{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:00:39Z","timestamp":1790434839143,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the biomechanical performance of the sewing machine\u2010like suture (SMS) technique against three established techniques (two cinch\u2010loop (TCL), modified Mason\u2010Allen (MMA), and double Mason\u2010Allen (DMA)) for transtibial pull\u2010out repair of posterior medial meniscal root tear (PMMRT) in a porcine model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty fresh\u2010frozen porcine medial menisci (20\u201025\u2009weeks old, no macroscopic degeneration) were randomly assigned to 4 groups for repair using TCL, MMA, DMA, or SMS. All repairs used nonabsorbable braided suture and an 18G needle. Biomechanical testing included cyclic loading to measure displacement and load\u2010to\u2010failure testing to assess ultimate failure load, yield load, stiffness, and failure displacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      SMS achieved the highest ultimate failure load (358.0\u2009\u00b1\u200934.9\u2009N) versus DMA (308.57\u2009\u00b1\u200952.36\u2009N,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.0292) and TCL (227.95\u2009\u00b1\u200942.36\u2009N,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001) and the highest yield load (299.15\u2009\u00b1\u200912.2\u2009N) versus TCL (150.0\u2009\u00b1\u200931.6\u2009N,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001) and MMA (274.21\u2009\u00b1\u200915.7\u2009N,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.0113). DMA showed the smallest displacement at 100 cycles (0.21\u2009\u00b1\u20090.05\u2009mm) and 500 cycles (0.34\u2009\u00b1\u20090.06\u2009mm). MMA had the least displacement at 1000 cycles (1.01\u2009\u00b1\u20090.13\u2009mm) and failure (7.86\u2009\u00b1\u20090.79\u2009mm). TCL exhibited the largest displacement at 1000 cycles (2.44\u2009\u00b1\u20090.57\u2009mm) and lowest strength.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The SMS technique exhibited the higher load resistance by integrating multipoint fixation through a single\u2010suture mechanism, while DMA provides the best cyclic stability. Both techniques surpass conventional methods like TCL, which showed the largest displacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This biomechanical study provides evidence to guide suture technique selection for posterior medial meniscal root repair. The SMS technique, with its superior load resistance approaching the physiological range of the native root, may be particularly advantageous in clinical scenarios demanding high fixation strength.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70127","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T08:47:47Z","timestamp":1776329267000},"page":"2211-2219","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Continuous Sewing Machine\u2010Like Suture Provides Higher Failure and Yield Load Compared to Traditional Techniques for Meniscal Root Repair in a Biomechanical Porcine Model"],"prefix":"10.1002","volume":"42","author":[{"given":"Yizhong","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Union Hospital Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbo","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Union Hospital Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Union Hospital Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunqing","family":"Meng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Union Hospital Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Union Hospital Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2691-6474","authenticated-orcid":false,"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Union Hospital Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2024.100998"},{"key":"e_1_2_8_3_1","first-page":"e84425","article-title":"Medial meniscus root tears: Management with single\u2010tunnel repair and meniscus centralization","volume":"17","author":"Shah 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