Cooperation Research Center for Biomechanics, Faculty of Mechanical Engineering, Budapest University of Technology and Economics, Budapest, Hungary.
Department of Mechatronics, Optics and Mechanical Engineering Informatics, Faculty of Mechanical Engineering, Budapest University of Technology and Economics, Budapest, Hungary.
BMC Musculoskelet Disord. 2022 Jul 25;23(1):707. doi: 10.1186/s12891-022-05650-w.
The use of tendon allografts for orthopedic repair has gained wide acceptance in recent years, most notably in anterior cruciate tendon reconstruction. Multiple studies support the use of tendon allografts and the benefits of its use are well accepted and understood. One of the important criteria of the use of tendon allografts is statistically similar histological and biomechanical properties to autographs. The aim of this systematic literature review is to investigate and categorize existing clamps used in the determination of the biomechanical properties of tendons such as maximum load, maximum strength, modulus of elasticity, ultimate strain, and stiffness. A variety of clamps for use during the endurance test of tendons were categorized according to the temperature used during the measurement. The clamps are divided into three groups: room temperature, cooled and heated clamps. The second goal of our review is to overview of clamps on the following aspects: name of clamp, author and date, type of clamps, type of endurance test (static or dynamic), type preloading (dynamic or static), type of tendon and measured and calculated parameters, and summarize in Table 3, as a comprehensive catalogue.
This systematic review was carried out in keeping with the PRISMA 2020 E&E and the PRISMA-S guidelines and checklists. A search was conducted for publications dating between 1991 and February 28th 2022 through three electronic databases (Web of Science, Scopus, and PubMed). We used Critical Appraisal Skills Program checklist to check the quality of included articles.
The database search and additional sources resulted in 1725 records. 1635 records eliminated during the screening for various reasons (case report, other languages, book chapter, unavailable text/conference abstract, unrelated topic). The number of articles used in the final synthesis was 90. A variety of clamps for use during the endurance test of tendons were identified and categorized according to the temperature used during the measurement. Based on this, the clamps are divided into three groups: room temperature, cooled or heated clamps.
On the basis of the systematic literature review, mechanical parameters determined by usage with cooled clamps proved to be more reliable than with those at room temperature and with heated clamps. The collected information from the articles included name of clamp, author and date, type of clamps, type of endurance test (static or dynamic), type preloading (dynamic or static), type of tendon and measured and calculated parameters given in Table 3. summarized. The main advantage of the cooled clamps is that there is no limit to the type and length of the tendon. This study provides an overview of clamps and does not represent the modernity of any method.
近年来，同种异体肌腱移植在骨科修复中的应用已得到广泛认可，尤其是在前交叉韧带重建中。多项研究支持同种异体肌腱的使用，其使用的益处已被广泛接受和理解。使用同种异体肌腱的一个重要标准是在统计学上具有与自体移植物相似的组织学和生物力学特性。本系统文献综述的目的是调查和分类用于确定肌腱生物力学特性（如最大负荷、最大强度、弹性模量、极限应变和刚度）的现有夹具。根据测量过程中使用的温度，将用于肌腱耐力测试的各种夹具分为三类：室温、冷却和加热夹具。我们综述的第二个目标是从以下几个方面概述夹具：夹具名称、作者和日期、夹具类型、耐力测试类型（静态或动态）、预加载类型（动态或静态）、肌腱类型以及测量和计算参数，并总结在表 3 中，作为一个综合目录。
本系统综述符合 PRISMA 2020 E&E 和 PRISMA-S 指南和检查表。通过三个电子数据库（Web of Science、Scopus 和 PubMed）检索 1991 年至 2022 年 2 月 28 日期间的出版物。我们使用批判性评估技能计划检查表检查纳入文章的质量。
数据库搜索和其他来源共产生了 1725 条记录。在筛选过程中，由于各种原因（病例报告、其他语言、章节、无法获得的文本/会议摘要、无关主题）排除了 1635 条记录。最终综合使用的文章数量为 90 篇。确定了在肌腱耐力测试中使用的各种夹具，并根据测量过程中使用的温度对其进行分类。在此基础上，夹具分为三组：室温、冷却或加热夹具。
根据系统文献综述，使用冷却夹具确定的机械参数比室温下和加热夹具下的更可靠。从文章中收集的信息包括夹具名称、作者和日期、夹具类型、耐力测试类型（静态或动态）、预加载类型（动态或静态）、肌腱类型以及表 3 中给出的测量和计算参数。总结。冷却夹具的主要优点是对肌腱的类型和长度没有限制。本研究对夹具进行了概述，但不代表任何方法的现代性。
