The influence of tendon length and fit on the strength of a tendon-bone tunnel complex: a biomechanical and histologic study in the dog.

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Title: The influence of tendon length and fit on the strength of a tendon-bone tunnel complex: a biomechanical and histologic study in the dog.
Authors: Greis PE (AUTHOR), Burks RT (AUTHOR), Bachus K (AUTHOR), Luker MG (AUTHOR)
Source: American Journal of Sports Medicine. Jul/Aug2001, Vol. 29 Issue 4, p493-497. 5p.
Abstract: Using a dog model, we examined the influence of tendon length and fit within a bone tunnel on the pull-out strength of a tendon-bone tunnel complex at 6 weeks after fixation. Fourteen adult mongrel dogs (weight, 25 to 30 kg) underwent bilateral hindlimb surgery in which the extensor digitorum longus tendon was transplanted into an extraarticular metaphyseal bone tunnel. Our findings demonstrated that pull-out strength at 6 weeks was enhanced by increasing the length of tendon within the tunnel. The average load to failure with 1 cm of tendon within the tunnel was 153.7 +/- 78.6 N, compared with 265.5 +/- 93.3 N for the specimens with 2 cm of tendon in the tunnel. Tendon fit within the tunnel was also found to be important. The average load to failure when a tendon was placed in a 4.2-mm diameter tunnel was 301 +/- 61 N at 6 weeks. The average load to failure when the tendon was placed within a 6-mm diameter tunnel was 228 +/- 65 N. These differences were statistically different. Histologically, the interface between the tendon and bone appeared to be most mature when there was intimate bone-to-tendon contact. These data suggest that maximizing tendon length within a bone tunnel and minimizing tendon-tunnel diameter mismatch will maximize the strength of a tendon-bone tunnel complex at 6 weeks. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The influence of tendon length and fit on the strength of a tendon-bone tunnel complex: a biomechanical and histologic study in the dog.
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  Data: <searchLink fieldCode="AR" term="%22Greis+PE%22">Greis PE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burks+RT%22">Burks RT</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bachus+K%22">Bachus K</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Luker+MG%22">Luker MG</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Sports+Medicine%22">American Journal of Sports Medicine</searchLink>. Jul/Aug2001, Vol. 29 Issue 4, p493-497. 5p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Using a dog model, we examined the influence of tendon length and fit within a bone tunnel on the pull-out strength of a tendon-bone tunnel complex at 6 weeks after fixation. Fourteen adult mongrel dogs (weight, 25 to 30 kg) underwent bilateral hindlimb surgery in which the extensor digitorum longus tendon was transplanted into an extraarticular metaphyseal bone tunnel. Our findings demonstrated that pull-out strength at 6 weeks was enhanced by increasing the length of tendon within the tunnel. The average load to failure with 1 cm of tendon within the tunnel was 153.7 +/- 78.6 N, compared with 265.5 +/- 93.3 N for the specimens with 2 cm of tendon in the tunnel. Tendon fit within the tunnel was also found to be important. The average load to failure when a tendon was placed in a 4.2-mm diameter tunnel was 301 +/- 61 N at 6 weeks. The average load to failure when the tendon was placed within a 6-mm diameter tunnel was 228 +/- 65 N. These differences were statistically different. Histologically, the interface between the tendon and bone appeared to be most mature when there was intimate bone-to-tendon contact. These data suggest that maximizing tendon length within a bone tunnel and minimizing tendon-tunnel diameter mismatch will maximize the strength of a tendon-bone tunnel complex at 6 weeks. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Sports Medicine is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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