Pull - out Strength of Different Multiple Suturing Method of the Cruciate Ligament.
- Author:
Byung Il LEE
;
Jae Eung YOO
;
Kyung Dae MIN
;
Sung Ho LEE
;
In Sup KIM
;
Byung Joon SHIN
;
Soo Kyoon RAH
;
Chang Uk CHOI
- Publication Type:Original Article
- Keywords:
Cruciate ligament;
Multiple suture method;
Pull-out strength
- MeSH:
Ligaments*;
Suture Techniques;
Sutures
- From:The Journal of the Korean Orthopaedic Association
1997;32(4):1033-1038
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The aim of this study was to measure the immediate pull-out strengths by increasing the number of suture loops and to compare the immediate pull-out strengths of three different suturing techniques. In one group, the number of suture loops increased from 2 to 9 and the suturing technique of multiple loops through the proximal ligament stumps was used. The other group, the three different techniques were transverse, vertical, and criss-cross suture. The ultimate strength for the 2 loops was 16.62 (+/-6.7)N, for the 3 loops was 34.45 (+/-12.5)N, for the 4 loops was 54.80 (+/-17.7)N, for the 5 loops was 74.30 (+/-21.4)N, for the 6 loops was 102.49 (+/-13.5)N, for the 7 loops was 105.05 (+/-24.8)N, for the 8 loops was 129.50 (+/-76.1)N, for the 9 loops was 229.50 (+/-48.7)N. The transverse suture had a mean ultimate strength of 47.38 (+/-14.8)N, where-as the vertical suture failed at 76.94 (+/-26.4)N and the criss-cross suture at 101.82 (+/-25.7)N. Consequently, their strength can be improved by increasing the number of loops and we suggest that the criss-cross suture technique is reliable method for clinical use, because of high failure strength and wider apposition area of bone to ligament.
