{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T10:31:49Z","timestamp":1775644309185,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>According to previous biomechanical studies, the success of meniscus root repair depends on the suture\u2013meniscus interface and optimisation of this procedure seems to be critical. A progressive, reliable and adjustable knot has numerous advantages in meniscal repair since the surgeon can adapt and meticulously tune the final strength of the fixation. We hypothesised that a single passage of one tape at two different points of the posterior meniscal root with a modified Nice knot configuration may allow similar or superior fixation for root repair compared to the cinch stitch suture technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Posterior root repair of medial and lateral meniscus was performed on 26 porcine knees. In group (A), two simple cinch stitches were applied, and in group (B), a modified Nice knot was used in a crossmatch configuration. For both groups, two passages through the meniscus with a 2\u2010mm braided tape were used, and a single transosseous tibial tunnel technique was performed and tested in pull\u2010out conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The modified Nice knot showed an improved biomechanical performance considering the maximum failure load for both the medial (600.7\u2009\u00b1\u200977.5\u2009N) and lateral (686.1\u2009\u00b1\u200983.5\u2009N) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006) posterior root fixation when compared to a double cinch stitch (558.0\u2009\u00b1\u2009123.9\u2009N) and (629.0\u2009\u00b1\u2009110.2\u2009N) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.178) for medial and lateral fixation, respectively. The maximum stiffness was also higher for the modified Nice knot configuration for both medial (17.1\u2009\u00b1\u20091.5\u2009vs. 13.3\u2009\u00b1\u20091.6\u2009N\/mm) and lateral meniscus (20.0\u2009\u00b1\u20092.6 vs. 13.8\u2009\u00b1\u20092.3\u2009N\/mm), being this difference statistically significative (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified Nice knot allowed better adaptation in the pull\u2010out tests and presented higher fixation strength, stiffness and reproducibility, with lower standard deviation, being at the same time economically advantageous, since only one tape is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12323","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T03:20:31Z","timestamp":1718940031000},"page":"2931-2937","source":"Crossref","is-referenced-by-count":3,"title":["The modified Nice knot has improved mechanical performance compared to the cinch stitch for meniscal root repair"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6813-043X","authenticated-orcid":false,"given":"Jo\u00e3o Pedro","family":"Oliveira","sequence":"first","affiliation":[{"name":"Faculty of Medicine University of Coimbra Coimbra Portugal"},{"name":"Orthopaedic Department, Hospitais da Universidade de Coimbra Unidade Local de Sa\u00fade de Coimbra Coimbra Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Ant\u00f3nio","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"ESAD \u2010 College of Art and Design &amp; ESAD.IDEA Matosinhos Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Carlos","family":"Noronha","sequence":"additional","affiliation":[{"name":"Vener\u00e1vel Ordem Terceira de S\u00e3o Francisco Oporto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f3nio","family":"Ramos","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering University of Aveiro Aveiro Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00748"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.22038\/ABJS.2021.60054.2958"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20161202-05"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514549447"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.01.005"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513502464"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2021.744065"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2010.04.006"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.174513"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07293-9"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4755-8"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.033"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.2016.28.2.147"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511413250"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4652-1"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514566191"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01252"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.06.023"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514563278"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2540-7"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002153"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508323254"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.08.010"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519830402"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07330-1"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-018-2347-z"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513499314"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.11.016"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510383394"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.11.015"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517749807"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2589-6"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1625-1"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512458574"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.09.002"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.4045893"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07528-3"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12323","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.12323","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T14:30:32Z","timestamp":1771165832000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12323"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,21]]},"references-count":37,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/ksa.12323"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12323","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,21]]}}}