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The Nice knot as an improvement on current knot options: A mechanical analysis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Collin, P. Laubster, E. Denard, P. J. Akuè, F. A. Lädermann, A.
Description	Country affiliation: France Author Affiliation: Collin P ( Saint-Grégoire Private Hospital Center, boulevard Boutière 6, 35768 Saint-Grégoire cedex, France.); Laubster E ( Saint-Grégoire Private Hospital Center, boulevard Boutière 6, 35768 Saint-Grégoire cedex, France.); Denard PJ ( Southern Oregon Orthopedics, Medford, Oregon, USA); Akuè FA ( Saint-Grégoire Private Hospital Center, boulevard Boutière 6, 35768 Saint-Grégoire cedex, France.); Lädermann A ( Division of Orthopaedics and Trauma Surgery, La Tour Hospital, rue J.-D.-Maillard 3, 1217 Meyrin, Switzerland)
Abstract	PURPOSE: There is currently a wide range of suture knots used in rotator cuff repair. The purpose of this study was to compare a new type of self-locking sliding knot called the Nice knot to the self-locking and sliding Nicky's knot. METHODS: Nice knots and Nicky's knots were tied and subjected to mechanical testing including a pure traction stress and a series of dynamic stresses. Both knots were tied using standard braided suture and reinforced braided suture. The responses to these stresses were measured in the amount of elongation of the knot, maximum effort needed for failure, stiffness of construct and dynamic stiffness. RESULTS: With both knots the standard suture had a lower amount of elongation during the dynamic tests than the reinforced braided suture. The reinforced braided suture showed superior results during maximal effort in the pure traction tests. An increased failure rate occurred due to elongation when a dynamic stress was applied to the reinforced suture in both knot types. During dynamic testing the Nice knot showed a decrease in the amount of elongation (P<0.001). CONCLUSIONS: The Nice knot provides a sliding locking knot option which can decrease the risk of elongation during dynamic stress. LEVEL OF EVIDENCE: Basic Science Study, Biomechanical Study.
File Format	HTM / HTML
Issue Number	3
Journal	Orthopaedics & Traumatology: Surgery & Research
Volume Number	102
e-ISSN	18770568
Language	English
Publisher	Elsevier
Publisher Date	2016-05-01
Publisher Place	France
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Discipline Traumatology
Content Type	Text
Resource Type	Article

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