{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T03:21:00Z","timestamp":1789269660788,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aimed to compare the biomechanical properties of four meniscal suture configurations\u2014two simple sutures (TSS), two cinch sutures, a locking loop stitch (LLS), and a delta\u2010grip stitch (DGS)\u2014for transtibial pullout repair of medial meniscus posterior root tears (MMPRTs) using porcine menisci.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty porcine menisci were randomly assigned to each suture configuration with all\u2010inside repair. All specimens were subjected to cyclic loading for 1000 cycles, followed by a load\u2010to\u2010failure test. We evaluated displacement after cyclic loading, the ultimate failure load and the mode of failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant differences in displacement were observed between the configurations (<jats:italic>p<\/jats:italic>\u2009=\u20090.709). The DGS exhibited significantly higher ultimate failure loads (281.4\u2009\u00b1\u200953.5\u2009N) compared to TSS (166.8\u2009\u00b1\u200984.5\u2009N) and the LLS (119.7\u2009\u00b1\u200946.7\u2009N) (<jats:italic>p<\/jats:italic>\u2009=\u20090.006 and <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, respectively). Suture breakage was observed in the DGS group, while meniscus cutout was observed in the other suture configuration models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results suggest that the DGS provides superior fixation strength and enhances MMPRT repair outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jeo2.70149","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T03:45:07Z","timestamp":1737517507000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Biomechanical comparison of all\u2010inside meniscal suture configurations for posterior root tear: Three conventional stitches versus delta\u2010grip stitch"],"prefix":"10.1002","volume":"12","author":[{"given":"Kyohei","family":"Ishibashi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Hirosaki University Graduate School of Medicine Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4426-2526","authenticated-orcid":false,"given":"Kyota","family":"Ishibashi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hirosaki University Graduate School of Medicine Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Tsushima","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hirosaki University Graduate School of Medicine Hirosaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Hirosaki University Graduate School of Medicine Hirosaki 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