Python tooth–inspired fixation device for enhanced rotator cuff repair

Iden Kurtaliaj, Ethan D. Hoppe, Yuxuan Huang, David Ju, Jacob A. Sandler, Donghwan Yoon, Lester J. Smith, Silvio Torres Betancur, Linda Effiong, Thomas Gardner, Liana Tedesco, Sohil Desai, Victor Birman, William N. Levine, Guy M. Genin, Stavros Thomopoulos

Research output: Contribution to journalArticlepeer-review

Abstract

Rotator cuff repair surgeries fail frequently, with 20 to 94% of the 600,000 repairs performed annually in the United States resulting in retearing of the rotator cuff. The most common cause of failure is sutures tearing through tendons at grasping points. To address this issue, we drew inspiration from the specialized teeth of snakes of the Pythonoidea superfamily, which grasp soft tissues without tearing. To apply this nondamaging gripping approach to the surgical repair of tendon, we developed and optimized a python tooth–inspired device as an adjunct to current rotator cuff suture repair and found that it nearly doubled repair strength. Integrated simulations, 3D printing, and ex vivo experiments revealed a relationship between tooth shape and grasping mechanics, enabling optimization of the clinically relevant device that substantially enhances rotator cuff repair by distributing stresses over the attachment footprint. This approach suggests an alternative to traditional suturing paradigms and may reduce the risk of tendon retearing after rotator cuff repair.

Original languageEnglish
Article numbereadl5270
JournalScience advances
Volume10
Issue number26
DOIs
StatePublished - 28 Jun 2024

Fingerprint

Dive into the research topics of 'Python tooth–inspired fixation device for enhanced rotator cuff repair'. Together they form a unique fingerprint.

Cite this