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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2021; 62(01): 019-026
DOI: 10.1055/s-0041-1728736
Original Article | Artículo Original

Pressure on the Rotator Cuff Repair with Transosseous and Modified Mason-Allen Sutures

Article in several languages: español | English
Julio José Contreras Fernández
1   Instituto Traumatológico, Santiago, Región Metropolitana, Chile
,
Oscar Sepúlveda Osses
2   Hospital del Trabajador, Santiago, Región Metropolitana, Chile
,
Nicolás Prado Esper
2   Hospital del Trabajador, Santiago, Región Metropolitana, Chile
,
Ricardo Guzmán Silva
1   Instituto Traumatológico, Santiago, Región Metropolitana, Chile
,
Rodrigo Liendo Verdugo
3   Pontificia Universidad Católica de Chile, Santiago, Región Metropolitana, Chile
,
Francisco Soza Rex
3   Pontificia Universidad Católica de Chile, Santiago, Región Metropolitana, Chile
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Abstract

Objective To compare the average contact pressure curve and the percentage of final residual contact pressure at the tendon-footprint interphase of a transosseous (TO) repair performed with crossover suture or a modified Mason-Allen (MMA) configuration.

Methods Eight lamb shoulders were used to simulate a rotator cuff tear. The pressure was measured with a digital sensor. The baseline pressure was recorded during the application of the cyclic load and at the end of the intervention. Two repairs were compared: 2 crossover TO sutures (CTOs) (n = 4) and 2 MMA sutures MMA (n = 4), using MaxBraid #2 (Zimmer Biomet, Warsaw, IN, US) sutures. A thousand cycles were performed, with a frequency of 2 Hz and a 30-N load. The Student t-test was used, and significance was set at p < 0.05.

Results The average contact pressure curve was of 86.01 ±  8.43% for parts repaired with CTO sutures, and of 73.28 ±  12.01% for those repaired with MMA sutures (p < 0.0004). The mean residual percentage at the end of cycling was of 71.57% for CTO sutures, and of 51.19% for MMA sutures (p < 0.05).

Conclusion The CTO repair shows a higher average contact pressure curve and a higher percentage of final residual contact pressure at the tendon-footprint interphase than the MMA suture repair after standardized cyclic loading, potentially resulting in improved tendon healing.

Level of Evidence Basic Science Study.

Keywords

rotator cuff - pressure - suture - suture techniques - tendon injuries - tendons


Publication History

Received: 28 June 2020

Accepted: 21 January 2021

Article published online:
02 June 2021

© 2021. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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