Biomechanical testing of three coracoclavicular ligament reconstruction techniques with a 3D printing navigation template for clavicle-coracoid drilling
机构:[1]Department of Orthopaedics, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China大德路总院骨科广东省中医院[2]Wang Jing Hospital of China Academy of Chinese Medical Sciences, Beijing, China[3]The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China广东省中医院[4]Postdoctoral Research Station, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China广东省中医院[5]Department of Orthopaedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China[6]Center for Orthopaedic Diseases Research, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China[7]Clinical Base of Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Guangdong Province Medical 3D Printing Application Transformation Engineering Technology Research Center, Luzhou, China[8]Expert Workstation in Luzhou, Luzhou, China[9]The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China[10]Southern Medical University, Guangzhou, China[11]Suzhou Yongding Hospital, Suzhou, China
Background: The identification and precise clavicle-coracoid drilling during coracoclavicular (CC) ligament reconstruction for acromioclavicular (AC) joint dislocation require a high level of experience and surgical skills. Furthermore, the improvement of flexible fixation, such as Endobutton techniques for CC ligament reconstructions is ongoing. We have developed a 3D printing technique navigation template for clavicle-coracoid drilling and a novel implant for the reconstruction. This study aimed to determine the efficiency of the navigation template for clavicle-coracoid drilling and to evaluate the biomechanical performance of the novel CC ligament reconstruction technique. Methods: A total of 24 fresh-frozen human cadaveric shoulders were randomly assigned to 1 of 3 reconstruction groups or a control group: TightRope, Triple Endobutton, and the Adjustable Closed Loop Double Endobutton technique. Computed tomography scans, navigation template designs, and 3D printing were performed for the shoulders. Then, AC joint dislocation was simulated in the reconstruction groups, and 3 CC ligament reconstruction techniques were operated via the 3D printing template separately. Furthermore, biomechanical protocols including the translation test (load from 5N to 70N) and the load to-failure test were performed to characterize the behaviors and strengths. One-way ANOVA test analyzed differences in displacement under the translation load and the load at failure. Results: CC ligament reconstructions were performed successfully along with the 3D printing navigation template in the 3 reconstruction groups. During the translation test, no significant difference was found in displacements among the 4 groups. Meanwhile, the mean load of all reconstruction groups at failure (Adjustable Closed-Loop Double Endobutton, 722.1620N; TightRope, 680.4020N; Triple Endobutton, 868.5762N) was significantly larger than the control group (564.6264N, P<0.05). The Triple Endobutton group had the maximum load at failure (P<0.05), however, no significant difference was noticed between the other 2 reconstruction groups (P>0.05). Conclusions: The 3D printing navigation template may become helpful and reliable for AC joint dislocation surgery. Among the 3 CC ligament reconstruction techniques, the Triple Endobutton technique has the best strength in terms of biomechanics, while the biomechanical strength of the Adjustable Closed Loop Double Endobutton technique is reliable in comparison with the TightRope technique.
基金:
Science Project of Health Commission of Sichuan Province [20PJ143]; Science and Technology Project of Guangdong Province [2020A1414010394, 2020A1515110966]; Academician (Shi-zhen Zhong) Talent Team's Subproject of Luzhou Municipal Government and Southwest Medical University [2018zszysrctdxm1]; Strategic Cooperation Project of Luzhou Municipal Government and Southwest Medical University [2018LZXNYD-ZK43]; Science Project of Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University [2019XYLH-001]; Basic Project of Southwest Medical University; Traditional Chinese Medicine Hospital of Luzhou [2018-LH003]
第一作者机构:[1]Department of Orthopaedics, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China[2]Wang Jing Hospital of China Academy of Chinese Medical Sciences, Beijing, China[3]The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China[4]Postdoctoral Research Station, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Orthopaedics, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China[3]The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China[5]Department of Orthopaedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China[6]Center for Orthopaedic Diseases Research, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, China[7]Clinical Base of Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Guangdong Province Medical 3D Printing Application Transformation Engineering Technology Research Center, Luzhou, China[8]Expert Workstation in Luzhou, Luzhou, China[*1]Department of Orthopaedics, Guangdong Provincial Hospital of Chinese Medicine, No. 111 Dade Road, Yuexiu District, Guangzhou, China[*2]Department of Orthopaedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, No. 182 Chunhui Road, Longmatan District, Luzhou, China
推荐引用方式(GB/T 7714):
Qi Ji,Fu Shijie,Ping Ruiyue,et al.Biomechanical testing of three coracoclavicular ligament reconstruction techniques with a 3D printing navigation template for clavicle-coracoid drilling[J].ANNALS OF TRANSLATIONAL MEDICINE.2021,9(14):doi:10.21037/atm-21-737.
APA:
Qi, Ji,Fu, Shijie,Ping, Ruiyue,Wu, Kai,Feng, Ziyu...&Zhang, Lei.(2021).Biomechanical testing of three coracoclavicular ligament reconstruction techniques with a 3D printing navigation template for clavicle-coracoid drilling.ANNALS OF TRANSLATIONAL MEDICINE,9,(14)
MLA:
Qi, Ji,et al."Biomechanical testing of three coracoclavicular ligament reconstruction techniques with a 3D printing navigation template for clavicle-coracoid drilling".ANNALS OF TRANSLATIONAL MEDICINE 9..14(2021)