{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:34:58Z","timestamp":1760920498334,"version":"build-2065373602"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,4,23]],"date-time":"2014-04-23T00:00:00Z","timestamp":1398211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2014,4,23]],"date-time":"2014-04-23T00:00:00Z","timestamp":1398211200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>In rotator cuff repair, strong and long\u2010lasting suturing techniques that do not require additional implants are needed. This study examines the ultimate load to failure and the Young's modulus at the suture\u2013tendon interface for a novel single\u2010loop knot stitch and double\u2010loop knot stitch. These values are compared to those of the modified Mason\u2013Allen stitch.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010four infraspinatus muscles with tendons were dissected from porcine shoulders (twelve Goettingen minipigs). The preparations were randomly allocated to three groups of eight samples. Load\u2010to\u2010failure testing of the single\u2010loop knot stitch, the double\u2010loop knot stitch and the mMAS were performed using a Zwick 1446 universal testing machine (Zwick\u2010Roell AG, Ulm, Germany).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The highest ultimate load to failure for the three techniques occurred with the double\u2010loop knot stitch with a median value of 382.2\u00a0N (range 291.8\u2013454.2\u00a0N). These values were significantly higher than those of the single\u2010loop knot stitch, which had a median value of 259.5\u00a0N (range 139.6\u2013366.3\u00a0N) and the modified Mason\u2013Allen stitch, which had a median value of 309.3\u00a0N (range 84.55\u2013382.9\u00a0N). The values of the single\u2010loop knot stitch and the modified Mason\u2013Allen stitch did not differ significantly. Regarding the Young's modulus, no significant differences were found between the double\u2010loop knot stitch with a median value of 496.02\u00a0N\/mm\u00b2 (range 400.4\u2013572.6\u00a0N\/mm\u00b2) and the modified Mason\u2013Allen stitch with 498.5\u00a0N\/mm\u00b2 (range 375.5\u2013749.2\u00a0N\/mm\u00b2) with respect to the stiffness of the suture\u2013tendon complex. The median value for the Young's modulus of the single\u2010loop knot stitch of 392.1\u00a0N\/mm\u00b2 (range 285.7\u2013510.6\u00a0N\/mm\u00b2) was significantly lower than those of the double\u2010loop knot stitch and modified Mason\u2013Allen stitch.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This in vitro animal study demonstrated that both the single\u2010loop knot stitch and the double\u2010loop knot stitch have excellent ultimate load\u2010to\u2010failure properties when used for rotator cuff repair. The introduced single\u2010loop knot stitch and double\u2010loop knot stitch offer an alternative to other common used stitch techniques in rotator cuff repair.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-014-2976-7","type":"journal-article","created":{"date-parts":[[2014,4,22]],"date-time":"2014-04-22T01:32:44Z","timestamp":1398130364000},"page":"1552-1558","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Novel single\u2010loop and double\u2010loop knot stitch in comparison with the modified Mason\u2013Allen stitch for rotator cuff repair"],"prefix":"10.1002","volume":"23","author":[{"given":"Stephan","family":"Frosch","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery Plastic and Reconstructive Surgery University Medicine G\u00f6ttingen Robert Koch Stra\u00dfe 40 37075 G\u00f6ttingen 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Philipp","family":"Sch\u00fcttrumpf","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Plastic and Reconstructive Surgery University Medicine G\u00f6ttingen Robert Koch Stra\u00dfe 40 37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"August","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Plastic and Reconstructive Surgery University Medicine G\u00f6ttingen Robert Koch Stra\u00dfe 40 37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus Michael","family":"St\u00fcrmer","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery Plastic and Reconstructive Surgery University Medicine G\u00f6ttingen Robert Koch Stra\u00dfe 40 37075 G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans Joachim","family":"Walde","sequence":"additional","affiliation":[{"name":"Department of 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