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Updated: May 7, 2026
A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
In-vitro comparison of 3 knotting techniques for lateral fabellotibial suture stabilization
David L Dycus1, Jennifer L Wardlaw, Dennis Rowe
1College of Veterinary Medicine (Dycus, Wardlaw), Department of Research Support-Experimental Statistics (Rowe), and Department of Agricultural and Biological Engineering (Elder), Mississippi State University, P.O. Box 6100, Mississippi State, Mississippi 39762, USA.
Abstract:
This study evaluated the biomechanical characteristics of a single self-locking knot (sSLK) and a double self-locking knot (dSLK) compared with the square knot (SQ) for stabilization of cranial cruciate ligament rupture. Each knot underwent monotonic tensile and cyclical loading. Starting tension, elongation, stiffness, and load to failure were all evaluated. A value of P < 0.05 was considered significant. Starting tension, overall stiffness, and load to failure were all significantly greater in both the sSLK and dSLK compared with the SQ. There was no difference in elongation among the knots. There were no significant differences in starting tension, elongation, stiffness, and load to failure between the sSLK and the dSLK. The self-locking knots were stronger and stiffer than the SQ; there is no biomechanical advantage in using the dSLK compared with the sSLK.
