{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:05:57Z","timestamp":1789491957184,"version":"build-2803163510"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T00:00:00Z","timestamp":1727049600000},"content-version":"vor","delay-in-days":84,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To\u00a0compare the biomechanical properties of the slip\u2010knot technique with three other transtibial pullout suture repair constructs for meniscal root tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Thirty\u2010two fresh\u2010frozen cadaveric menisci were randomly allocated to four meniscus\u2010suture fixation constructs: Two simple\u2010sutures (TSS), two slip\u2010knot (TSK) sutures, two cinch\u2010loop (TCL) sutures, and two modified Mason\u2013Allen (TMMA) sutures. Cyclic loading from 5 to 20\u2009N was conducted for 1000 cycles at 0.5\u2009Hz, and then loaded to failure at 0.5\u2009mm\/s. Parametric data (displacement during cyclic loading, ultimate load, yield load, and displacement at failure) were analysed using a one\u2010way analysis of variance (ANOVA), whereas nonparametric data (stiffness) were analysed using the Kruskal\u2013Wallis test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After 1000 cycles, the TCL construct significantly displaced the most (mean\u2009\u00b1\u2009SD, 6.78\u2009\u00b1\u20091.32\u2009mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), followed by the TMMA (2.83\u2009\u00b1\u20090.90\u2009mm), TSK (2.33\u2009\u00b1\u20090.57\u2009mm), and TSS (2.03\u2009\u00b1\u20090.62\u2009mm) groups. On ultimate failure load, there was no significant difference between the TSK group (123.48\u2009\u00b1\u200927.24\u2009N,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05) and the other three groups (TSS, 94.65\u2009\u00b1\u200925.33\u2009N; TMMA, 168.38\u2009\u00b1\u200923.24\u2009N; TCL, 170.54\u2009\u00b1\u200957.32\u2009N); however, it exhibited the least displacement (5.53\u2009\u00b1\u20091.25\u2009mm) which was significantly shorter than those of the TCL (11.82\u2009\u00b1\u20094.25\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and TMMA (9.53\u2009\u00b1\u20092.18\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03) constructs. No significant difference in stiffness was observed among the four meniscus\u2010suture constructs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The slip\u2010knot technique has proven to be a simple, yet robust and stable meniscal root fixation option; moreover, it exhibited superiority over the more complex modified Mason\u2013Allen suture construct in resisting displacement at the ultimate failure load.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  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