Universität zu Köln

Eichler, Christian, Schell, Julia, Uener, Jens, Prescher, Andreas, Scaal, Martin, Puppe, Julian and Warm, Mathias (2016). Inframammary Fold Reconstruction: A Biomechanical Analysis. PRS-GLOB. OPEN, 4 (3). PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 2169-7574

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Abstract

Background: Inframammary fold reconstruction has scarcely been evaluated in literature. No biomechanical analyses have been performed comparing different reconstructive methods. This evaluation compares the gold-standard suture reconstruction with an intrarib anchor system (Micro BioComposite SutureTak, Arthrex). Methods: Three analysis groups were compared including 8 Sawbone blocks, 22 embalmed cadaver, and 27 regular cadaver specimens (N = 57). Transient mechanical analysis was performed at 5 N/s using an Instron 5565 test frame. Results: Ultimate load favored the anchor system (compared with the gold-standard suture) by a factor of 9.8 (P < 0.0001) for the regular cadaver group and a factor of 1.7 (P < 0.038) for the embalmed cadaver group. A similar statistically significant benefit was shown for stiffness and load at 2-mm displacement. Conclusions: This analysis showed an anchor system to be the biomechanically superior fixation method in terms of ultimate load, fixation stiffness, and displacement at failure when compared with the gold-standard suture method in inframammary fold reconstruction. Because of superior stability in every aspect, an anchor system may be considered for inframammary fold reconstruction.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Eichler, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Schell, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Uener, Jens UNSPECIFIED UNSPECIFIED UNSPECIFIED Prescher, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Scaal, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Puppe, Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED Warm, Mathias UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-281849
DOI:	10.1097/GOX.0000000000000568
Journal or Publication Title:	PRS-GLOB. OPEN
Volume:	4
Number:	3
Date:	2016
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	2169-7574
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FIXED-ANGLE PLATE; TRANSVERSE PATELLA FRACTURES; BREAST RECONSTRUCTION; FIXATION; CREATION; CADAVER; FLAP Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28184