Influence of Sutures on Cartilage Integrity: Do Meniscus Sutures Harm Cartilage? An Experimental Animal Study
| Autor: | Stephan Vogt, Ferdinand Henke, Arne J. Venjakob, Gunther H. Sandmann, Fabian Blanke, Stefan Milz, Thomas Tischer, Rainer Burgkart, Peter Föhr, Andreas B. Imhoff |
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| Rok vydání: | 2018 |
| Předmět: |
Cartilage
Articular Scoring system Friction Sus scrofa Meniscus (anatomy) Menisci Tibial 03 medical and health sciences 0302 clinical medicine Suture (anatomy) Absorbable Implants Materials Testing Medicine Animals Orthopedics and Sports Medicine Cartilage damage Meniscus repair 030203 arthritis & rheumatology 030222 orthopedics Sutures business.industry Cartilage Suture Techniques Anatomy Equipment Design musculoskeletal system Tibial Meniscus Injuries Experimental animal medicine.anatomical_structure Monofilament suture business |
| Zdroj: | Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 35(5) |
| ISSN: | 1526-3231 |
| Popis: | Purpose To evaluate whether different suture materials in meniscal repair may harm cartilage. Methods A preloaded linear friction testing setup including porcine knees with porcine cartilage, porcine meniscus, and different suture materials (braided nonabsorbable, absorbable monofilament) was used. Five groups with different tribological pairs were tested: cartilage on meniscus (control), cartilage on cartilage (control No. 2), and cartilage on different meniscus sutures (3 groups). Cartilage integrity was analyzed macroscopically by the India ink method and histologically using Giemsa-eosin–stained undecalcified methyl methacrylate sections. Cartilage lesions were classified by using a quantitative scoring system. Results The control groups did not show cartilage damage, either macroscopically or histologically. Loading cartilage with sutured menisci led to significant damage of the superficial radial and transitional zones with braided nonabsorbable (P = .03) and absorbable monofilament (P = .02) sutures at final examination. Menisci sutured with braided nonabsorbable material resulted in deeper damage to the cartilage. However, there were no significant differences between the suture materials. Sutures oriented perpendicular to surface motion led to a larger defect than parallel-oriented sutures. Conclusions Braided nonabsorbable and absorbable monofilament suture materials cause significant damage to cartilage during long-term cyclic loading in vitro. The extent of damage depends on suture orientation. Clinical Relevance This study provides data on the extent to which different suture materials in meniscus repair may harm cartilage. |
| Databáze: | OpenAIRE |
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