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Vergleich den Sehnen-Knochen-Kontaktes von single- und double-row Technik mit unterschiedlichen Nahttechniken

versus double-row suture anchor repair techniques

dc.contributor.advisorBaums, Mike Herbert PD Dr.
dc.contributor.authorFischer, Anna Kathrin
dc.date.accessioned2013-12-03T10:05:21Z
dc.date.available2013-12-10T23:50:05Z
dc.date.issued2013-12-03
dc.identifier.urihttp://hdl.handle.net/11858/00-1735-0000-0022-5D2C-8
dc.identifier.urihttp://dx.doi.org/10.53846/goediss-4160
dc.language.isodeude
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/
dc.subject.ddc610de
dc.titleVergleich den Sehnen-Knochen-Kontaktes von single- und double-row Technik mit unterschiedlichen Nahttechnikende
dc.title.alternativeversus double-row suture anchor repair techniquesde
dc.typedoctoralThesisde
dc.title.translatedComparative evaluation of tendon-bone interface contact pressure in different single-de
dc.contributor.refereeBaums, Mike Herbert PD Dr.
dc.date.examination2013-12-03
dc.description.abstractengThe aim of the study was to evaluate the time zero contact pressure over a defined rotator cuff footprint using different repair and stitch techniques in an established sheep model. Forty fresh-frozen sheep shoulders were randomly assigned to five repair groups: single-row repair using simple stitches (SRA-s), single-row repair using horizontal mattress stitches (SRA-m), and single-row repair using arthroscopic Mason-Allen stitches (SRA-ama). Double-row repair was either performed with a combination of simple and horizontal mattress stitches (DRA-sm) or with arthroscopic Mason-Allen/horizontal mattress stitches (DRA-amam). Investigations were performed using a pressure-sensitive film system. The average contact pressure and pressure pattern were measured for each group. Contact pressure was lowest in SRA-m followed by SRA-s. SRA-ama showed highest contact pressure of all single-row treatment groups (P < 0.05). DRA-amam presented the highest overall contact pressure (P < 0.05), whereas DRA-sm exerted contact pressure equal to that of SRA-ama. Both double-row techniques showed the most expanded pressure pattern. Average contact pressures for the more complex single- and double-row techniques utilizing arthroscopic Mason-Allen stitches were greater than were those of the repair techniques utilizing simple and horizontal mattress stitches. However, the contact pattern between the anchors could be increased by using the double-row technique, resulting in more footprint coverage compared to patterns utilizing the single-row techniques. These results support the use of the more complex arthroscopic Mason-Allen stitches and may improve the environment for healing of the repaired rotator cuff tendon.de
dc.contributor.coRefereeDumont, Clemens PD Dr.
dc.subject.gerdouble-rowde
dc.subject.engdouble-rowde
dc.identifier.urnurn:nbn:de:gbv:7-11858/00-1735-0000-0022-5D2C-8-0
dc.affiliation.instituteMedizinische Fakultätde
dc.subject.gokfullMedizin (PPN619874732)de
dc.subject.gokfullOrthopädie (PPN619876204)de
dc.description.embargoed2013-12-10
dc.identifier.ppn773355286


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