In vitro biomechanical comparison of polypropylene mesh, modified three-loop pulley suture pattern, and a combination for repair of distal canine achilles' tendon injuries.
OBJECTIVE
To compare mechanical stability between a novel polypropylene mesh repair (Mesh), a modified 3-loop pulley suture (Suture), and a combination of the techniques (Suture+Mesh) for the repair of distal canine Achilles' tendon ruptures.


METHODS
In vitro mechanical evaluation.


METHODS
Cadaveric canine Achilles' tendon/calcaneus units (n=34).


METHODS
Constructs were loaded under tension to failure in a materials testing machine with synchronized kinematic analysis. Ultimate load to failure, global construct stiffness, and force required to reach 1 and 3 mm gap formation was recorded.


RESULTS
Ultimate load to failure was greatest for the Suture+Mesh group and lowest for the Suture group. The Suture+Mesh technique afforded a significantly greater global stiffness than the Suture or Mesh treatments. Force to generate 1 and 3 mm gap formation was greatest with the Suture group.


CONCLUSIONS
The Suture+Mesh group had the highest ultimate load to failure and afforded the greatest global stiffness though it had no added benefit to resist local gap formation at the repair.


CONCLUSIONS
Achilles' ruptures repaired with suture can be augmented with mesh to increase the ultimate load to failure, but as currently tested, there was a decrease in resistance to gap formation At this time we cannot recommend Mesh or the Suture+Mesh techniques without further testing.
Gall
Trent T
TT
Department of Clinical Sciences and Mechanical Engineering, Veterinary Medical Center, Colorado State University, 300 W. Drake Road, Fort Collins, CO 80525, USA. trentg@colostate.edu
Santoni
Brandon G
BG
Egger
Erick L
EL
Puttlitz
Christian M
CM
Rooney
Matthew B
MB
D000125:Achilles Tendon / Q000601:surgery*; D000818:Animals; D001696:Biomechanical Phenomena; D002102:Cadaver; D004285:Dogs; D011126:Polypropylenes; D013526:Surgical Mesh / Q000662:veterinary*; D013536:Suture Techniques / Q000662:veterinary*; D013708:Tendon Injuries / Q000601:surgery / Q000662:veterinary*
D011126:Polypropylenes