The Effect of Supplementary Staple Fixation on Biomechanical Properties of Soft Tissue Graft Tibial Fixation in Anterior Cruciate Ligament Reconstruction

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dc.contributor.authorYildirim, Cem
dc.contributor.authorDemirel, Mehmet
dc.contributor.authorKoraman, Emre
dc.contributor.authorMuratoglu, Osman Gorkem
dc.contributor.authorYamak, Fatih
dc.contributor.authorBozdag, Sureyya Ergun
dc.contributor.authorKocabey, Yavuz
dc.date.accessioned2024-05-19T14:39:01Z
dc.date.available2024-05-19T14:39:01Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
dc.description.abstractThis study aimed to test and compare the biomechanical properties of three tibial fixation methods of anterior cruciate ligament (ACL) tendon grafts under cyclic load and load-to-failure testing in the bovine proximal tibiae, comprising (1) staple fixation alone, (2) interference screw fixation alone, and (3) interference screw fixation with a supplementary staple. Twenty-four bovine tibiae used in the study were divided into three groups (eight proximal tibiae in each group) based on tibial fixation methods of ACL tendon grafts: group A (a spiked ligament staple alone), group B (a cannulated interference screw alone), and group C (a cannulated interference screw with a supplementary staple). Each graft fixation was exposed to cyclic loading conditions. Significant differences were determined in failure load among the three groups (p = 0.008). The mean failure load was significantly higher in group B (717.04 +/- 218.51 N) than in group A (308.03 +/- 17.22 N) (p = 0.006). No significant differences were observed among the groups regarding axial stiffness (p = 0.442). Cyclic displacement differed significantly among the three groups (p = 0.005). In pairwise comparisons, the mean cyclic displacement was significantly higher in group A (8.22 +/- 3.24 mm) compared with group C (1.49 +/- 0.41 mm) (p = 0.005). Failure displacement varied considerably among the groups (p = 0.037). Although group B (15.53 +/- 6.43 mm) exhibited a greater mean failure displacement than both group A (4.9 +/- 0.75 mm) and group C (8.84 +/- 4.65 mm), these differences did not reach statistical significance (p = 0.602 and p = 0.329, respectively). Interference screw fixation alone and supplementary staple fixation have biomechanically similar characteristics in terms of initial strength and stiffness of tibial ACL soft tissue graft fixation. Regardless of staple use, an interference screw with the same diameter as the tibial tunnel can ensure sufficient tensile strength in tibial ACL graft fixation.en_US
dc.identifier.doi10.1055/s-0044-1786007
dc.identifier.issn1538-8506
dc.identifier.issn1938-2480
dc.identifier.pmid38599605en_US
dc.identifier.scopus2-s2.0-85190734186en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org10.1055/s-0044-1786007
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4679
dc.identifier.wosWOS:001199875300002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofJournal of Knee Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectAnterior Cruciate Ligamenten_US
dc.subjectTibial Fixationen_US
dc.subjectSoft Tissue Graften_US
dc.subjectTendon Graften_US
dc.subjectSupplementary Staple Fixationen_US
dc.titleThe Effect of Supplementary Staple Fixation on Biomechanical Properties of Soft Tissue Graft Tibial Fixation in Anterior Cruciate Ligament Reconstructionen_US
dc.typeArticleen_US

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