{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T20:03:14Z","timestamp":1784577794730,"version":"3.55.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"DOI":"10.1007\/s00402-026-06362-9","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T19:29:37Z","timestamp":1784575777000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing initial biomechanical strength (\u201cTime Zero\u201d) of posterior repair in total hip arthroplasty: a biomechanical comparison of suture materials and knot configurations"],"prefix":"10.1007","volume":"146","author":[{"given":"Ming","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dayi","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoyuan","family":"Du","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulong","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"6362_CR1","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","volume":"370","author":"ID Learmonth","year":"2007","unstructured":"Learmonth ID, Young C, Rorabeck C (2007) The operation of the century: total hip replacement. Lancet 370:1508\u20131519. https:\/\/doi.org\/10.1016\/S0140-6736(07)60457-7","journal-title":"Lancet"},{"key":"6362_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-67015-2","author":"J Charnley","year":"2012","unstructured":"Charnley J (2012) Low-friction arthroplasty of the hip: theory and practice. Springer Sci Bus Media. https:\/\/doi.org\/10.1007\/978-3-642-67015-2","journal-title":"Springer Sci Bus Media"},{"key":"6362_CR3","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1186\/s12891-020-03244-y","volume":"21","author":"X Sun","year":"2020","unstructured":"Sun X, Zhu X, Zeng Y, Zhang H, Zeng J, Feng W, Li J, Zeng Y (2020) The effect of posterior capsule repair in total hip arthroplasty: a systematic review and meta-analysis. BMC Musculoskelet Disord 21:263. https:\/\/doi.org\/10.1186\/s12891-020-03244-y","journal-title":"BMC Musculoskelet Disord"},{"key":"6362_CR4","doi-asserted-by":"publisher","first-page":"2055","DOI":"10.1007\/s00264-025-06618-w","volume":"49","author":"A Cherry","year":"2025","unstructured":"Cherry A, Broderick JM, Thompson ZS, Pentland V, Dietz MJ, Khoshbin A, Atrey A (2025) Trans-osseous repair of the posterior structures is superior to direct suturing in posterior approach total hip arthroplasty: a comparative cadaveric study. Int Orthop 49:2055\u20132061. https:\/\/doi.org\/10.1007\/s00264-025-06618-w","journal-title":"Int Orthop"},{"key":"6362_CR5","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/13696998.2020.1854989","volume":"24","author":"J Mantel","year":"2021","unstructured":"Mantel J, Chitnis AS, Ruppenkamp J, Holy CE, Daccach J (2021) Healthcare resource utilization and costs for hip dislocation following primary total hip arthroplasty in the Medicare population. J Med Econ 24:10\u201318. https:\/\/doi.org\/10.1080\/13696998.2020.1854989","journal-title":"J Med Econ"},{"key":"6362_CR6","doi-asserted-by":"publisher","first-page":"811","DOI":"10.1302\/0301-620X.104B7.BJJ-2021-1732.R1","volume":"104\u2013B","author":"T Galvain","year":"2022","unstructured":"Galvain T, Mantel J, Kakade O, Board TN (2022) Treatment patterns and clinical and economic burden of hip dislocation following primary total hip arthroplasty in England. Bone Joint J 104\u2013B:811\u2013819. https:\/\/doi.org\/10.1302\/0301-620X.104B7.BJJ-2021-1732.R1","journal-title":"Bone Joint J"},{"key":"6362_CR7","doi-asserted-by":"publisher","first-page":"4015","DOI":"10.1007\/s00402-021-04264-6","volume":"142","author":"A Stolarczyk","year":"2022","unstructured":"Stolarczyk A, Stolarczyk M, Maci\u0105g BM, Oleksy \u0141, Kaczmarczyk J, Wodka-Natkaniec E, Wnuk B, Machelski A, Kochanowicz A (2022) Analysis of biomechanical gait parameters in patients after total hip replacement operated via anterolateral approach depending on size of the femoral head implant: retrospective matched-cohort study. Arch Orthop Trauma Surg 142:4015\u20134023. https:\/\/doi.org\/10.1007\/s00402-021-04264-6","journal-title":"Arch Orthop Trauma Surg"},{"key":"6362_CR8","doi-asserted-by":"publisher","unstructured":"Tanaka H, Baba K, Mori Y, Kuriyama Y, Kanabuchi R, Itoi E, Aizawa T (2025) Biomechanical comparison of transverse capsulotomy versus longitudinal capsulotomy of the hip: a cadaveric study. Orthop J Sports Med 13. https:\/\/doi.org\/10.1177\/23259671251334145","DOI":"10.1177\/23259671251334145"},{"key":"6362_CR9","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1302\/2046-3758.411.2000484","volume":"4","author":"RJ van Arkel","year":"2015","unstructured":"van Arkel RJ, Amis AA, Jeffers JRT (2015) The capsular ligaments provide more joint stability during hip extension than in flexion. Bone Joint Res 4:174\u2013181. https:\/\/doi.org\/10.1302\/2046-3758.411.2000484","journal-title":"Bone Joint Res"},{"key":"6362_CR10","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1186\/s13018-020-02084-9","volume":"15","author":"C Sun","year":"2020","unstructured":"Sun C, Zhang X, Ma Q, Du R, Cai X, Yang H (2020) Transosseous versus transmuscular repair of the posterior soft tissue in primary hip arthroplasty: a meta-analysis. J Orthop Surg Res 15:547. https:\/\/doi.org\/10.1186\/s13018-020-02084-9","journal-title":"J Orthop Surg Res"},{"key":"6362_CR11","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1097\/00003086-200401000-00026","volume":"418","author":"KT Suh","year":"2004","unstructured":"Suh KT, Park BG, Choi YJ (2004) A posterior approach to primary total hip arthroplasty with soft tissue repair. Clin Orthop Relat Res 418:162\u2013167. https:\/\/doi.org\/10.1097\/00003086-200401000-00026","journal-title":"Clin Orthop Relat Res"},{"key":"6362_CR12","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1097\/00003086-200112000-00019","volume":"393","author":"RE White Jr","year":"2001","unstructured":"White RE Jr, Forness TJ, Allman JK, Junick DW (2001) Effect of posterior capsular repair on early dislocation in primary total hip replacement. Clin Orthop Relat Res 393:163\u2013167. https:\/\/doi.org\/10.1097\/00003086-200112000-00019","journal-title":"Clin Orthop Relat Res"},{"key":"6362_CR13","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1097\/00003086-200212000-00007","volume":"405","author":"JL Masonis","year":"2002","unstructured":"Masonis JL, Bourne RB (2002) Surgical approach, MRI, and dislocation in THA. Clin Orthop Relat Res 405:46\u201353. https:\/\/doi.org\/10.1097\/00003086-200212000-00007","journal-title":"Clin Orthop Relat Res"},{"key":"6362_CR14","doi-asserted-by":"publisher","unstructured":"Horberg JV, Coobs BR, Jiwanlal AK, Betzle CJ, Capps SG, Moskal JT (2021) Dislocation rates following total hip arthroplasty via the direct anterior approach in a consecutive, non-selective cohort. Bone Joint J 103-B(7 Suppl B 38\u201345. https:\/\/doi.org\/10.1302\/0301-620X.103B7.BJJ-2020-2297.R1","DOI":"10.1302\/0301-620X.103B7.BJJ-2020-2297.R1"},{"key":"6362_CR15","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1097\/00003086-199810000-00024","volume":"355","author":"PM Pellicci","year":"1998","unstructured":"Pellicci PM, Bostrom M, Poss R (1998) Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clin Orthop Relat Res 355:224\u2013228. https:\/\/doi.org\/10.1097\/00003086-199810000-00024","journal-title":"Clin Orthop Relat Res"},{"key":"6362_CR16","doi-asserted-by":"publisher","first-page":"12716","DOI":"10.26717\/BJSTR.2019.17.002985","volume":"17","author":"SWY Lee","year":"2019","unstructured":"Lee SWY, Wong YR, Tay SC (2019) Biomechanical investigation of different tying forces on knot security. Biomed J Sci Tech Res 17:12716\u201312721. https:\/\/doi.org\/10.26717\/BJSTR.2019.17.002985","journal-title":"Biomed J Sci Tech Res"},{"key":"6362_CR17","doi-asserted-by":"publisher","first-page":"15","DOI":"10.4103\/0973-6042.174513","volume":"10","author":"SW Hill","year":"2016","unstructured":"Hill SW, Chapman CR, Adeeb S, Duke K, Beaupre L, Bouliane MJ (2016) Biomechanical evaluation of the Nice knot. Int J Shoulder Surg 10:15\u201320. https:\/\/doi.org\/10.4103\/0973-6042.174513","journal-title":"Int J Shoulder Surg"},{"key":"6362_CR18","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1177\/147332260400400201","volume":"4","author":"CB Frank","year":"2004","unstructured":"Frank CB (2004) Ligament structure, physiology and function. J Musculoskelet Neuronal Interact 4:199\u2013201. https:\/\/doi.org\/10.1177\/147332260400400201","journal-title":"J Musculoskelet Neuronal Interact"},{"key":"6362_CR19","doi-asserted-by":"publisher","first-page":"1795","DOI":"10.2106\/00004623-199312000-00009","volume":"75","author":"SA Rodeo","year":"1993","unstructured":"Rodeo SA, Arnoczky SP, Torzilli PA, Hidaka C, Warren RF (1993) Tendon-healing in a bone tunnel: a biomechanical and histological study in the dog. J Bone Joint Surg Am 75:1795\u20131803. https:\/\/doi.org\/10.2106\/00004623-199312000-00009","journal-title":"J Bone Joint Surg Am"},{"key":"6362_CR20","doi-asserted-by":"publisher","first-page":"1793","DOI":"10.2106\/00004623-200210000-00008","volume":"84","author":"W Sioen","year":"2002","unstructured":"Sioen W, Simon JP, Labey L, Van Audekercke R (2002) Posterior transosseous capsulotendinous repair in total hip arthroplasty: a cadaver study. J Bone Joint Surg Am 84:1793\u20131798. https:\/\/doi.org\/10.2106\/00004623-200210000-00008","journal-title":"J Bone Joint Surg Am"},{"key":"6362_CR21","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.jmbbm.2017.01.033","volume":"68","author":"GM Cooney","year":"2017","unstructured":"Cooney GM, Lake SP, Thompson DM, Castile RM, Winter DC, Simms CK (2017) The suture pullout characteristics of human and porcine linea alba. J Mech Behav Biomed Mater 68:103\u2013114. https:\/\/doi.org\/10.1016\/j.jmbbm.2017.01.033","journal-title":"J Mech Behav Biomed Mater"},{"key":"6362_CR22","doi-asserted-by":"publisher","first-page":"32074","DOI":"10.1038\/srep32074","volume":"6","author":"SA Ranamukhaarachchi","year":"2016","unstructured":"Ranamukhaarachchi SA, Lehnert S, Ranamukhaarachchi SL, Sprenger L, Schneider T, Mansoor I, Rai K, H\u00e4feli UO, Stoeber B (2016) A micromechanical comparison of human and porcine skin before and after preservation by freezing for medical device development. Sci Rep 6:32074. https:\/\/doi.org\/10.1038\/srep32074","journal-title":"Sci Rep"},{"key":"6362_CR23","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s43019-020-00053-4","volume":"32","author":"JR Matthews","year":"2020","unstructured":"Matthews JR, Wang J, Zhao J, Kluczynski MA, Bisson LJ (2020) The influence of suture materials on the biomechanical behavior of suture-meniscal specimens: a comparative study in a porcine model. Knee Surg Relat Res 32:42. https:\/\/doi.org\/10.1186\/s43019-020-00053-4","journal-title":"Knee Surg Relat Res"},{"key":"6362_CR24","first-page":"306","volume":"65","author":"BV Chokshi","year":"2007","unstructured":"Chokshi BV, Ishak C, Iesaka K, Jazrawi LM, Kummer FJ, Rosen JE (2007) The modified racking hitch (MRH) knot: a new sliding knot for arthroscopic surgery. Bull NYU Hosp Jt Dis 65:306\u2013307","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"6362_CR25","doi-asserted-by":"publisher","first-page":"e382","DOI":"10.3928\/01477447-20161202-05","volume":"40","author":"P Boileau","year":"2017","unstructured":"Boileau P, Alami G, Rumian A, Schwartz DG, Trojani C, Seidl AJ (2017) The doubled-suture Nice knot. Orthopedics 40:e382\u2013e386. https:\/\/doi.org\/10.3928\/01477447-20161202-05","journal-title":"Orthopedics"},{"key":"6362_CR26","first-page":"176","volume":"44","author":"LC Armstrong","year":"2015","unstructured":"Armstrong LC, Chong A, Livermore RW, Prohaska DJ, Doyon AN, Wooley PH (2015) In vitro and in situ characterization of arthroscopic loop security and knot security of braided polyblend sutures: a biomechanical study. Am J Orthop 44:176\u2013182","journal-title":"Am J Orthop"},{"key":"6362_CR27","doi-asserted-by":"publisher","first-page":"975","DOI":"10.2106\/00004623-199907000-00011","volume":"81","author":"RH Gelberman","year":"1999","unstructured":"Gelberman RH, Boyer MI, Brodt MD, Winters SC, Silva MJ (1999) The effect of gap formation at the repair site on tendon gliding: a biomechanical and histologic study in the dog. J Bone Joint Surg Am 81:975\u2013982. https:\/\/doi.org\/10.2106\/00004623-199907000-00011","journal-title":"J Bone Joint Surg Am"},{"key":"6362_CR28","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1093\/biomet\/52.3-4.591","volume":"52","author":"SS Shapiro","year":"1965","unstructured":"Shapiro SS, Wilk MB (1965) An analysis of variance test for normality (complete samples). Biometrika 52:591\u2013611. https:\/\/doi.org\/10.1093\/biomet\/52.3-4.591","journal-title":"Biometrika"},{"key":"6362_CR29","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3758\/BF03193146","volume":"39","author":"F Faul","year":"2007","unstructured":"Faul F, Erdfelder E, Lang AG, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175\u2013191. https:\/\/doi.org\/10.3758\/BF03193146","journal-title":"Behav Res Methods"},{"key":"6362_CR30","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1080\/01621459.1952.10483441","volume":"47","author":"WH Kruskal","year":"1952","unstructured":"Kruskal WH, Wallis WA (1952) Use of ranks in one-criterion variance analysis. J Am Stat Assoc 47:583\u2013621. https:\/\/doi.org\/10.1080\/01621459.1952.10483441","journal-title":"J Am Stat Assoc"},{"key":"6362_CR31","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1177\/1753193408099818","volume":"34","author":"MM Al-Qattan","year":"2009","unstructured":"Al-Qattan MM, Al-Turaiki TM (2009) Flexor tendon repair in zone 2 using a six-strand figure of eight suture. J Hand Surg Eur Vol 34:322\u2013328. https:\/\/doi.org\/10.1177\/1753193408099818","journal-title":"J Hand Surg Eur Vol"},{"key":"6362_CR32","first-page":"84","volume":"30","author":"S Najibi","year":"2010","unstructured":"Najibi S, Banglmeier R, Matta JM, Tannast M (2010) Material properties of common suture materials in orthopaedic surgery. Iowa Orthop J 30:84\u201388","journal-title":"Iowa Orthop J"},{"key":"6362_CR33","doi-asserted-by":"publisher","first-page":"582","DOI":"10.6061\/clinics\/2017(09)08","volume":"72","author":"W Yang","year":"2017","unstructured":"Yang W, Qiao D, Ren Y, Dong Y, Shang Y, Zhang T (2017) A biomechanical analysis of the interlock suture and a modified Kessler-loop lock flexor tendon suture. Clinics 72:582\u2013587. https:\/\/doi.org\/10.6061\/clinics\/2017(09)08","journal-title":"Clinics"},{"key":"6362_CR34","doi-asserted-by":"publisher","first-page":"1897","DOI":"10.1016\/j.jse.2019.02.028","volume":"28","author":"BD Owens","year":"2019","unstructured":"Owens BD, Algeri J, Liang V, DeFroda S (2019) Rotator cuff tendon tissue cut-through comparison between 2 high-tensile strength sutures. J Shoulder Elb Surg 28:1897\u20131902. https:\/\/doi.org\/10.1016\/j.jse.2019.02.028","journal-title":"J Shoulder Elb Surg"},{"key":"6362_CR35","doi-asserted-by":"publisher","first-page":"106371","DOI":"10.1016\/j.clinbiomech.2024.106371","volume":"120","author":"Y Hattori","year":"2024","unstructured":"Hattori Y, Usami T, Kosuwon W, Paholpak P, Sukhonthamarn K, Takada N, Takeda S, Waguri-Nagaya Y, Ueki Y, Murakami H, Kuroyanagi G (2024) Biomechanical tensile test for capsule repair comparing suturing methods including interrupted, continuous, and barbed sutures. Clin Biomech 120:106371. https:\/\/doi.org\/10.1016\/j.clinbiomech.2024.106371","journal-title":"Clin Biomech"},{"key":"6362_CR36","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/S0749-8063(00)90034-7","volume":"16","author":"SS Burkhart","year":"2000","unstructured":"Burkhart SS, Wirth MA, Simonich M, Salem D, Lanctot DR, Athanasiou KA (2000) Knot security in simple sliding knots and its relationship to rotator cuff repair: how secure must the knot be? Arthroscopy 16:202\u2013207. https:\/\/doi.org\/10.1016\/S0749-8063(00)90034-7","journal-title":"Arthroscopy"},{"key":"6362_CR37","doi-asserted-by":"publisher","first-page":"13","DOI":"10.3389\/fsurg.2016.00013","volume":"3","author":"BD Kuhns","year":"2016","unstructured":"Kuhns BD, Weber AE, Levy DM, Bedi A, Mather RC III, Salata MJ, Nho SJ (2016) Capsular management in hip arthroscopy: an anatomic, biomechanical, and technical review. Front Surg 3:13. https:\/\/doi.org\/10.3389\/fsurg.2016.00013","journal-title":"Front Surg"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-026-06362-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-026-06362-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-026-06362-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T19:29:38Z","timestamp":1784575778000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-026-06362-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,20]]},"references-count":37,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6362"],"URL":"https:\/\/doi.org\/10.1007\/s00402-026-06362-9","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,20]]},"assertion":[{"value":"1 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they have no conflicts of interest related to the material presented in this manuscript.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This in vitro biomechanical study utilized commercially sourced porcine dermal tissue obtained from a standard commercial abattoir. The experimental protocol was reviewed and approved by the Institutional Animal Care and Use Committee (IACUC) of Shenzhen People\u2019s Hospital (Approval No. AUP-250708-WH-0670-01). No live animals were utilized or sacrificed specifically for the purposes of this research.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"264"}}