Skip to main content

Advertisement

Log in

Biomechanical comparison of human bone-patellar tendon-bone grafts after sterilization with peracetic acid ethanol

  • Published:
Cell and Tissue Banking Aims and scope Submit manuscript

Abstract

Recent reports of disease transmission following ACL reconstruction with fresh-frozen non-sterilized allografts have highlighted the need for new sterilization techniques that do not impair the mechanical properties as it was shown for most of the current sterilization techniques. In this in-vitro biomechanical study, it was investigated if peracetic acid ethanol sterilization (PES) has any adverse effects on the mechanical properties of human bone-patellar tendon-bone grafts (BPTB). Paired human BPTB grafts either underwent PES or were used as fresh-frozen non-sterilized grafts. Viscoelastic properties (strain, creep) were analyzed during cyclic submaximal loading and mechanical properties were investigated during load-to-failure (LTF) testing. It was found that there were no differences in viscoelastic and mechanical properties between both groups. The findings of this study provide baseline data for future in vitro and in vivo analyses of this promising new sterilization technique for soft-tissue allografts.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  • F.T. Blevins A.T. Hecker et al. (1994) ArticleTitleThe effects of donor age and strain rate on the biomechanical properties of bone-patellar tendon-bone allografts Am. J. Sports Med. 22 IssueID3 328–333 Occurrence Handle1:STN:280:ByuA3M7jvVI%3D Occurrence Handle8037272

    CAS  PubMed  Google Scholar 

  • M.P. Busch S.H. Kleinman et al. (2000) ArticleTitleCommittee report. Nucleic acid amplification testing of blood donors for transfusion-transmitted infectious diseases: Report of the Interorganizational Task Force on Nucleic Acid Amplification Testing of Blood Donors Transfusion 40 IssueID2 143–159 Occurrence Handle10.1046/j.1537-2995.2000.40020143.x Occurrence Handle1:STN:280:DC%2BD3c7ltVeitg%3D%3D Occurrence Handle10685998

    Article  CAS  PubMed  Google Scholar 

  • U. CDC (2001) ArticleTitleUnexplained deaths following knee surgery-Minnesota- MMRW 50 1080

    Google Scholar 

  • D.E. Cooper X.H. Deng et al. (1993) ArticleTitleThe strength of the central third patellar tendon graft. A biomechanical study Am. J. Sports Med. 21 IssueID6 818–823 Occurrence Handle1:STN:280:ByuC387hvVA%3D Occurrence Handle8291632

    CAS  PubMed  Google Scholar 

  • M. Farrington T. Wreghitt et al. (2002) ArticleTitleProcessing of cardiac valve allografts: 2. Effects of antimicrobial treatment on sterility, structure and mechanical properties Cell Tissue Banking Int. 3 91–103 Occurrence Handle10.1023/A:1022815013948 Occurrence Handle1:CAS:528:DC%2BD3sXit1Kisrg%3D

    Article  CAS  Google Scholar 

  • B.M. Fideler C.T. Vangsness SuffixJr. et al. (1995) ArticleTitleGamma irradiation: effects on biomechanical properties of human bone-patellar tendon-bone allografts Am. J. Sports Med. 23 IssueID5 643–646 Occurrence Handle1:STN:280:BymD1cbislw%3D Occurrence Handle8526284

    CAS  PubMed  Google Scholar 

  • B.M. Fideler C.T. Vangsness SuffixJr. et al. (1994) ArticleTitleEffects of gamma irradiation on the human immunodeficiency virus. A study in frozen human bone-patellar ligament-bone grafts obtained from infected cadavera J. Bone Joint Surg. Am. 76 IssueID7 1032–1035 Occurrence Handle1:STN:280:ByuB1MblslU%3D Occurrence Handle8027110

    CAS  PubMed  Google Scholar 

  • D.W. Jackson G.E. Windler et al. (1990) ArticleTitleIntraarticular reaction associated with the use of freeze-driedethylene oxide-sterilized bone-patella tendon-bone allografts in the reconstruction of the anterior cruciate ligament Am. J. Sports Med. 18 IssueID1 1–10 Occurrence Handle1:STN:280:By%2BC2crivVc%3D

    CAS  Google Scholar 

  • M.A. Kainer J.V. Linden et al. (2004) ArticleTitleClostridium infections associated with musculoskeletal-tissue allografts N. Engl. J. Med. 350 IssueID25 2564–2571 Occurrence Handle10.1056/NEJMoa023222 Occurrence Handle1:CAS:528:DC%2BD2cXkvFKntrg%3D Occurrence Handle15201413

    Article  CAS  PubMed  Google Scholar 

  • A. Kramer S. Koch et al. (1990) ArticleTitleTeratogene Potenz von Wofasteril bei der ICR-Maus Hyg. Med. 15 371–372

    Google Scholar 

  • A. Kramer I. Rozsahegyi et al. (1985) Toxische und allergische Nebenwirkungen von Antiseptika FischerKramerA., BerencsiG., Weuffen, W. StuttgartNew York 211–278

    Google Scholar 

  • R.J. Lomas L.M. Jennings et al. (2004) ArticleTitleEffects of a peracetic acid disinfection protocol on the biocompatibility and biomechanical properties of human patellar tendon allografts Cell Tissue Bank. 5 IssueID1 23–26 Occurrence Handle10.1023/B:CATB.0000022236.14311.b9 Occurrence Handle1:CAS:528:DC%2BD2cXis1Gmurg%3D Occurrence Handle15256837

    Article  CAS  PubMed  Google Scholar 

  • K.L. Markolf D.M. Burchfield et al. (1996) ArticleTitleBiomechanical consequences of replacement of the anterior cruciate ligament with a patellar ligament allograft. Part II: forces in the graft compared with forces in the intact ligament J. Bone Joint Surg. Am. 78 IssueID11 1728–1734 Occurrence Handle1:STN:280:ByiD1cflvVU%3D Occurrence Handle8934489

    CAS  PubMed  Google Scholar 

  • J.B. Morrison (1970) ArticleTitleThe mechanics of the knee joint in relation to normal walking J. Biomech. 3 IssueID1 51–61 Occurrence Handle10.1016/0021-9290(70)90050-3 Occurrence Handle1:STN:280:CS2D38fntl0%3D Occurrence Handle5521530

    Article  CAS  PubMed  Google Scholar 

  • H. Mücke (1973) ArticleTitleZur Bestimmung und zum Spurennachweis von Peressigsäure in Gegenwart von Waserstoffperoxid für die Praxis der Kaltsterilisation und Desinfektion Z. med. Labortechnik 14 319–323

    Google Scholar 

  • F.R. Noyes D.L. Butler et al. (1984) ArticleTitleBiomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions J. Bone Joint Surg. Am. 66 IssueID3 344–352 Occurrence Handle1:STN:280:BiuC3srovFw%3D Occurrence Handle6699049

    CAS  PubMed  Google Scholar 

  • A. Pruss B. Baumann et al. (2001) ArticleTitleValidation of the sterilization procedure of allogeneic avital bone transplants using peracetic acid ethanol Biologicals 29 IssueID2 59–66 Occurrence Handle10.1006/biol.2001.0286 Occurrence Handle1:CAS:528:DC%2BD3MXntFKqs70%3D Occurrence Handle11580210

    Article  CAS  PubMed  Google Scholar 

  • A. Pruss U.B. Gobel et al. (2003) ArticleTitlePeracetic acid ethanol treatment of allogeneic avital bone tissue transplants a reliable sterilization method Ann. Transplant 8 IssueID2 34–42 Occurrence Handle14626574

    PubMed  Google Scholar 

  • A. Pruss M. Kao et al. (2002) ArticleTitleEffect of gamma irradiation on human cortical bone transplants contaminated with enveloped and non-enveloped viruses Biologicals 30 IssueID2 125–133 Occurrence Handle10.1006/biol.2002.0326 Occurrence Handle12127314

    Article  PubMed  Google Scholar 

  • A. Pruss M. Kao et al. (1999) ArticleTitleVirus safety of avital bone tissue transplants: evaluation of sterilization steps of spongiosa cuboids using a peracetic acid methanol mixture Biologicals 27 IssueID3 195–201 Occurrence Handle10.1006/biol.1999.0177 Occurrence Handle1:STN:280:DC%2BD3c7hvFWlsQ%3D%3D Occurrence Handle10652175

    Article  CAS  PubMed  Google Scholar 

  • J.A. Rihn C.D. Harner (2003) ArticleTitleThe use of musculoskeletal allograft tissue in knee surgery Arthroscopy 19 IssueIDSuppl 1 51–66 Occurrence Handle14673420

    PubMed  Google Scholar 

  • T.S. Roberts D. Drez SuffixJr. et al. (1991) ArticleTitleAnterior cruciate ligament reconstruction using freeze-driedethylene oxide-sterilizedbone-patellar tendon-bone allografts. Two year results in thirty-six patients Am. J. Sports Med. 19 IssueID1 35–41 Occurrence Handle1:STN:280:By6C1c7mslc%3D Occurrence Handle2008928

    CAS  PubMed  Google Scholar 

  • S. Rupp T. Hopf et al. (1999) ArticleTitleResulting tensile forces in the human bone-patellar tendon-bone graft: direct force measurement in vitro Arthroscopy 15 IssueID2 179–184 Occurrence Handle1:STN:280:DyaK1M3isVOrsA%3D%3D Occurrence Handle10210076

    CAS  PubMed  Google Scholar 

  • S. Rupp R. Seil et al. (2000) ArticleTitleThe influence of avascularity on the mechanical properties of human bone-patellar-tendon-bone grafts J. Bone Joint Surg. Br. 82 IssueID7 1059–1064 Occurrence Handle10.1302/0301-620X.82B7.10222 Occurrence Handle1:STN:280:DC%2BD3cvptVegtA%3D%3D Occurrence Handle11041602

    Article  CAS  PubMed  Google Scholar 

  • M. Sprössig H. Mücke (1969) ArticleTitleDie Virusdesinfektion durch Peressigsäure in Gegenwart von Alkoholen [Virus disinfection with peracetic acid presence of alcohol] Wiss. Z. Humboldt-Univ., Math.-Nat. R 18 1171–1173

    Google Scholar 

  • R. Starke H.A. Hackensellner et al. (1984) ArticleTitleExperimental studies of the sterilization of transplantation material with peracetic acid Z. Exp. Chir. Transplant Kunstliche Organe 17 IssueID5 254–258 Occurrence Handle1:STN:280:BiqD28jpslM%3D Occurrence Handle6438934

    CAS  PubMed  Google Scholar 

  • K. Thoren P. Aspenberg (1995) ArticleTitleEthylene oxide sterilization impairs allograft incorporation in a conduction chamber Clin. Orthop. 318 259–264 Occurrence Handle7671526

    PubMed  Google Scholar 

  • Woo S.L. and Maynard J. 1988. Ligamenttendon, and joint capsule insertion to bone. In: Woo S.L. and Buckwalter J.A. (eds), Injury and Repair of the Musculoskeletal Soft Tissues. American Acadamy of Orthopaedic Surgeons. pp. 131 166

  • P. Wutzler A. Suerbrei (2001) Peressigsäure-Ethanol Ein potentielles viruzides Händedesinfektionsmittel [Peracetic acid ethanol a potential virucidal disinfectant for hand disinfection] HF Rabenau HW Doerr (Eds) Nosokomiale Virusinfektionen Erkennung und Bekämpfung Pabst Science Publishers Lengerich 92–100

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S.U. Scheffler.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scheffler, S., Scherler, J., Pruss, A. et al. Biomechanical comparison of human bone-patellar tendon-bone grafts after sterilization with peracetic acid ethanol. Cell Tissue Banking 6, 109–115 (2005). https://doi.org/10.1007/s10561-004-6403-z

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10561-004-6403-z

Keywords

Navigation