title: Pullout strength of suture anchors: effect of mechanical properties of trabecular bone.
abstract: This study investigated the relationships between trabecular microstructure and elastic modulus, compressive strength, and suture anchor pullout strength. Twelve fresh-frozen humeri underwent mechanical testing followed by micro-computed tomography (microCT). Either compression testing of cylindrical bone samples or pullout testing using an Arthrex 5mm Corkscrew was performed in synthetic sawbone or at specific locations in the humerus such as the greater tuberosity, lesser tuberosity, and humeral head. Synthetic sawbone underwent identical mechanical testing and microCT analysis. Bone volume fraction (BVF), structural model index (SMI), trabecular thickness (TbTh), trabecular spacing (TbSp), trabecular number (TbN), and connectivity density were compared against modulus, compressive strength, and pullout strength in both materials. In cadaveric bone, modulus showed correlations to all of the microstructural properties, while compressive and pullout strength were only correlated to BVF, SMI, and TbSp. The microstructure of synthetic bone differed from cadaveric bone as SMI and TbTh showed little variation across the densities tested. Therefore, SMI and TbTh were the only microstructural properties that did not show correlations to the mechanical properties tested in synthetic bone. This study helps identify key microstructure-property relationships in cadaveric and synthetic bone as well as illustrate the similarities and differences between cadaveric and synthetic bone as biomechanical test materials.
authors.affiliation: MedShape Solutions, Research and Development, Inc., 1575 Northside Drive, Suite 440, Atlanta, GA 30318, USA.
authors.forename: Mariya
authors.initials: M
authors.lastname: Poukalova
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Yakacki
authors.forename: Robert E
authors.initials: RE
authors.lastname: Guldberg
authors.forename: Angela
authors.initials: A
authors.lastname: Lin
authors.forename: Minn
authors.initials: M
authors.lastname: Saing
authors.forename: Scott D
authors.initials: SD
authors.lastname: Gillogly
authors.forename: Ken
authors.initials: K
authors.lastname: Gall
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D015519:Bone Density; D018786:Bone Substitutes; D002102:Cadaver; D019245:Compressive Strength; D004548:Elasticity; D005260:Female; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000502:physiology* / Q000601:surgery*; D066298:In Vitro Techniques; D008297:Male; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D013314:Stress, Mechanical; D053441:Suture Anchors; D055114:X-Ray Microtomography
chemical_list: D018786:Bone Substitutes