전방십자인대 재건술 시 이식건의 봉합을 이용한 기둥 고정에서 적절한 요소: 봉합사 수, 매듭 수, 봉합 방법, 봉합 수 - 돼지 건을 이용한 실험적 연구 -Optimal Parameters for Sutures Tied to a Post during Anterior Cruciate Ligament Reconstruction: Thread Numbers, Knot Numbers, Suture Techniques and Stitch Numbers - An Experimental Laboratory Study Using Porcine Tendon -
- Other Titles
- Optimal Parameters for Sutures Tied to a Post during Anterior Cruciate Ligament Reconstruction: Thread Numbers, Knot Numbers, Suture Techniques and Stitch Numbers - An Experimental Laboratory Study Using Porcine Tendon -
- Authors
- 심재앙; 최석원; 전창수; 김원석; 이용석; 이범구
- Issue Date
- Jun-2014
- Publisher
- 대한스포츠의학회
- Keywords
- Knee; Anterior cruciate ligament reconstruction; Tibial fixation
- Citation
- 대한스포츠의학회지, v.32, no.1, pp.14 - 19
- Journal Title
- 대한스포츠의학회지
- Volume
- 32
- Number
- 1
- Start Page
- 14
- End Page
- 19
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/13607
- DOI
- 10.5763/kjsm.2014.32.1.14
- ISSN
- 1226-3729
- Abstract
- We evaluated the conditions required for sutures tied to a post for tibial fixation during anterior cruciate ligament(ACL) reconstruction. Harvested porcine tendon was used as a graft material and nonabsorbable suture was usedfor sutures. Samples were tested for ultimate tensile load and elongation according to thread numbers, knot numbers,suture techniques and stitch numbers. As thread numbers were increased, ultimate tensile load was increased andelongation was decreased. However, more than 4 strands of threads provided the sufficient ultimate tensile loadmore than 454 N of normal ACL for daily activities. As knot numbers were increased, ultimate tensile load wasincreased, but elongation was decreased. In terms of failure mode, unraveling occurred 100% in 3 and 4 knots,81.2% in 5 knots, 54.5% in 6 knots, and 0% in 7 knots. Suture techniques and stitch numbers didn’t significantlyaffect the ultimate tensile load and the elongation. For sutures tied to a post for tibial fixation in ACL reconstruction,more than 4 threads, more than 7 knots, and more than 4 stitches provide adequate ultimate tensile load andelongation.
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