{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:55:58Z","timestamp":1773564958536,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR047910"],"award-info":[{"award-number":["AR047910"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR049199"],"award-info":[{"award-number":["AR049199"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016380","name":"RIH Orthopaedic Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016380","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR049199"],"award-info":[{"award-number":["AR049199"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["AR047910"],"award-info":[{"award-number":["AR047910"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the in vitro repair integrity of massive rotator cuff tears fixed with transosseous tunnel and single\u2013lateral row suture anchor techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 5 \u00d7 2\u2013cm crescent\u2010shaped rotator cuff tear was created in 6 matched pairs of cadaveric shoulders. Paired shoulders were repaired with 3 transosseous tunnels and 6 Mason\u2010Allen sutures or with 3 screw\u2010in suture anchors and 6 simple sutures. The repairs were cyclically loaded at physiologic forces along the respective directions of pull when the arm was in 90\u00b0 of scapular plane elevation. Gap formation and repair displacements were monitored with digital video imaging at 3 sites for each repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no significant difference between the maximal gapping of the repair constructs. After 4,000 cycles, the mean maximal gapping at any position along the repair was 6.2 \u00b1 2.99 mm in the transosseous tunnel construct and 4.9 \u00b1 1.27 mm in the suture anchor repair construct (\n                      <jats:italic>P<\/jats:italic>\n                      = .40). Gapping was significantly less in the anterior region when compared with the posterior region of the repair (\n                      <jats:italic>P<\/jats:italic>\n                      = .015).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is no difference in cyclic loading of transosseous and single\u2010row suture anchor repair techniques. Significantly greater gap formation occurs at the posterior aspect of repairs of massive rotator cuff tears in this in vitro model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Initial fixation strength of single\u2010row suture anchor repairs is equivalent to that of transosseous repairs. Further research is required to determine the unknown clinical significance of increased posterior repair gap formation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2007.01.027","type":"journal-article","created":{"date-parts":[[2007,7,17]],"date-time":"2007-07-17T07:22:42Z","timestamp":1184656962000},"page":"710-716","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":31,"title":["Initial Fixation Strength of Massive Rotator Cuff Tears: In Vitro Comparison of Single\u2010Row Suture Anchor and Transosseous Tunnel Constructs"],"prefix":"10.1002","volume":"23","author":[{"given":"Robert Z.","family":"Tashjian","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Bioengineering Laboratory Brown Medical School\/Rhode Island Hospital Providence Rhode Island U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan","family":"Levanthal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Bioengineering Laboratory Brown Medical School\/Rhode Island Hospital Providence Rhode Island U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Spenciner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Bioengineering Laboratory Brown Medical School\/Rhode Island Hospital Providence Rhode Island U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Bioengineering Laboratory Brown Medical School\/Rhode Island Hospital Providence Rhode Island U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Braden C.","family":"Fleming","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Bioengineering Laboratory Brown Medical School\/Rhode Island Hospital Providence Rhode Island U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,7,1]]},"reference":[{"key":"e_1_2_2_2_1","first-page":"43","article-title":"Functional and anatomical results after rotator cuff repair","author":"Gazielly D.F.","year":"1994","journal-title":"Clin Orthop Relat 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}