{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:51:43Z","timestamp":1792083103193,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":83,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare a contemporary fixed\u2010loop cortical suspensory devices (CSDs) with metal interference screws (IS) for femoral bone\u2013patellar tendon\u2013bone (BPTB) graft fixation in anterior cruciate ligament reconstruction (ACLR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Seven matched pairs of fresh\u2010frozen human cadaveric knees underwent anatomical ACLR with BPTB grafts. Femoral fixation was randomized to a fixed\u2010loop CSD or metal IS. Specimens underwent cyclic loading at 50 and 100\u2009N at 1\u2009Hz until failure or up to 1000 cycles. Comparison between the fixation methods for cyclic displacement, displacement at failure, construct stiffness and ultimate load to failure was performed. Comparisons between fixation methods were performed using paired\n                      <jats:italic>t<\/jats:italic>\n                      tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fixed\u2010loop CSD fixation demonstrated significantly greater cyclic displacement than IS fixation (2.8\u2009\u00b1\u20090.9 vs. 1.7\u2009\u00b1\u20090.5\u2009mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008). Displacement at failure was significantly higher (12.3\u2009\u00b1\u20091.7 vs. 7.9\u2009\u00b1\u20091.1\u2009mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), and construct stiffness was lower (46\u2009\u00b1\u200910 vs. 84\u2009\u00b1\u200918\u2009N\/mm;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) with CSD fixation compared to IS fixation. There was no significant difference in ultimate load to failure (CSD fixation; 563\u2009\u00b1\u2009109 vs. IS fixation; 668\u2009\u00b1\u2009217\u2009N;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.31). Failure occurred mainly as lateral cortical fractures with CSD and proximal graft avulsions with IS fixation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fixed\u2010loop CSD fixation of BPTB grafts demonstrated greater deformation and lower stiffness than IS fixation, and with similar ultimate failure strength. The clinical relevance of the observed difference remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70921","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T12:24:16Z","timestamp":1790079856000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Greater deformation and lower stiffness, but similar ultimate failure strength with fixed\u2010loop cortical suspensory device compared to metal interference screw for femoral fixation of bone\u2013patellar tendon\u2013bone grafts in anterior cruciate ligament reconstruction"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1668-609X","authenticated-orcid":false,"given":"Alexander Nagel","family":"Tandberg","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Martina Hansens Hospital B\u00e6rum Norway"},{"name":"University of Oslo, UIO Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5568-3840","authenticated-orcid":false,"given":"Marek","family":"Zegzdryn","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery S\u00f8rlandet Hospital Arendal Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9266-129X","authenticated-orcid":false,"given":"Jan\u2010Egil","family":"Brattgjerd","sequence":"additional","affiliation":[{"name":"University of Oslo, UIO Oslo Norway"},{"name":"Department of Orthopedic Surgery Oslo University Hospital, Ulleva\u030al Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilbert","family":"Moatshe","sequence":"additional","affiliation":[{"name":"University of Oslo, UIO Oslo Norway"},{"name":"Department of Orthopedic Surgery Oslo University Hospital, Ulleva\u030al Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2163-3403","authenticated-orcid":false,"given":"Arne Kristian","family":"Aune","sequence":"additional","affiliation":[{"name":"Aleris Hospital Drammen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90015-2"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280052501"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.06.032"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-3780-7"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-022-00544-1"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2012.3768"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300041501"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118801762"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514553779"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11133648"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211049370"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515614813"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80348-2"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518771365"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659602400314"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513511419"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2017.1406243"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512469875"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00600-4"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00601-3"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-020-00235-9"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.19.00037"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.11138\/jts\/2015.3.3.102"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671251335978"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00013611-199903000-00003"}],"container-title":["Journal 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