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Purpose: The current generation has witnessed significant progress in the field of knee arthroscopy. Suture tapes have gained immense popularity due to perceived improved biomechanical support to the graft while it heals. The purpose of the present systematic review is to analyze the biomechanical construct of suture tapes in ACL repairs and reconstructions along with clinical outcomes.
Methods: Cochrane Library, PubMed, and Embase were searched until December 2021. All Biomechanical Studies on animal or cadaver knees that compared construct characteristics of suture tape in ACL repair or reconstruction and clinical studies in English focusing on outcomes following suture tape augmentation in ACL repair or reconstruction were included. The quality of clinical studies using the Modified Coleman Methodology Score (MCMS).
Results: A total of 16 studies biomechanical and 23 clinical studies were included in qualitative synthesis, leaving nine biomechanical studies for final quantitative analyses. Suture tape revealed biomechanical superiority in terms of ultimate strength, stiffness, cyclic displacement, and elongation of graft, while comparing ACLR with internal brace to standard ACLR. No significant difference in retear rates was seen in clinical studies. Clinical score(IKDC score) was found similar in both augmented and non-augmented construct. Similar results were obtained in biomechanical studies.
Conclusion: The use of suture tape as a ligament augmentation in both ACL reconstruction and ACL repair offers more strength, less elongation or displacement, and is biomechanically stable and sound. There is a lack of data to comprehensively comment upon the clinical superiority of the use of internal augmentation. However, a meta-analysis of the retear rates and clinical outcome score revealed similar outcomes between suture tape augmented and nonaugmented groups.
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http://dx.doi.org/10.1007/s43465-022-00805-2 | DOI Listing |
Arch Orthop Trauma Surg
September 2025
Medical Faculty, University of Zurich (UZH), Zurich, Switzerland.
Background: Distal triceps tendon rupture is related to high complication rates with up to 25% failures. Elbow stiffness is another severe complication, as the traditional approach considers prolonged immobilization to ensure tendon healing. Recently, a dynamic tape was designed, implementing a silicone-infused core for braid shortening and preventing repair elongation during mobilization, thus maintaining constant tissue approximation.
View Article and Find Full Text PDFOper Orthop Traumatol
September 2025
Sektion Sportorthopädie, TUM Universitätsklinikum, Ismaninger Str. 22, 81675, München, Deutschland.
Objective: Anatomical reconstruction of the posterior cruciate ligament (PCL) with suture tape augmentation to enhance primary stability.
Indications: Acute or chronic PCL ruptures, either isolated or as part of multiligamentous injuries, in cases of symptomatic instability or failure of conservative treatment.
Contraindications: Fixed posterior drawer, active infection, bony avulsion.
Facial Plast Surg
September 2025
Department of Plastic, Reconstructive and Aesthetic Surgery, Osmaniye State Hospital, Osmaniye, Türkiye.
Lower eyelid ectropion is a challenging postoperative complication that can affect both function and aesthetics. Preventative strategies are critical, particularly in high-risk periocular and midface surgeries.This review aims to evaluate the efficacy and variety of prophylactic suspension techniques used to prevent lower eyelid ectropion.
View Article and Find Full Text PDFAnn Thorac Surg
August 2025
Department of Cardiovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.
While median sternotomy remains the most common incision in cardiac surgery, sternal closure differs drastically between surgeons and institutions. As sternal wound infections carry an incidence between 0.2-6% with mortality approaching 40%, meticulous sternal closure is imperative to reduce the surgical contribution to infection.
View Article and Find Full Text PDFInt Urogynecol J
August 2025
Retired Pelvic Surgeon, Sydney, NSW, Australia.
Introduction And Hypothesis: The new urethral ligament plication (ULP) operation for curing SUI is tape free. Instead of using a tape, the pubourethral ligament (PUL) is prevented from lengthening to cause urine loss on effort by a single collagen-creating polyester suture that confines all four branches of the PUL and adds new collagen to strengthen the ligaments. Its anatomical basis is identical to that for the midurethral sling (MUS).
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