Skip to main content
SpringerLink
Log in

Cyclic loading comparison of Bio-SutureTak-#2 FiberWire and Bio Mini-Revo-#2 Hi-Fi suture anchor-sutures in cadaveric scapulae

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

This study compared tap-in Bio-SutureTak suture anchor-#2 FiberWire suture (Group 1) and screw-in Bio Mini-Revo suture anchor-#2 Hi-Fi suture (Group 2) fixation in the glenoid region of interest for Bankart repair, in addition to evaluation of isolated suture loop biomechanical properties under progressive incremental cyclic loads. With knowledge of glenoid apparent bone mineral density (BMD), implant preparation and fit characteristics, and following application of a light manual tensile load, the primary investigator scored each specimen for perceived within group biomechanical test performance using a 0–10 point modified visual analog scale. After scoring, 12 paired constructs were placed in a servo hydraulic device clamp, preloaded to 25 N, and cycled between 25 and 50 Hz with a 25 N load increase every 25 cycles. Group 2 withstood greater load (104.1 ± 56 vs. 70 ± 36.9 N, P = 0.04) and displaced more at failure (13 ± 4.5 vs. 8.6 ± 3.3 mm, P = 0.04). All Group 1 specimens failed prior to reaching 150 N, whereas 25% of Group 2 specimens (n = 3) failed at 200 N. All specimens failed by anchor pullout except for three Group 2 specimens that failed by eyelet breakage at 200 N. Isolated suture testing revealed that Group 1 sutures displaced less at each cyclic load (P = 0.028) and withstood greater failure loads (P = 0.028) than that of Group 2 sutures. Group 2 constructs displayed moderately strong relationships between perceived within group biomechanical test performance and ultimate load (r 2 = 0.55) and displacement at failure (r 2 = 0.67). Group 1 did not display significant relationships. Similar biomechanical performance between 50 and 125 N, greater load at failure, and superior biomechanical test prediction accuracy suggest that the screw-in type Bio Mini-Revo suture anchor-#2 Hi-Fi suture combination may be preferred for Bankart lesion repair in low apparent BMD glenoid processes. The #2 Hi-Fi suture, however, allowed significantly greater displacement than the #2 FiberWire suture at each progressive cyclic load interval.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Anderson SD (2006) Practical light embalming technique for use in the surgical fresh tissue dissection laboratory. Clin Anat 19:8–11

    Article  PubMed  Google Scholar 

  2. Bankart ASB (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br Med J 26:23–29

    Google Scholar 

  3. Barber FA, Coons DA, Ruiz-Suarez M (2007) Cyclic load testing of biodegradable suture anchors containing 2 high-strength sutures. Arthroscopy 23(4):355–360

    Article  PubMed  Google Scholar 

  4. Barber FA, Herbert MA Click JN (1997) Internal fixation strength of suture anchors—update 1997. Arthroscopy 13(3):355–362

    Article  PubMed  CAS  Google Scholar 

  5. Barber FA, Herbert MA, Coons DA, Boothby MH (2006) Sutures and suture anchors—update 2006. Arthroscopy 22(10):1063–1069

    Article  PubMed  Google Scholar 

  6. Barber FA, Snyder SJ, Abrams S, Fanelli JS, Savoie FH III (2003) Arthroscopic Bankart reconstruction with a bioabsorbable anchor. J Shoulder Elbow Surg 12(6):535–538

    Article  PubMed  Google Scholar 

  7. Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88(8):1755–1763

    Article  PubMed  Google Scholar 

  8. Burkhart SS, Diaz Pagan JL, Wirth MA, Athanasiou KA (1997) Cyclic loading of anchor-based rotator cuff repairs: confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy 13(6):720–724

    Article  PubMed  CAS  Google Scholar 

  9. Cole BJ, Romeo AA (2001) Arthroscopic shoulder stabilization with suture anchors: technique, technology, and pitfalls. Clin Orthop 390:17–30

    Article  PubMed  Google Scholar 

  10. Cole BJ, Warner JJ (2000) Arthroscopic versus open Bankart repair for traumatic anterior shoulder instability. Clin Sports Med 19:19–48

    Article  PubMed  CAS  Google Scholar 

  11. Detrisac DA, Johnson LL (1993) Arthroscopic shoulder capsulorrhaphy using metal staples. Orth Clin North Am 24:71–88

    CAS  Google Scholar 

  12. Ekelund A (1998) Cartilage injuries in the shoulder joint caused by migration of suture anchors or mini screw. J Shoulder Elbow Surg 7:537–539

    Article  PubMed  CAS  Google Scholar 

  13. Gill TJ, Micheli LJ, Gebhard F, Binder C (1997) Bankart repair for anterior instability of the shoulder. Long-term outcome. J Bone Joint Surg Am 79:850–857

    PubMed  CAS  Google Scholar 

  14. Green MR, Christensen KP (1993) Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications. Arthroscopy 9(4):371–374

    Article  PubMed  CAS  Google Scholar 

  15. Hayashida K, Yoneda M, Mizuno N, Fukushima S, Nakagawa S (2006) Arthroscopic Bankart repair with knotless suture anchor for traumatic anterior shoulder instability: results of short-term follow-up. Arthroscopy 22(6):620–626

    Article  PubMed  Google Scholar 

  16. Ilahi O, Al-Fahl T, Bahrani H, Luo Z (2004) Glenoid suture anchor fixation strength: effect of insertion angle. Arthroscopy 20(6):609–613

    Article  PubMed  Google Scholar 

  17. Kim SH, Ha KI, Jung MW, Lim MS, Kim YM, Park J-H (2003) Accelerated rehabilitation after arthroscopic Bankart repair for selected cases: a prospective randomized clinical study. Arthroscopy 19(7):722–731

    Article  PubMed  Google Scholar 

  18. Kim SH, Ha KI, Kim SH (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18:755–763

    Article  PubMed  Google Scholar 

  19. Klein AH, Harner CD, Fu FH (1995) The Bankart lesion of the shoulder: a biomechanical analysis following repair. Knee Surg Sports Traumatol Arthrosc 3(2):117–120

    Article  PubMed  CAS  Google Scholar 

  20. Lieurance RK, Pflaster DS, Abbott D, Nottage WM (2003) Failure characteristics of various arthroscopically tied knots. Clin Orthop 408:311–318

    Article  PubMed  Google Scholar 

  21. Lundeen GA, Knecht SL, Vajda EG, Bloebaum RD, Hofmann AA (2001) The contribution of cortical and cancellous bone to dual-energy X-ray absorptiometry measurements in the female proximal femur. Osteoporos Int 12(3):192–198

    Article  PubMed  CAS  Google Scholar 

  22. Magkos F, Kavouras SA, Yannakoulia M, Karipidou M, Sidossi S, Sidossis LS (2007) The bone response to non-weight-bearing exercise is sport-, site-, and sex-specific. Clin J Sports Med 17(2):123–128

    Article  Google Scholar 

  23. Meyer DC, Fucentese SF, Ruffieux K, Jacob HAC, Gerber C (2003) Mechanical testing of absorbable suture anchors. Arthroscopy 19(2):188–193

    Article  PubMed  Google Scholar 

  24. Meyer DC, Gerber C (2004) Failure of anterior shoulder instability repair cause by eyelet cutout of absorbable suture anchors. Arthroscopy 20(5):521–523

    Article  PubMed  Google Scholar 

  25. Mueller MB, Fredrich HH, Steinhauser E, Schreiber U, Arians A, Imhoff AB (2005) Biomechanical evaluation of different suture anchors for the stabilization of anterior labrum lesions. Arthroscopy 21(5):611–619

    Article  PubMed  Google Scholar 

  26. Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS (2007) Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg 16:419–424

    Article  PubMed  Google Scholar 

  27. Renno AC, Silveira Gomes AR, Mascimento RB, Salvini T, Parizoto N (2007) Effects of a progressive loading exercise program on the bone and skeletal muscle properties of female osteopenic rats. Exp Gerontol 42(6):517–522

    Article  PubMed  Google Scholar 

  28. Roth CA, Bartolozzi AR, Ciccotti MG, Wetzler MJ, Gillespie MJ, Snyder-Mackler L, Santare MH (1998) Failure properties of suture anchors in the glenoid and the effects of cortical thickness. Arthroscopy 14(2):186–191

    Article  PubMed  CAS  Google Scholar 

  29. Rowe C, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60:1–16

    PubMed  CAS  Google Scholar 

  30. Silver MD, Daigneault JP (2000) Symptomatic interarticular migration of glenoid suture anchors. Arthroscopy 16(1):102–105

    Article  PubMed  CAS  Google Scholar 

  31. Sisto DJ (2007) Revision of failed arthroscopic Bankart repairs. Am J Sports Med 35(4):537–541

    Article  PubMed  Google Scholar 

  32. Speer KP, Deng X, Borrero S, Torzilli PA, Altchek DA, Warren RF (1994) Biomechanical evaluation of a simulated Bankart lesion. J Bone Joint Surg Am 76:1819–1826

    PubMed  CAS  Google Scholar 

  33. Speer KP, Warren RF, Pagnani M, Warner JJ (1996) An arthroscopic technique for anterior stabilisation of the shoulder with a bioabsorbable tack. J Bone Joint Surg Am 78:1801–1807

    PubMed  CAS  Google Scholar 

  34. Tamai K, Higashi A, Tanabe T, Hamada J (1999) Recurrences after the open Bankart repair: a potential risk with use of suture anchors. J Shoulder Elbow Surg 8:37–41

    Article  PubMed  CAS  Google Scholar 

  35. Thal R, Nofziger M, Bridges M, Kim JJ (2007) Arthroscopic Bankart repair using knotless or Bioknotless suture anchors: 2- to 7-year results. Arthroscopy 23(4):367–375

    Article  PubMed  Google Scholar 

  36. Torchia ME, Caspari RB, Asselmeier MA, Beach WR, Gayari M (1997) Arthroscopic transglenoid multiple suture repair: 2 to 8 year results in 150 shoulders. Arthroscopy 13:609–619

    Article  PubMed  CAS  Google Scholar 

  37. Trenhaile SW, Savoie III FH (2002) New frontiers in arthroscopic treatment of glenohumeral instability. Arthroscopy 18(2):76–87

    Article  PubMed  Google Scholar 

  38. Walch G, Boileau P, Levigne C, Mandrino A, Neyret P, Donell S (1995) Arthroscopic stabilization for recurrent anterior shoulder dislocation: results of 59 cases. Arthroscopy 11:173–179

    PubMed  CAS  Google Scholar 

  39. Wust DM, Meyer DC, Favre P, Gerber C (2006) Mechanical and handling properties of braided polyblend polyethylene sutures in comparison to braided polyester and monofilament polydioxanone sutures. Arthroscopy 22(11):1146–1153

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Sports Medicine, University of Louisville, 210 East Gray St., Suite 1003, Louisville, KY, 40202, USA

    Brad S. Sparks, John Nyland, Akbar Nawab, Ethan Blackburn, Ryan Krupp & Robert Burden

Authors
  1. Brad S. Sparks
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John Nyland
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Akbar Nawab
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ethan Blackburn
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ryan Krupp
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Robert Burden
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to John Nyland.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sparks, B.S., Nyland, J., Nawab, A. et al. Cyclic loading comparison of Bio-SutureTak-#2 FiberWire and Bio Mini-Revo-#2 Hi-Fi suture anchor-sutures in cadaveric scapulae. Knee Surg Sports Traumatol Arthr 16, 317–325 (2008). https://doi.org/10.1007/s00167-007-0445-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-007-0445-2

Keywords

Search

Navigation