Biomechanical analysis of a double fixation method for tendon graft in porcine tibia - using an interference screw plus staple

采用干涉螺钉加钉固定法对猪胫骨肌腱移植进行双重固定的生物力学分析。

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Abstract

OBJECTIVE: The aim of the study was to compare the mechanical behavior of interference screw tibial fixation vs. screw-plus-staple tibial fixation in an animal model. METHODS: Thirty-six pieces of swine knee specimens were selected and divided into two groups: Group 1, tibial fixation with interference screw (n = 17), and Group 2, fixation with interference screw and staple (n = 19). The models were submitted to a single cycle of tension testing. The following variables were measured: graft cross-sectional area, failure point on 10 mm (F(10)), yield load (F(y)), and stiffness. RESULTS: The mean values of graft cross-sectional area, F(10), F(y), and stiffness did not present significant differences between the groups. CONCLUSION: The addition of a second staple-type ligament fixation device, complementing the interference screw, did not increase the mechanical safety of the system.

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