Biomechanics of Subscapularis V-shaped Tenotomy compared to Standard Tenotomy. (Record no. 13620)

MARC details
000 -LEADER
fixed length control field 04223nam a22005057a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 231220s20232023 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1058-2746
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jse.2023.08.027 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S1058-2746(23)00706-1 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 37777043
245 ## - TITLE STATEMENT
Title Biomechanics of Subscapularis V-shaped Tenotomy compared to Standard Tenotomy.
251 ## - Source
Source Journal of Shoulder & Elbow Surgery. 2023 Sep 28
252 ## - Abbreviated Source
Abbreviated source J Shoulder Elbow Surg. 2023 Sep 28
253 ## - Journal Name
Journal name Journal of shoulder and elbow surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 Sep 28
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
266 ## - Date added to catalog
Date added to catalog 2023-12-20
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: This study showed that VT and ST demonstrated equivalent stiffness, displacement, and load to failure. VT had the benefit of less creep throughout the first three cycles, although there was no difference from cycle 4 to 3,000. The VT had equivalent biomechanical properties to the ST at time zero, an important first step in our understanding of the technique. The VT technique warrants further clinical study to determine if the technique has clinical benefits over ST following aTSA. Copyright © 2023. Published by Elsevier Inc.
520 ## - SUMMARY, ETC.
Abstract INTRODUCTION: Subscapularis function is critical after anatomic total shoulder arthroplasty (aTSA). Recently, however, a technique has been described that features a chevron or V-shaped subscapularis tendon cut (VT). This biomechanical study compared repair of the standard tenotomy (ST), made perpendicular to the subscapularis fibers, to repair of the novel VT using cyclic displacement, creep, construct stiffness, and load to failure.
520 ## - SUMMARY, ETC.
Abstract METHODS: This biomechanical study used six pairs of fresh frozen paired cadaveric shoulder specimens. One specimen per each pair underwent VT, the other ST. Subscapularis tenotomy was performed 1 cm from the insertion onto the lesser tuberosity. For VT the apex of the V was 3cm from the lesser tuberosity. After tenotomy, each humerus underwent humeral head arthroplasty. Eight figure-of-eight sutures were used to repair the tenotomy (Ethibond Excel; Ethicon, US LLC, Somerville, NJ, USA). Specimens were cyclically loaded from 2N to 100N at 45 degrees abduction at a rate of 1 Hz for 3000 cycles. Cyclic displacement, creep, and stiffness, and load to failure were measured.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Cyclic displacement did not differ significantly between the ST and VT from 1 to 3,000 cycles. The difference in displacement between the V-shaped and standard tenotomy at 3,000 cycles was 1.57mm (3.66 +/- 1.55 mm vs. 5.1 +/- 2.8 mm p= .31, respectively). At no point was the V-shape tenotomy (VT) above 3mm of average displacement, whereas the standard tenotomy (ST) averaged 3mm of displacement after 3 cycles. Creep was significantly lower for VT in cycles 1 through 3 . For all cycles stiffness was not significantly different in the VT group compared to the ST group. Load to failure was not statistically significant in the VT compared to the standard tenotomy throughout all cycles (253.2 +/- 27.7 N vs. 213.3 +/- 76.04 N; p= .25, respectively). The range of load to failure varied from 100-301 N for standard tenotomy compared to 216-308 N for VT.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
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Department Orthopaedic Surgery
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Department Orthopaedic Surgery Residency
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Department Orthopaedic Surgery Residency D
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Department Orthopedics
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Medline publication type Journal Article
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Local Authors Haislup, Brett
Institution Code MUMH
Program Orthopaedic Surgery Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Lindsey, Sierra
Institution Code MUMH
Program Orthopaedic Surgery Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Tarapore, Rae
Institution Code MUMH
Program Orthopaedic Surgery Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Abbasi, Pooyan
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Murthi, Anand M
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Wright, Melissa A
Institution Code MUMH
790 ## - Authors
All authors Haislup BD, Lindsey S, Tarapore R, Abbasi P, Wright MA, Murthi AM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.jse.2023.08.027">https://dx.doi.org/10.1016/j.jse.2023.08.027</a>
Public note https://dx.doi.org/10.1016/j.jse.2023.08.027
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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              12/20/2023   37777043 37777043 12/20/2023 12/20/2023 Journal Article

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