{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T22:50:02Z","timestamp":1779922202456,"version":"3.53.1"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the biomechanical strength of different fixation configurations using a suspensory button in a soft\u2010tissue quadriceps tendon graft for Anterior Cruciate Ligament (ACL) reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty fresh\u2010frozen bovine Achilles tendons (10\u00a0mm wide, 50\u00a0mm long, and 4\u00a0mm thick) were used in this study. Tendons were assigned to three groups (<jats:italic>n<\/jats:italic>\u2009=\u200910 per group) with different suture configurations using adjustable loops with a suspensory button: group A, with the threads of an adjustable loop fixed by crossing at the tip of the loop and the entire loop; group B, continuous loops with hanging buttons were directly sutured to the tendon with eight simple sutures; group C, fixation was performed using the speed whip ripstop technique. Tensile tests with five cycles of preloading were performed at 50\u00a0N, held at 50\u00a0N for 1\u00a0min, and load\u2010to\u2010failure testing was conducted until rupture at 5\u00a0mm\/min. The difference in the elongation and the maximum load\u2010to\u2010failure force were measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average elongation was significantly larger in group B (16.6\u2009\u00b1\u20092.2\u00a0mm) than in groups A (10.3\u2009\u00b1\u20092.4\u00a0mm) and C (10.0\u2009\u00b1\u20091.0\u00a0mm), (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The average load\u2010to\u2010failure force varied significantly between the three groups, 157.5\u2009\u00b1\u200933.4\u00a0N in group A, 253.4\u2009\u00b1\u200945.5\u00a0N in group B, and 337.7\u2009\u00b1\u200921.0\u00a0N in group C, (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fixation using the speed whip ripstop technique to fix the suspensory button and soft\u2010tissue transplant tendon resulted in minimal elongation and higher fixation strength. Simple devices that use this method have already been developed. Since it can be fixed using a relatively simple method, speed whip ripstop technique was shown to be advantageous for femoral fixation in ACL reconstruction using soft\u2010tissue quadriceps tendon. The findings of this study could help surgeons reduce graft re\u2010tear rates in ACL reconstruction using quadriceps tendons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>N\/A, laboratory control study.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07482-0","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T11:02:02Z","timestamp":1686826922000},"page":"4068-4075","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Speed whip ripstop technique during anterior cruciate ligament reconstruction using quadriceps tendon results in higher fixation strength"],"prefix":"10.1002","volume":"31","author":[{"given":"Tomoyuki","family":"Kanayama","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery, Graduate School of Medical Sciences Kanazawa University 13\u20101 Takara\u2010machi 920\u20108641 Kanazawa\u2010city Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9286-5276","authenticated-orcid":false,"given":"Junsuke","family":"Nakase","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery, Graduate School of Medical Sciences Kanazawa University 13\u20101 Takara\u2010machi 920\u20108641 Kanazawa\u2010city Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuhiro","family":"Kimura","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery, Graduate School of Medical Sciences Kanazawa University 13\u20101 Takara\u2010machi 920\u20108641 Kanazawa\u2010city Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikuto","family":"Yoshimizu","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery, Graduate School of Medical Sciences Kanazawa 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November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 June 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors did not receive and will not receive any benefits or funding from any commercial party related directly or indirectly to the subject of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No ethics approval for this study was required by the institutional review board of our institute. Institutional review board approval was not required as bovine Achilles tendons originally processed for food consumption were used in this study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"No informed consent for this study was required.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}