{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T12:07:46Z","timestamp":1794226066206,"version":"4.8.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2006,11,1]],"date-time":"2006-11-01T00:00:00Z","timestamp":1162339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2006,11,1]],"date-time":"2006-11-01T00:00:00Z","timestamp":1162339200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100008426","name":"DePuy Mitek","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008426","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the initial mechanical strength of 3 rotator cuff repair techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 30 fresh\u2010frozen cadaveric shoulders were prepared, and full\u2010thickness supraspinatus tears were created. Specimens were randomized and placed into 3 groups: (1) transosseous suture technique (group I: TOS, n = 10, 6F\/4M), (2) single\u2010row suture anchor fixation (group II: SRSA, n = 10, 6F\/4M), and (3) double\u2010row suture anchor fixation (group III: DRSA, n = 10, 6F\/4M). Each specimen underwent cyclic load testing from 5 N to 180 N at a rate of 33 mm\/sec. The test was stopped when complete failure (repair site gap of 10 mm) or a total of 5,000 cycles was attained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Group I (TOS) failed at an average of 75.3 \u00b1 22.49 cycles, and group II (SRSA) at an average of 798.3 \u00b1 73.28 cycles; group III (DRSA) had no failures because all samples were stopped when 5,000 cycles had been completed. Fixation strength of the DRSA technique proved to be significantly greater than that of SRSA (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), and both suture anchor groups were significantly stronger than the TOS group (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Suture anchor repairs were significantly stronger than transosseous repairs. Furthermore, double\u2010row suture anchor fixation was significantly stronger than was single\u2010row repair. Therefore, double\u2010row fixation may be superior to other techniques in that it provides a substantially stronger repair that could lead to improved biologic healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>A high incidence of incomplete healing occurs in rotator cuff repair. Use of double\u2010row fixation may help the clinician to address some deficiencies in current methods by increasing the strength of the repair, potentially leading to improved healing rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2006.07.004","type":"journal-article","created":{"date-parts":[[2006,11,2]],"date-time":"2006-11-02T18:32:19Z","timestamp":1162492339000},"page":"1168-1173","source":"Crossref","is-referenced-by-count":199,"title":["The Effect of Double\u2010Row Fixation on Initial Repair Strength in Rotator Cuff Repair: A Biomechanical Study"],"prefix":"10.1002","volume":"22","author":[{"given":"Steven W.","family":"Meier","sequence":"first","affiliation":[{"name":"The Center for Progressive Sports Medicine and Orthopedic Surgery Orange California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey D.","family":"Meier","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Midwestern University\u2013Chicago College of Osteopathic Medicine Olympia Fields Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,11,1]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659502300117"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90219-4"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(90)90099-Y"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200104"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(00)90026-4"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70119-7"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199407000-00009"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199407000-00014"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00004"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80293-2"},{"key":"e_1_2_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70280-7"},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200402000-00002"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90151-1"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32930"},{"key":"e_1_2_3_16_1","article-title":"Rotator cuff repair: The effect of double\u2010row fixation versus single\u2010row fixation on three\u2010dimensional repair site","author":"Meier SW","journal-title":"J Shoulder Elbow Surg"},{"key":"e_1_2_3_17_1","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.126208"},{"key":"e_1_2_3_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173100-00009"},{"key":"e_1_2_3_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90092-7"},{"key":"e_1_2_3_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.5650100817"},{"key":"e_1_2_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2003.12.016"},{"key":"e_1_2_3_22_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199909000-00009"},{"key":"e_1_2_3_23_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200004000-00006"},{"key":"e_1_2_3_24_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B3.8175836"},{"key":"e_1_2_3_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274100-00009"},{"key":"e_1_2_3_26_1","first-page":"379","volume":"78","author":"Walch G.","year":"1992","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"e_1_2_3_27_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668080-00002"},{"issue":"2","key":"e_1_2_3_28_1","first-page":"31","volume":"74","author":"Neer C.S.","year":"1988","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"e_1_2_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(03)00126-9"},{"key":"e_1_2_3_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310040301"},{"key":"e_1_2_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90006-2"},{"key":"e_1_2_3_32_1","unstructured":"S.W.Meier M.B.Manigrasso.Rotator cuff repair: The effect of double\u2010row fixation on tendon\u2013bone motion at the repair interface.2005 Presented at the 24th Annual Meeting of the Arthroscopy Association of North America; Vancouver BC May 13\u201015"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806306008772?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806306008772?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2006.07.004","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2006.07.004","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2006.07.004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:21:48Z","timestamp":1773566508000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2006.07.004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,11]]},"references-count":31,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2006,11]]}},"alternative-id":["10.1016\/j.arthro.2006.07.004"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2006.07.004","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,11]]}}}