Alloplastic Reconstruction of the Extensor Mechanism after Resection of Tibial Sarcoma
2011

Reconstruction of the Extensor Mechanism after Tibial Sarcoma Resection

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): Boris Michael Holzapfel, Hans Rechl, Stefan Lehner, Hakan Pilge, Hans Gollwitzer, Erwin Steinhauser

Primary Institution: Orthopaedic Center for Musculoskeletal Research, Department of Orthopaedic Surgery, Julius-Maximilians-University Würzburg

Hypothesis

The study aims to evaluate the endurance of an alloplastic cord and its fixation device during normal daily life activities after tibial replacement.

Conclusion

The Trevira cord can provide temporary stability and extensor function until scar tissue can take over this function.

Supporting Evidence

  • The Trevira cord ruptured at a mean tensile load of 2558 N.
  • Conditioning in saline for 25 days reduced the load to failure by approximately 12%.
  • Dynamic loading tests showed that the cord scrubbed at the proximal edge of the metal block until it ripped.

Takeaway

Doctors are testing a special cord to help people move their knees better after surgery for bone cancer. This cord can hold things together until the body heals itself.

Methodology

Biomechanical tests were conducted on a Trevira cord under various loading conditions to evaluate its performance before and after physiological conditioning.

Limitations

The study was limited to a specific type of cord and fixation device, and results may not be generalizable to other methods.

Statistical Information

P-Value

0.007

Statistical Significance

p=0.007

Digital Object Identifier (DOI)

10.1155/2011/545104

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