BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES

KIZILAY, Onur; İYİGÜN, Abdullah; AKTEKİN, Cem Nuri; DEMİR, Tevfik; kocadal, onur; PEPE, İsmail Murad; İYİDİKER, Mehmet Akif

BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES

Abdullah İYİGÜN, (Sağlık Bilimleri Ünüversitesi, Ankara Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Onur KOCADAL, (Yeditepe Üniversitesi Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Mehmet Akif İYİDİKER, (TOBB Ekonomi ve Teknoloji Üniversitesi, Mühendislik Fakültesi, Makine Mühendisliği Bölümü, Ankara, Türkiye)

İsmail Murad PEPE, (Amasya Üniversitesi Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, Amasya, Türkiye)

Onur KIZILAY, (Aritmi Osmangazi Hastanesi, Ortopedi ve Travmatoloji Kliniği, Bursa, Türkiye)

Tevfik DEMİR, (TOBB Ekonomi ve Teknoloji Üniversitesi, Mühendislik Fakültesi, Makine Mühendisliği Bölümü, Ankara, Türkiye)

Cem Nuri AKTEKİN (Sağlık Bilimleri Ünüversitesi, Ankara Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara, Türkiye)

Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi

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Yıl: 2018 Cilt: 51 Sayı: 1 Sayfa Aralığı: 33 - 39 Metin Dili: İngilizce İndeks Tarihi: 03-11-2020

BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES

Öz:

PURPOSE: The aim of this study is to biomechanically compare theaugmentation techniques used in the surgical treatment of patellartendon ruptures.MATERIAL AND METHODS: The study was carried out withsixty fresh-frozen bovine knees. Patellar tendon repair was performed with transosseous repair with Krackow or modified - Kesslersuturing or suture anchor repair techniques. Dall-Miles cable, cerclage wire or polyester suture material was used for augmentation.each specimen was evaluated biomechanically by cyclic loading andstatic pullout tests.RESULTS: Significantly lower cyclic elongation values were recorded in the transosseous repair with Krackow suture group (p <0.05)in the comparison of primary repair groups. Lower cyclic elongation and higher maximal tensile strength values were measured in theaugmentation with Dall-Miles cable or cerclage wire groups thanthe other groups. Augmentation groups had higher maximal ten- sile strength values and lower gap formation than non-augmentedgroups.CONCLUSIONS: In the surgical treatment of patellar tendon rup- tures, augmentation biomechanically strengthens the initial stabi- lity of primary repair. The transosseous repair augmented with theDall-Miles cable or cerclage wire can be said to be the most biome- chanically stabilizing technique.

Anahtar Kelime:

PATELLAR TENDON RÜPTÜRLERİNDE TAMİR VE AUGMENTASYON TEKNİKLERİNİN BİYOMEKANİK KARŞILAŞTIRILMASI

Öz:

AMAÇ: Bu çalışmanın amacı patellar tendonun farklı tamir ve augmentasyon tekniklerinin biyomekanik olarak karşılaştırılmasıdır. YÖNTEM: Biyomekanik test, 60 adet dana dizi ile gerçekleştirildi. Dizler tenotomi sonrası titanyum sütür ankor ve polyester sütür ile Krackow ve modifiye Kessler sütürasyon yapılarak transosseoz tünel tekniği ile tamir edildi. Augmentasyon için Ethibond, Dall-Miles kablo ve tel serklaj kullanıldı. Her bir örnek, siklik yüklenme ve statik çekme ile biyomekanik olarak değerlendirildi. BULGULAR: Primer tamir gruplarının karşılaştırılmasında, Krackow sütür ile transosseoz tamir grubunda anlamlı olarak daha düşük siklik uzama değerleri kaydedildi (p <0.05). Dall-Miles kablosu veya serklaj teli ile augmentasyon yapılanlarda diğer gruplara göre daha düşük siklik uzama ve daha yüksek maksimal gerilme kuvveti değerleri ölçüldü. Augmentasyon grupları, augmentasyon yapılmayan gruplardan daha yüksek maksimal gerilme direnci ve daha düşük gap oluşumu sergilemiştir. ÇIKARIMLAR: Patellar tendon yırtıklarının tedavisinde kullanılan augmentasyon teknikleri tespitin stabilitesini kuvvetlendirmektedir. Dall-Miles kablosu veya serklaj teli ile augmente edilen transosseoz onarımın biyomekanik olarak en stabil teknik olduğu söylenebilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	İYİGÜN A, kocadal o, İYİDİKER M, PEPE İ, KIZILAY O, DEMİR T, AKTEKİN C (2018). BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. , 33 - 39.
Chicago	İYİGÜN Abdullah,kocadal onur,İYİDİKER Mehmet Akif,PEPE İsmail Murad,KIZILAY Onur,DEMİR Tevfik,AKTEKİN Cem Nuri BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. (2018): 33 - 39.
MLA	İYİGÜN Abdullah,kocadal onur,İYİDİKER Mehmet Akif,PEPE İsmail Murad,KIZILAY Onur,DEMİR Tevfik,AKTEKİN Cem Nuri BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. , 2018, ss.33 - 39.
AMA	İYİGÜN A,kocadal o,İYİDİKER M,PEPE İ,KIZILAY O,DEMİR T,AKTEKİN C BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. . 2018; 33 - 39.
Vancouver	İYİGÜN A,kocadal o,İYİDİKER M,PEPE İ,KIZILAY O,DEMİR T,AKTEKİN C BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. . 2018; 33 - 39.
IEEE	İYİGÜN A,kocadal o,İYİDİKER M,PEPE İ,KIZILAY O,DEMİR T,AKTEKİN C "BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES." , ss.33 - 39, 2018.
ISNAD	İYİGÜN, Abdullah vd. "BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES". (2018), 33-39.

APA	İYİGÜN A, kocadal o, İYİDİKER M, PEPE İ, KIZILAY O, DEMİR T, AKTEKİN C (2018). BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, 51(1), 33 - 39.
Chicago	İYİGÜN Abdullah,kocadal onur,İYİDİKER Mehmet Akif,PEPE İsmail Murad,KIZILAY Onur,DEMİR Tevfik,AKTEKİN Cem Nuri BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 51, no.1 (2018): 33 - 39.
MLA	İYİGÜN Abdullah,kocadal onur,İYİDİKER Mehmet Akif,PEPE İsmail Murad,KIZILAY Onur,DEMİR Tevfik,AKTEKİN Cem Nuri BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, vol.51, no.1, 2018, ss.33 - 39.
AMA	İYİGÜN A,kocadal o,İYİDİKER M,PEPE İ,KIZILAY O,DEMİR T,AKTEKİN C BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2018; 51(1): 33 - 39.
Vancouver	İYİGÜN A,kocadal o,İYİDİKER M,PEPE İ,KIZILAY O,DEMİR T,AKTEKİN C BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2018; 51(1): 33 - 39.
IEEE	İYİGÜN A,kocadal o,İYİDİKER M,PEPE İ,KIZILAY O,DEMİR T,AKTEKİN C "BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES." Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, 51, ss.33 - 39, 2018.
ISNAD	İYİGÜN, Abdullah vd. "BIOMECHANICAL COMPARISON OF REPAIR AND AUGMENTATION TECHNIQUES IN PATELLAR TENDON RUPTURES". Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 51/1 (2018), 33-39.