A biomechanical analysis of a tensioned suture device in the fixation of the ligamentous Lisfranc injury.

Background: We hypothesized that using a cadaveric Lisfranc ligamentous injury model, abduction stress would provoke greater post-injury motion than axial weightbearing between the medial cuneiform (MC1) and the base of the second metatarsal (MT2). Second, we hypothesized that both a tensioned suture-button device and a rigid screw fixation method could maintain a reduction and similarly restrain motion to intact (pre-injury) levels.

Materials And Methods: Motion was measured between MC1 and MT2 in five matched pairs of human cadaveric feet.

Biomechanical comparison of acromioclavicular joint reconstructions using coracoclavicular tendon grafts with and without coracoacromial ligament transfer.

Purpose: The purpose of this study was to compare the initial strength of acromioclavicular joint reconstructions using coracoclavicular (CC) tendon grafts with and without coracoacromial (CA) ligament transfers.

Methods: Two different acromioclavicular joint reconstructions were performed in 7 matched pairs of cadaveric shoulders. Paired shoulders were repaired with either a hamstring allograft CC reconstruction (group 1) or a hamstring allograft CC reconstruction plus a CA ligament transfer (group 2).

Effectiveness of resonance frequency in predicting orthopedic implant strength and stability in an in vitro osseointegration model.

Developing noninvasive tools that determine implant attachment strength to bone and monitor implant stability over time will be important to optimize rehabilitation protocols following insertion of osseointegrated implants in patients with limb loss. While resonance frequency has been previously shown to correlate with implant stability in dental implants placed in the mandible and maxilla, this tool has not been evaluated with implants placed in the medullary canal of long bones. In an in vitro model used to simulate irregular medullary canal implant contact and osseointegration, a strong positive correlation was determined between resonance frequency implant stability quotient values and the force required for implant pushout.