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- W4281887931 abstract "Abstract OBJECTIVE To evaluate the effect of a double Krackow suture pattern (DK), with and without epitendinous suture augmentation (ES), in a canine gastrocnemius tendon (GT) model. SAMPLE Paired GTs from 12 adult dog cadavers and 4 control GT. PROCEDURES GTs were assigned to 2 groups (n = 12/group). Transverse tenotomy was performed and repaired with a DK or DK + ES. Yield, peak, and failure force, stiffness, occurrence of 1-and 3-mm gapping, and failure mode were examined. RESULTS Yield, peak, and failure loads were greater for DK + ES. Yield force was 48% greater for DK + ES (mean ± SD, 149.56 ± 53.26 N) versus DK (101.27 ± 37.17 N; P = 0.017). Peak force was 45% greater for DK + ES P < 0.001). Failure force was 47% greater for DK + ES (193.752 ± 31.43 N) versus DK (131.54 ± 22.28 N; P < 0.001). Construct stiffness was 36% greater for DK + ES ( P = 0.04). All 12 DK and 10 of 12 DK + ES repairs produced a 1-mm gap, with all DK and 4 DK + ES repairs producing a 3-mm gap ( P < 0.001). Loads required to create a 3-mm gap were significantly greater for DK + ES ( P < 0.013). Suture breakage occurred in all DK repairs, which differed from DK + ES, where suture breakage (7/12) and tissue failure (5/12; P = 0.037) predominated. CLINICAL RELEVANCE Augmentation of a primary DK repair with an ES significantly improved construct strength in canine GT constructs while increasing loads required to cause 1- and 3-mm gap formation, respectively. ES augmentation is a simple technique modification that can be used to significantly increase construct strength, compared with DK alone." @default.
- W4281887931 created "2022-06-13" @default.
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- W4281887931 date "2022-07-01" @default.
- W4281887931 modified "2023-10-16" @default.
- W4281887931 title "Effect of epitendinous suture augmentation to a double Krackow suture pattern for canine gastrocnemius tendon repair" @default.
- W4281887931 doi "https://doi.org/10.2460/ajvr.21.07.0100" @default.
- W4281887931 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35930778" @default.
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