Robertson D B, Daniel D M, Biden E
Am J Sports Med. 1986 Sep-Oct;14(5):398-403. doi: 10.1177/036354658601400512.
This experiment was designed to compare the immediate fixation strengths of various methods of soft tissue fixation techniques. The fixation techniques tested were the barbed staple, stone staple, suture techniques, screw with spiked plastic washer, and the screw with spiked soft tissue plate. Cadaveric soft tissue specimens were classified into three distinct morphologic types: capsular, tendinous, and extensor mechanism tissue. Each specimen was fixed to bone by one of the fixation techniques. The specimens were loaded in a cyclical fashion until fixation failure occurred. One hundred thirty-seven trials were performed. The screws with the spiked plastic washer and soft tissue plate proved superior overall for all three tissue types. The stone staple was the poorest technique tested. Therefore, if cyclic loading or tension is anticipated at the fixation site, the fixation technique of choice would be the screw with spiked plastic washer or soft tissue fixation plate.
本实验旨在比较各种软组织固定技术的即时固定强度。所测试的固定技术包括倒刺钉、石钉、缝合技术、带尖刺塑料垫圈的螺钉以及带尖刺软组织板的螺钉。尸体软组织标本被分为三种不同的形态学类型：囊状、腱性和伸肌机制组织。每个标本通过其中一种固定技术固定到骨上。标本以循环方式加载，直至发生固定失败。共进行了137次试验。带尖刺塑料垫圈和软组织板的螺钉在所有三种组织类型中总体表现最佳。石钉是所测试的最差技术。因此，如果预计固定部位会有循环载荷或张力，首选的固定技术将是带尖刺塑料垫圈的螺钉或软组织固定板。
