{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T19:11:25Z","timestamp":1793301085609,"version":"4.5.0"},"reference-count":9,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"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":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Meniscal allograft transplantation is a well\u2010established treatment for symptomatic meniscal deficiency, yet the optimal fixation strategy remains debated. Recent studies revealed that suture\u2010only fixation is associated with significantly higher meniscus\u2010specific reoperation rates compared with bone plug and bone bridge\u2010in\u2010slot techniques. These findings reinforce that the fixation method is not merely a technical consideration, but a determinant of graft biomechanics and survivorship. Suture\u2010only fixation may inadequately restore native hoop stress and tibiofemoral contact mechanics, contributing to increased graft extrusion, elevated joint pressures, and subsequent reoperation. Additionally, variation in outcomes by compartment and patient sex suggests that both anatomic and biological factors interact with fixation strategy. These data challenge the notion that fixation techniques are interchangeable and instead position fixation as a modifiable factor influencing clinical outcomes. Surgeons should incorporate these findings into operative decision\u2010making and patient counseling, favoring fixation strategies that more reliably restore native meniscal function and improve long\u2010term graft durability.<\/jats:p>","DOI":"10.1002\/arj.70442","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T09:25:32Z","timestamp":1785144332000},"page":"2627-2628","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Editorial Commentary<\/i>\n                    : Fixation Matters\u2014When Technique Becomes Biology in Meniscal Allograft Transplantation"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5323-6138","authenticated-orcid":false,"given":"Charles","family":"Cossell","sequence":"first","affiliation":[{"name":"Marion Health  Marion Indiana U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_2_3_2_1","first-page":"2616","article-title":"Suture\u2010only fixation of meniscal allograft is associated with a higher reoperation rate than bone plug or bone bridge\u2010in\u2010slot fixation techniques","volume":"42","author":"Gosnell GG","year":"2026","journal-title":"Arthroscopy"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.01.025"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2020.05.015"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514530867"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270030901"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512446674"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517709777"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200201000-00002"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117718781"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70442","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70442","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:25:48Z","timestamp":1793262348000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,27]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/arj.70442"],"URL":"https:\/\/doi.org\/10.1002\/arj.70442","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,27]]},"assertion":[{"value":"2026-07-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}