{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T13:25:51Z","timestamp":1701264351228},"reference-count":24,"publisher":"American Veterinary Medical Association (AVMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2019,4]]},"abstract":"Abstract<\/jats:title>\n\nOBJECTIVE<\/jats:title>\nTo compare use of a 3-level self-locking suture (3LSLS) technique with use of a previously described modified 3-loop pulley (M3LP) technique to repair rupture of the proximal aspect of patellar tendons in limbs from canine cadavers.<\/jats:p>\n<\/jats:sec>\n\nSAMPLE<\/jats:title>\nPaired hind limbs of 6 adult mixed-breed dogs.<\/jats:p>\n<\/jats:sec>\n\nPROCEDURES<\/jats:title>\nA limb from each pair was randomly assigned to be repaired by the 3LSLS technique or M3LP technique with size-2 ultrahigh-molecular-weight polyethylene and size-0 monofilament polypropylene suture, respectively. Limbs were prepared, and each patellar tendon was transected at a site chosen to simulate rupture at the proximal aspect. Tendons were repaired with the assigned techniques and mechanically tested with a biaxial servohydraulic test system; the clamp was distracted until the repair failed. Force at 1 -mm gap formation, 3-mm gap formation, and repair failure and gap size at failure were measured and compared between methods. Mode of failure was recorded.<\/jats:p>\n<\/jats:sec>\n\nRESULTS<\/jats:title>\nThere was no significant difference between methods for the force required to produce a 1 - or 3-mm gap in the repair. The 3LSLS technique required a significantly higher load for complete failure; gap formation immediately before failure was significantly greater for this method than for the M3LP technique. Four of 6 repairs with the M3LP technique and 0 of 6 repairs with the 3LSLS technique failed by suture breakage.<\/jats:p>\n<\/jats:sec>\n\nCONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\nThe 3LSLS technique with size-2 ultrahigh-molecular-weight polyethylene suture was as effective at resistance to 1 - and 3-mm gap formation as the M3LP with size-0 monofilament polypropylene suture.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.80.4.335","type":"journal-article","created":{"date-parts":[[2019,3,28]],"date-time":"2019-03-28T12:13:16Z","timestamp":1553775196000},"page":"335-341","source":"Crossref","is-referenced-by-count":2,"title":["Biomechanical comparison of a modified three-loop pulley technique and a three-level self-locking technique for repair of patellar tendon rupture in dogs"],"prefix":"10.2460","volume":"80","author":[{"given":"Mariajesus","family":"Soula","sequence":"first","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin W.","family":"Shmalberg","sequence":"additional","affiliation":[{"name":"2Department of Comparative Diagnostic and Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL 32610."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"J Musculoskelet Neuronal Interact","first-page":"181","article-title":"Biology of tendon injury: healing, modeling and remodeling","volume":"6","author":"Sharma","year":"2006"},{"key":"ref2","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1136\/vr.102385","article-title":"Patellar ligament rupture in the dog: repair methods and patient outcomes in 43 cases","volume":"175","author":"Das","year":"2014"},{"key":"ref3","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"181","DOI":"10.3415\/VCOT-07-05-0053","article-title":"Successful management of bilateral patellar tendon rupture in a dog","volume":"21","author":"Shipov","year":"2008"},{"key":"ref4","series-title":"Miller's anatomy of the dog","first-page":"262","article-title":"The muscular system: cranial muscles of the thigh","author":"Hermanson","year":"2012"},{"key":"ref5","series-title":"Veterinary surgery: small animal","first-page":"991","article-title":"Stifle joint","author":"Kowaleski","year":"2012"},{"key":"ref6","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1136\/vr.g6078","article-title":"Treating canine patellar ligament rupture","volume":"175","author":"Witte","year":"2014"},{"key":"ref7","series-title":"Brinker, Piermattei, and Flo's handbook of small animal orthopedics and fracture repair","first-page":"213","article-title":"Principles of joint surgery","author":"DeCamp","year":"2016"},{"key":"ref8","series-title":"Veterinary surgery: small animal","first-page":"1127","article-title":"Muscle and tendon disorders","author":"Carmichael","year":"2012"},{"key":"ref9","series-title":"Brinker, Piermattei, and Flo's handbook of small animal orthopedics and fracture repair","first-page":"658","article-title":"The stifle joint","author":"Piermattei","year":"2016"},{"key":"ref10","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1055\/s-0038-1632652","article-title":"Augmented primary repair of patellar ligament rupture in three dogs","volume":"13","author":"Smith","year":"2000"},{"key":"ref11","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"74","DOI":"10.3415\/VCOT-07-10-0096","article-title":"Rupture of the quadriceps tendon. 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