40 research outputs found

    Tendon–bone contact pressure and biomechanical evaluation of a modified suture-bridge technique for rotator cuff repair

    Get PDF
    The aim of the study was to evaluate the time-zero mechanical and footprint properties of a suture-bridge technique for rotator cuff repair in an animal model. Thirty fresh-frozen sheep shoulders were randomly assigned among three investigation groups: (1) cyclic loading, (2) load-to-failure testing, and (3) tendon–bone interface contact pressure measurement. Shoulders were cyclically loaded from 10 to 180 N and displacement to gap formation of 5- and 10-mm at the repair site. Cycles to failure were determined. Additionally, the ultimate tensile strength and stiffness were verified along with the mode of failure. The average contact pressure and pressure pattern were investigated using a pressure-sensitive film system. All of the specimens resisted against 3,000 cycles and none of them reached a gap formation of 10 mm. The number of cycles to 5-mm gap formation was 2,884.5 ± 96.8 cycles. The ultimate tensile strength was 565.8 ± 17.8 N and stiffness was 173.7 ± 9.9 N/mm. The entire specimen presented a unique mode of failure as it is well known in using high strength sutures by pulling them through the tendon. We observed a mean contact pressure of 1.19 ± 0.03 MPa, applied on the footprint area. The fundamental results of our study support the use of a suture-bridge technique for optimising the conditions of the healing biology of a reconstructed rotator cuff tendon. Nevertheless, an individual estimation has to be done if using the suture-bridge technique clinically. Further investigation is necessary to evaluate the cell biological healing process in order to achieve further sufficient advancements in rotator cuff repair

    Fatigue and fracture analysis of a seven‐wire stainless steel strand under axial and bending loads

    No full text
    Fatigue failure of cables and strands is a common and complex problem. Failure is typically caused by different combinations of time‐variable bending and axial forces. In addition to these loads, contact stresses between wires may play an important role in the fatigue failure of cables. The present work aims to provide deep insight into the fatigue failure of a seven‐wire stainless steel strand subjected to a combination of variable axial and bending loads. To avoid side effects in the analysis, fatigue failure of the strand close to the clamps is prevented. Several tests were performed with a new device specifically designed to avoid failure near the clamps. Thus, failure is always produced at the middle length of the specimen. Test simulations were performed by employing the finite element method. The numerical results were validated via comparisons with experimental data. Finally, life prediction curves were obtained.The authors wish to express their gratitude to the Ministry of Economy and Competitiveness for funding the research of the DPI2014‐59160‐P project
    corecore