Comparison of Time-Zero Primary Stability Between a Biodegradable Magnesium Bone Staple and Metal Bone Staples for Knee Ligament Fixation: A Biomechanical Study in a Porcine Model
Background: Bone staples have been shown previously to be a viable modality for cortical tendon graft fixation in ligament knee surgery. However, soft tissue reactions have been reported, making implant removal necessary. Magnesium alloys are a promising material for biodegradable orthopaedic implan...
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Dokumenttypen: | Artikel |
Medientypen: | Text |
Erscheinungsdatum: | 2024 |
Publikation in MIAMI: | 19.06.2024 |
Datum der letzten Änderung: | 19.06.2024 |
Angaben zur Ausgabe: | [Electronic ed.] |
Quelle: | Orthopaedic Journal of Sports Medicine 12 (2024) 3, 1-7 |
Schlagwörter: | biomechanics; bone staples; cortical fixation; ligament reconstruction; magnesium |
Fachgebiet (DDC): | 610: Medizin und Gesundheit |
Lizenz: | CC BY 4.0 |
Sprache: | Englisch |
Förderung: | Finanziert durch den Open-Access-Publikationsfonds der Universität Münster. |
Format: | PDF-Dokument |
URN: | urn:nbn:de:hbz:6-36938698644 |
Weitere Identifikatoren: | DOI: 10.17879/86938468485 |
Permalink: | https://nbn-resolving.de/urn:nbn:de:hbz:6-36938698644 |
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Onlinezugriff: | 10.1177_23259671241236783.pdf |
Background: Bone staples have been shown previously to be a viable modality for cortical tendon graft fixation in ligament knee surgery. However, soft tissue reactions have been reported, making implant removal necessary. Magnesium alloys are a promising material for biodegradable orthopaedic implants, with mechanical properties closely resembling those of human bone. Purpose: To compare the primary stability of a biodegradable bone staple prototype made from magnesium to bone staples made from metal in the cortical fixation of tendon grafts during knee surgery. Study Design: Controlled laboratory study. Methods: Primary stability of peripheral tendon graft fixation was assessed in a porcine model of medial collateral ligament reconstruction. Two commercially available metal bone staples (Richards fixation staple with spikes [Me1] and spiked ligament staple [Me2]) were compared with a magnesium bone staple prototype for soft tissue fixation. Primary stability was assessed using a uniaxial materials testing machine. Cyclic loading at 50 and 100 N was applied for 500 cycles each, followed by load-to-failure testing. Results: After 500 cycles at 50 N, elongation was 1.5 ± 0.5 mm in the Me1 group, 1.9 ± 0.5 mm in the Me2 group, and 1.8 ± 0.4 mm in the magnesium group. After 1000 cycles of loading (500 cycles at 50 N and 500 at 100 N), elongation was 3.6 ± 0.9 mm in the Me1 group, 3.5 ± 0.6 mm in the Me2 group, and 4.1 ± 1.0 mm in the magnesium group. No significant differences regarding elongation were found between the groups. Load to failure was 352 ± 115 N in the Me1 group, 373 ± 77 N in the Me2 group, and 449 ± 92 N in the magnesium group, with no significant difference between the groups. Conclusion: In this study, the magnesium bone staples provided appropriate time-zero biomechanical primary stability in comparison with metal bone staples and may therefore be a feasible alternative for cortical fixation of tendon grafts in knee surgery. Clinical Relevance: The biodegradability of magnesium bone staples would eliminate the need for later implant removal.