Suture anchor fixation strength in the Latarjet procedure: a biomechanical study in cadavers


Saleky B., HAPA O., Isin Y., Güvençer M., HAVITÇIOĞLU H., UZUN B.

European Journal of Orthopaedic Surgery and Traumatology, cilt.29, sa.8, ss.1667-1672, 2019 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 8
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1007/s00590-019-02476-6
  • Dergi Adı: European Journal of Orthopaedic Surgery and Traumatology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1667-1672
  • Anahtar Kelimeler: Latarjet procedure, Screw fixation, Shoulder instability, Suture anchor fixation
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

© 2019, Springer-Verlag France SAS, part of Springer Nature.Background: The use of metallic screws for graft fixation during the Latarjet procedure is not devoid of complications. The purpose of the present cadaver study was to determine the initial strength of coracoid graft fixation using suture anchors and compare it to that of the traditional screw fixation of the graft using a fresh frozen human shoulder cadaver model. Materials and methods: Twelve unpaired fresh frozen cadaver shoulders were utilized. In the first group, suture anchor fixation of the graft was used, while 3.75-mm cannulated screws were used in the second group. The specimens were then cyclically loaded from 5 to 150 N at a speed of 0.05 mm/s for 100 cycles. After cyclic loading, each specimen was then loaded at a constant rate of 0.5 mm/s until 7 mm of displacement. Cyclic elongation, peak-to-peak displacement, stiffness and maximum load were measured. Results: There were no significant differences between the traditional screw fixation and fixation using suture anchors in elongation, peak-to-peak displacement, stiffness and maximum load. Conclusions: In this study, traditional screw fixation and fixation using suture anchors did not significantly affect biomechanical performance in a classic Latarjet procedure.