The effect of tubularization on the mechanical properties of patellar tendon grafts. 2000

D C Moore, and M J Belanger, and J J Crisco, and J A Abate, and M J Hulstyn, and P D Fadale
Department of Orthopedics, Brown University School of Medicine/Rhode Island Hospital, Providence, USA.

To determine the effect of tubularization on the prefailure mechanical properties of bone-patellar tendon-bone autografts used for anterior cruciate ligament repair, 10 bovine bone-patellar tendon-bone grafts were tested in tension before and after tubularization with running suture. The testing protocol involved a 5-N preload, 10 preconditioning cycles to 200 N, and a final test cycle to 950 N at 1000 N/sec. Five of the grafts were tested first as harvested (flat) and then again following tubularization. The remaining five grafts were tubularized prior to the initial testing, and final testing was done with the suture removed. Raw testing data were reduced to determine the amount of stretching associated with preconditioning, as well as laxity and stiffness of the preconditioned grafts. Tubularized grafts stretched significantly more than flat grafts during preconditioning: 3.5 times as much after the first preconditioning cycle (3.8+/-1.9 mm versus 1.1+/-0.78 mm) and 3.1 times as much after 10 cycles (5.0+/-2.1 mm versus 1.6+/-0.9 mm). There was no statistically significant difference in the stiffnesses of the tubularized and flat grafts, nor did tubularization have an effect on graft laxity. Interestingly, there was a slight increase in laxity the second time each graft was tested, regardless of whether the graft was flat or tubularized when it was first tested. These results highlight the importance of preconditioning patellar tendon grafts before fixation, especially those that have been tubularized.

UI MeSH Term Description Entries
D010329 Patella The flat, triangular bone situated at the anterior part of the KNEE. Knee Cap,Kneecap,Knee Caps,Kneecaps,Patellas
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D004548 Elasticity Resistance and recovery from distortion of shape.
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D013314 Stress, Mechanical A purely physical condition which exists within any material because of strain or deformation by external forces or by non-uniform thermal expansion; expressed quantitatively in units of force per unit area. Mechanical Stress,Mechanical Stresses,Stresses, Mechanical
D013710 Tendons Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures. Endotenon,Epotenon,Tendons, Para-Articular,Tendons, Paraarticular,Endotenons,Epotenons,Para-Articular Tendon,Para-Articular Tendons,Paraarticular Tendon,Paraarticular Tendons,Tendon,Tendon, Para-Articular,Tendon, Paraarticular,Tendons, Para Articular
D014182 Transplantation, Autologous Transplantation of an individual's own tissue from one site to another site. Autografting,Autologous Transplantation,Autotransplantation,Autograftings,Autologous Transplantations,Autotransplantations,Transplantations, Autologous
D016018 Least-Squares Analysis A principle of estimation in which the estimates of a set of parameters in a statistical model are those quantities minimizing the sum of squared differences between the observed values of a dependent variable and the values predicted by the model. Rietveld Refinement,Analysis, Least-Squares,Least Squares,Analyses, Least-Squares,Analysis, Least Squares,Least Squares Analysis,Least-Squares Analyses,Refinement, Rietveld
D016118 Anterior Cruciate Ligament A strong ligament of the knee that originates from the posteromedial portion of the lateral condyle of the femur, passes anteriorly and inferiorly between the condyles, and attaches to the depression in front of the intercondylar eminence of the tibia. Cruciate Ligament, Anterior,Anterior Cranial Cruciate Ligament,Cranial Cruciate Ligament,Anterior Cruciate Ligaments,Cranial Cruciate Ligaments,Cruciate Ligament, Cranial,Cruciate Ligaments, Anterior,Cruciate Ligaments, Cranial,Ligament, Anterior Cruciate,Ligament, Cranial Cruciate,Ligaments, Anterior Cruciate,Ligaments, Cranial Cruciate

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