000			03544nam a22005057a 4500
008			170822s20172017 xxu||||| |||| 00| 0 eng d
022			_a1067-2516
040			_aOvid MEDLINE(R)
099			_a27989342
245			_aComparison of Suture-Based Anchors and Traditional Bioabsorbable Anchors in Foot and Ankle Surgery.
251			_aJournal of Foot & Ankle Surgery. 56(1):3-7, 2017 Jan - Feb
252			_aJ Foot Ankle Surg. 56(1):3-7, 2017 Jan - Feb
253			_aThe Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
260			_c2017
260			_fFY2017
266			_d2017-08-22
501			_aAvailable online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007
520			_aWe compared the pullout strength of a suture-based anchor versus a bioabsorbable anchor in the distal fibula and calcaneus and evaluated the relationship between bone mineral density and peak load to failure. Eight paired cadaveric specimens underwent a modified Brostrom procedure and Achilles tendon reattachment. The fibula and calcaneus in the paired specimens received either a suture-based anchor or a bioabsorbable suture anchor. The fibular and calcaneal specimens were loaded to failure, defined as a substantial decrease in the applied load or pullout from the bone. In the fibula, the peak load to failure was significantly greater with the suture-based versus the bioabsorbable anchors (133.3 +/- 41.8 N versus 76.8 +/- 35.3 N; p = .002). No significant difference in load with 5 mm of displacement was found between the 2 groups. In the calcaneus, no difference in the peak load to failure was found between the 2 groups, and the peak load to failure with 5 mm of displacement was significantly lower with the suture-based than with the bioabsorbable anchors (52.2 +/- 9.8 N versus 75.9 +/- 12.4 N; p = .003). Bone mineral density and peak load to failure were significantly correlated in the fibula with the suture-based anchor. An innovative suture-based anchor had a greater peak load to failure compared with a bioabsorbable anchor in the fibula. In the calcaneus, the load at 5 mm of displacement was significantly lower in the suture-based than in the bioabsorbable group. The correlation findings might indicate the need for a cortical bone shelf with the suture-based anchor. Suture-based anchors could be a viable alternative to bioabsorbable anchors for certain foot and ankle procedures. Copyright (c) 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
546			_aEnglish
650			_a*Absorbable Implants
650			_a*Achilles Tendon/su [Surgery]
650			_a*Calcaneus/su [Surgery]
650			_a*Suture Anchors
650			_a*Tensile Strength
650			_aAdult
650			_aAnkle Joint/su [Surgery]
650			_aBiomechanical Phenomena
650			_aCadaver
650			_aFemale
650			_aHumans
650			_aMale
650			_aMiddle Aged
650			_aSuture Techniques
651			_aMedStar Union Memorial Hospital
656			_aOrthopaedic Surgery
657			_aComparative Study
657			_aJournal Article
700			_aHembree, W Chad
700			_aMiller, Stuart D
700			_aParks, Brent G
700			_aTsai, Michael A
790			_aHembree WC, Miller SD, Parks BG, Tsai MA
856			_uhttps://dx.doi.org/10.1053/j.jfas.2016.10.011 _zhttps://dx.doi.org/10.1053/j.jfas.2016.10.011
942			_cART _dArticle
999			_c2557 _d2557