Many suture anchors hold 2 sutures per anchor. Occasionally during a procedure, 1 of these sutures may be inadvertently pulled out of the anchor eyelet. We describe the technique of rethreading a deployed suture anchor in the event that 1 of the sutures is inadvertently unloaded from the anchor eyelet. We have evaluated its effectiveness in vivo. The basic steps of the "suture-weave" technique are as follows. If 1 strand remains threaded through the anchor eyelet, it is tensioned so that there is 1 long end and 1 short end. The free suture is threaded into the eye of a graft preparation needle and this needle is then used to pierce the braids of the long end of the threaded suture. The free suture is interwoven through the braids of the threaded suture. The short end of the threaded suture is then pulled while visualizing the anchor eyelet arthroscopically. The free suture passes through the eyelet as the intersection of the 2 woven sutures traverses the eyelet. During this process, 3 suture strands are traversing the eyelet. Finally, the intersecting suture limbs are pulled free from each other such that there are 2 separate suture strands that slide independently and pass through the anchor eyelet once again. This procedure has been successfully used in vivo without complications. It is important to note that this procedure will only work in an anchor eyelet that will allow for the passage of 3 suture strands.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.arthro.2005.12.043 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Double distal corporal anchoring stitch for lateral penile implant cylinder extrusion.
J Sex Med
September 2024
Men's Health Clinic, Perito Urology, Miami, FL 33146, United States.
Background: The ventral and distal aspects of the corpora cavernosa are the thinnest, increasing the likelihood of cylinder extrusion or crossover complications pertaining to inflatable penile prosthesis procedures. A double distal corporal anchoring double stitch can be used to robustly secure impending lateral extrusions and crossovers of implant cylinders. It is a novel, effective corrective measure for the uncommon complication of migrated cylinders in inflatable penile prosthesis placement.
View Article and Find Full Text PDF[Refixation of a posterior medial root lesion in combination with centralization by a meniscotibial suture].
Oper Orthop Traumatol
August 2024
Klinik für Orthopädie und Unfallchirurgie, Martin-Luther-Krankenhaus Berlin, Caspar Theyß-Str. 27-31, 14193, Berlin, Deutschland.
Objective: Refixation of a posterior root lesion of the medial meniscus via a tibial drill tunnel and prevention of extrusion using a meniscotibial suture (centralization).
Indications: Posterior root lesion of the medial meniscus.
Contraindications: Grade 4 cartilage damage in the corresponding compartment, uncorrected varus or valgus deformities, symptomatic instabilities, extensive degenerative tears apart from the root region.
Effect of cyclic loading on the ultimate tensile strength of small metallic suture anchors used for attaching artificial tendons in rabbits.
bioRxiv
June 2024
Department of Mechanical, Aerospace and Biomedical Engineering University of Tennessee, Knoxville, TN, USA.
Background –: Suture anchor failures can lead to revision surgeries which are costly and burdensome for patients. The durability of musculoskeletal reconstructions is therefore partly affected by the design of the suture anchors.
Purpose –: The purpose of the study was to quantify the strength of different suture anchors whose sizes are suitable for attaching artificial Achilles and tibialis cranialis tendons in a rabbit model, as well as determine the effect of cyclic loading on the anchoring strength.
Objective: The purpose of this study was to investigate the factors associated with outcomes of attaching artificial tendons to bone using suture anchors for replacement of biological tendons in rabbits.
Study Design: Metal suture anchors with braided composite sutures of varying sizes (USP #1, #2, or #5) were used to secure artificial tendons replacing both the Achilles and tibialis cranialis tendons in 12 New Zealand White rabbits. Artificial tendons were implanted either at the time of (immediate replacement, n=8), or four weeks after (delayed replacement, n=4) resection of the biological tendon.
Suture Contamination During Arthroscopic Rotator Cuff Repair Is Associated With Significantly Higher Retear Rates in Magnetic Resonance Imaging: A Matched-Pair Analysis.
Arthroscopy
September 2024
Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Musculoskeletal Research Center, Innovation Headquarter, National Cheng Kung University, Tainan, Taiwan. Electronic address:
Purpose: To evaluate the correlation between suture contamination and rotator cuff tendon retear after arthroscopic rotator cuff repair.
Methods: Patients undergoing primary arthroscopic rotator cuff repair from April 1, 2020, to September 30, 2022, were enrolled. Those younger than 18 years, with a history of shoulder surgeries or shoulder infection episodes, or who declined participation were excluded.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!