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- W1970038468 abstract "Objective To compare two K rackow sutures with a three‐loop pulley suture for the reattachment of canine gastrocnemius tendons, using a tendon avulsion model. Study design In vitro biomechanical study. Methods Ten paired gastrocnemius tendons were severed at their insertions on the calcaneal tuberosity and repaired with either two modified K rackow sutures or a modified three‐loop pulley suture. Sutures were placed in the tendon ends and through diverging bone tunnels in the medial and lateral processes of the calcaneal tuberosity. Tensile loads required to (a) create a 3‐mm gap and (b) induce construct failure were measured. Results The mean load to achieve a 3‐mm gap was 77.22 ± 9.72 and 55.85 ± 9.91 N , and to result in construct failure was 106.88 ± 12.74 and 80.86 ± 12.23 N for the K rackow and three‐loop pulley suture patterns, respectively. These differences were statistically significant (P < 0.001 and P = 0.001, respectively). Conclusion and clinical relevance Two K rackow sutures were superior to the three‐loop pulley pattern in both resistance to 3‐mm gap formation and load to failure in a canine gastrocnemius avulsion model. The prevention of gap formation is critical for the success of tenorrhaphy. These results indicate that a suture pattern using two K rackow sutures may be clinically superior to the three‐loop pulley suture pattern in the repair of canine gastrocnemius avulsion. Further work is required to determine if this superiority is mirrored in the repair of other tendon avulsion or laceration scenarios." @default.
- W1970038468 created "2016-06-24" @default.
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- W1970038468 date "2014-10-07" @default.
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- W1970038468 title "Biomechanical evaluation of double Krackow sutures versus the three-loop pulley suture in a canine gastrocnemius tendon avulsion model" @default.
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- W1970038468 doi "https://doi.org/10.1111/avj.12255" @default.
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