{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:50:16Z","timestamp":1740167416983,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Graft preparation techniques for the Adams\u2013Berger distal radioulnar joint (DRUJ) reconstruction vary among surgeons with insufficient evidence to support any specific technique.<\/jats:p><jats:p>\n          Questions\/Purposes\u2003We compared survival with cyclic loading, absolute elongation, elongation rate, and modes of failure of four graft preparation techniques.<\/jats:p><jats:p>\n          Methods\u2003Fifteen porcine extensor tendons were divided into three equal groups: tendon only; tendon augmented along its full length with nonlocking 2\u20130 FiberLoop suture spaced at 6\u2009mm intervals; and tendon with suture at 12\u2009mm intervals. Suture only was also tested. Samples were woven through custom radius- and ulna-simulating jigs mounted on a mechanical testing machine. Samples underwent a staircase cyclic loading protocol and were then inspected visually for the mode of failure. Survival with cyclic loading, absolute elongation, and elongation rate was compared.<\/jats:p><jats:p>\n          Results\u2003Average survival with cyclic loading of suture-augmented tendon was significantly higher than tendon only. All tendon groups had significantly higher survival compared with suture only. Absolute elongation was subject to variability due to initial nonlinear elongation behavior of samples. The elongation rate was significantly lower with suture compared with all tendon groups. Modes of failure included rupture of the tendon and\/or suture at the simulated graft\u2013bone interface and elongation of the entire construct without rupture.<\/jats:p><jats:p>\n          Conclusions\u2003In this biomechanical study, augmentation of porcine tendons with suture spaced at either 6 or 12\u2009mm for DRUJ reconstruction significantly increased survival to a staircase cyclic loading protocol<\/jats:p><jats:p>\n          Clinical Relevance\u2003For the Adams\u2013Berger reconstruction, tendon grafts augmented along their entire length by nonabsorbable braided suture are biomechanically superior to tendon alone.<\/jats:p>","DOI":"10.1055\/s-0043-1769909","type":"journal-article","created":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T23:19:25Z","timestamp":1686611965000},"page":"038-043","source":"Crossref","is-referenced-by-count":0,"title":["Biomechanical Comparison of Distal Radioulnar Joint Reconstruction Graft Preparation Techniques"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5429-7741","authenticated-orcid":false,"given":"Yibo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Beaudry","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Faculty of Engineering, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nader","family":"Besada","sequence":"additional","affiliation":[{"name":"Department of Civil and Environmental Engineering, Faculty of Engineering, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsey","family":"Westover","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Faculty of Engineering, University of Alberta, Edmonton, Alberta, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,6,12]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/j.jhsa.2016.01.005","article-title":"The \u201cfour-leaf clover\u201d treatment algorithm: a practical approach to manage disorders of the distal radioulnar joint","volume":"41","author":"S Kakar","year":"2016","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1053\/jhsu.2002.31731","article-title":"An anatomic reconstruction of the distal radioulnar ligaments for posttraumatic distal radioulnar joint instability","volume":"27","author":"B D Adams","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1016\/j.arthro.2018.10.140","article-title":"A biomechanical comparison of six suture configurations for soft tissue-based graft traction and fixation","volume":"35","author":"F A Barber","year":"2019","journal-title":"Arthroscopy"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.jor.2018.01.054","article-title":"A novel method for reducing gap formation in tendon repair","volume":"15","author":"R Dean","year":"2018","journal-title":"J Orthop"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"764","DOI":"10.2106\/00004623-198668050-00020","article-title":"A new stitch for ligament-tendon fixation. Brief note","volume":"68","author":"K A Krackow","year":"1986","journal-title":"J Bone Joint Surg Am"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.1177\/0363546512450406","article-title":"Biomechanical properties of porcine flexor tendon fixation with varying throws and stitch methods","volume":"40","author":"K Sakaguchi","year":"2012","journal-title":"Am J Sports Med"},{"key":"ref7","first-page":"5","article-title":"Evaluating different closed loop graft preparation technique for tibial suspensory fixation in ACL reconstruction using TightRope\u2122","volume":"12","author":"T Sasho","year":"2018","journal-title":"Asia Pac J Sports Med Arthrosc Rehabil Technol"},{"issue":"12","key":"ref8","doi-asserted-by":"crossref","first-page":"3003","DOI":"10.1177\/0363546514550989","article-title":"Biomechanical comparison of Krackow locking stitch versus nonlocking loop stitch with varying number of throws","volume":"42","author":"J M Hahn","year":"2014","journal-title":"Am J Sports Med"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.arthro.2007.11.020","article-title":"Krackow locking stitch versus nonlocking premanufactured loop stitch for soft-tissue fixation: a biomechanical study","volume":"24","author":"D M Deramo","year":"2008","journal-title":"Arthroscopy"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1177\/03635465010290061101","article-title":"Biomechanical analysis of the effect of varying suture pitch in tendon graft fixation","volume":"29","author":"M Jassem","year":"2001","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"2309499018799514","DOI":"10.1177\/2309499018799514","article-title":"Longer stitch interval in the Krackow stitch for tendon graft fixation leads to poorer biomechanical property","volume":"26","author":"C-K Hong","year":"2018","journal-title":"J Orthop Surg (Hong Kong)"},{"issue":"10","key":"ref12","doi-asserted-by":"crossref","first-page":"2027","DOI":"10.1016\/j.jhsa.2014.07.020","article-title":"Selection of tendon grafts for distal radioulnar ligament reconstruction and report of a modified technique","volume":"39","author":"E Jang","year":"2014","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1053\/jhsu.2001.26026","article-title":"Length and width of the tendinous portion of the palmaris longus: a cadaver study of adult Japanese","volume":"26","author":"M M Ito","year":"2001","journal-title":"J Hand Surg Am"},{"issue":"09","key":"ref14","doi-asserted-by":"crossref","first-page":"948","DOI":"10.1177\/1753193418778990","article-title":"Ultrasound determination of presence, length and diameter of the palmaris longus tendon","volume":"43","author":"C C Johnson","year":"2018","journal-title":"J Hand Surg Eur Vol"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1177\/0363546509359061","article-title":"A comparison of structural and mechanical properties of tubularized and native semitendinosus graft","volume":"38","author":"R Y Wang","year":"2010","journal-title":"Am J Sports Med"},{"issue":"06","key":"ref16","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/S0363-5023(97)80039-1","article-title":"Cyclic testing of flexor tendon repairs: an in vitro biomechanical study","volume":"22","author":"D W Sanders","year":"1997","journal-title":"J Hand Surg Am"},{"issue":"04","key":"ref17","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/0363-5023(91)90197-J","article-title":"Cyclic stress analysis of flexor tendon repair","volume":"16","author":"D L Pruitt","year":"1991","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1769909.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:14:24Z","timestamp":1730801664000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1769909"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,12]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,22]]},"published-print":{"date-parts":[[2024,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1769909","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"type":"print","value":"2163-3916"},{"type":"electronic","value":"2163-3924"}],"subject":[],"published":{"date-parts":[[2023,6,12]]}}}