,TÖNÜK E,Balta O,kurnaz r Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. . 2020; 97 - 103. doi:10.5152/j.aott.2020.01.439
Vancouver Eren M,AŞCI M,TÖNÜK E,Balta O,kurnaz r Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. . 2020; 97 - 103. doi:10.5152/j.aott.2020.01.439
IEEE Eren M,AŞCI M,TÖNÜK E,Balta O,kurnaz r "Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee." , ss.97 - 103, 2020. doi:10.5152/j.aott.2020.01.439
ISNAD Eren, Mehmet Burtaç vd. "Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee". (2020), 97-103. https://doi.org/doi:10.5152/j.aott.2020.01.439
APA Eren M, AŞCI M, TÖNÜK E, Balta O, kurnaz r (2020). Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. Acta Orthopaedica et Traumatologica Turcica, 54(1), 97 - 103. doi:10.5152/j.aott.2020.01.439
Chicago Eren Mehmet Burtaç,AŞCI Murat,TÖNÜK Ergin,Balta Orhan,kurnaz recep Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. Acta Orthopaedica et Traumatologica Turcica 54, no.1 (2020): 97 - 103. doi:10.5152/j.aott.2020.01.439
MLA Eren Mehmet Burtaç,AŞCI Murat,TÖNÜK Ergin,Balta Orhan,kurnaz recep Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.1, 2020, ss.97 - 103. doi:10.5152/j.aott.2020.01.439
AMA Eren M,AŞCI M,TÖNÜK E,Balta O,kurnaz r Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(1): 97 - 103. doi:10.5152/j.aott.2020.01.439
Vancouver Eren M,AŞCI M,TÖNÜK E,Balta O,kurnaz r Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(1): 97 - 103. doi:10.5152/j.aott.2020.01.439
IEEE Eren M,AŞCI M,TÖNÜK E,Balta O,kurnaz r "Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee." Acta Orthopaedica et Traumatologica Turcica, 54, ss.97 - 103, 2020. doi:10.5152/j.aott.2020.01.439
ISNAD Eren, Mehmet Burtaç vd. "Knotless anchors offer better prevention of meniscal excursion than knotted anchors: An experimental study of the bovine knee". Acta Orthopaedica et Traumatologica Turcica 54/1 (2020), 97-103. https://doi.org/doi:10.5152/j.aott.2020.01.439