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( John Reza Matthews ),( Jiefei Wang ),( Jiwei Zhao ),( Melissa A. Kluczynski ),( Leslie J. Bisson ) 대한슬관절학회 2020 대한슬관절학회지 Vol.32 No.-
Background: Repair of a meniscal tear is indicated in certain conditions. Despite extensive research on the biomechanics of various repair methods, there has been minimal investigation of whether the suture material influences the meniscal-suture construct. The purpose of this study was to compare the biomechanical properties of nine different suture materials under cyclic and load-to-failure conditions. Methods: Ninety porcine menisci were randomly allocated to simple suture placement using either Ultrabraid<sup>®</sup>, Ultratape<sup><sup>®</sup> </sup>, Magnum Wire<sup>®</sup>, TigerWire<sup>®</sup>, TigerTape<sup>®</sup>, LabralTape<sup>®</sup>, Orthocord<sup>®</sup>, 0 FiberWire<sup>®</sup>, or 2-0 FiberWire<sup>®</sup>. Each suture-meniscus specimen underwent cyclic loading followed by load-to-failure testing. Elongation, maximum load to failure, stiffness, and mode of failure were recorded and compared between each suture type using nonparametric testing. Mean ± standard deviation was reported and the statistical significance was p < 0.05. Results: Elongation during cyclic loading was lowest with 2-0 FiberWire (0.95 ± 0.17 mm); this value was statistically significantly different than the results for all other sutures except 0 FiberWire<sup>®</sup> (1.09 ± 0.17 mm, p = 0.79), TigerWire<sup>®</sup> (1.09 ± 0.29 mm, p = 0.85), TigerTape<sup>®</sup> (1.39 ± 0.29 mm, p = 0.08), and LabralTape<sup>®</sup> (1.20 ± 0.33 mm, p = 0.41). The highest elongation was seen with Ultrabraid<sup>®</sup> (1.91 ± 0.34 mm); this value was statistically significantly greater than the results for all other suture materials except Orthocord<sup>®</sup> (1.59mm± 0.31 mm, p = 0.46) and Magnum Wire<sup>®</sup> (1.43 ± 0.25 mm, p = 0.14). Load to failure was highest for TigerTape<sup>®</sup> (287.43 ± 41.15 N), and this result was statistically significantly different than the results for all other sutures except LabralTape<sup>®</sup> (271.34 ± 48.48 N, p = 0.99) and TigerWire<sup>®</sup> (251.03 ± 25.8 N, p = 0.51). Stiffness was highest for LabralTape<sup>®</sup> (195.77 ± 49.06 N/mm), and this result was statistically significantly different than the results for all other sutures except TigerWire<sup>®</sup> (186.49 ± 19.83 N/ mm, p = 0.45) and TigerTape<sup>®</sup> (173.35 ± 15.60 N/mm, p = 0.19). The majority of sutures failed by pullout (n = 46, 51%) or tearing (n = 40, 45%). Conclusion: Suture design and material affect the biomechanical behavior of porcine meniscal-suture specimens. LabralTape<sup>®</sup>, TigerWire<sup>®</sup>, and TigerTape<sup>®</sup> demonstrated better overall combinations of low elongation, high maximum load to failure, and high stiffness.