{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:31:19Z","timestamp":1773570679105,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T00:00:00Z","timestamp":1296432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T00:00:00Z","timestamp":1296432000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T00:00:00Z","timestamp":1296432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,1,31]],"date-time":"2011-01-31T00:00:00Z","timestamp":1296432000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100014388","name":"Acumed","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014388","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008450","name":"Biomet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008450","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007064","name":"NuVasive","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007064","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004320","name":"Philips","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004320","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006338","name":"Zimmer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006338","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":[[2011,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the biomechanical performance of a completely knotless double\u2010row repair system (SutureCross Knotless Anatomic Fixation System; KFx Medical, Carlsbad, CA) with 2 commonly used hybrid double\u2010row repair (medial knot\u2010tying, lateral knotless) systems (Bio\u2010Corkscrew\/PushLock [Arthrex, Naples, FL] and Spiralok\/Versalok [DePuy Mitek, Raynham, MA]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Fourteen pairs of fresh\u2010frozen cadaveric shoulders were harvested, the supraspinatus tendons were isolated, and full\u2010thickness supraspinatus tears were created. One of each pair was repaired with the completely knotless system, and the contralateral side was repaired with either of the hybrid systems. The repairs were then subjected to cyclic loading followed by load to failure. Conditioning elongation, peak\u2010to\u2010peak elongation, ultimate load, and mechanism of failure were recorded and compared by use of paired\n                      <jats:italic>t<\/jats:italic>\n                      tests. Seven additional shoulders were tested to determine the effect of refrigeration storage on the completely knotless system by use of the same mechanical testing protocol.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For the completely knotless repair group, 11 of 14 paired specimens failed during the cyclic loading period. Only 1 of 14 hybrid repair systems had failures during cyclic loading, and both hybrid repair systems had statistically lower conditioning elongation than the completely knotless repair group. The mean ultimate load of the SutureCross group was 166 \u00b1 87 N, which was significantly lower than that in the Corkscrew\/PushLock (310 \u00b1 82 N) and Spiralok\/Versalok (337 \u00b1 44 N) groups. There was an effect of refrigeration storage on the peak\u2010to\u2010peak elongation and stiffness of the SutureCross group; however, there was no difference in ultimate tensile load or conditioning elongation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The completely knotless repair system has lower time\u2010zero biomechanical properties than the other 2 hybrid systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The SutureCross system has lower time\u2010zero biomechanical properties when compared with other hybrid repair systems. Clinical outcome studies are needed to determine the significance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2010.09.015","type":"journal-article","created":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T04:46:11Z","timestamp":1296621971000},"page":"479-485","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":24,"title":["Comparison of Completely Knotless and Hybrid Double\u2010Row Fixation Systems: A Biomechanical Study"],"prefix":"10.1002","volume":"27","author":[{"given":"Thomas","family":"Chu","sequence":"first","affiliation":[{"name":"Biomechanical Testing Facility UCSF\/SFGH Orthopaedic Trauma Institute San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik","family":"McDonald","sequence":"additional","affiliation":[{"name":"Biomechanical Testing Facility UCSF\/SFGH Orthopaedic Trauma Institute San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Tufaga","sequence":"additional","affiliation":[{"name":"Biomechanical Testing Facility UCSF\/SFGH Orthopaedic Trauma Institute San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Utku","family":"Kandemir","sequence":"additional","affiliation":[{"name":"Biomechanical Testing Facility UCSF\/SFGH Orthopaedic Trauma Institute San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenni","family":"Buckley","sequence":"additional","affiliation":[{"name":"Biomechanical Testing Facility UCSF\/SFGH Orthopaedic Trauma Institute San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Benjamin","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of California, San Francisco San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,31]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322903"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200606000-00003"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.02.018"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314424"},{"key":"e_1_2_2_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02887"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507313574"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.07.017"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-008-0625-7"},{"key":"e_1_2_2_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508331203"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.012"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.08.026"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2006.01.017"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.03.006"},{"key":"e_1_2_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505279575"},{"key":"e_1_2_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.09.011"},{"key":"e_1_2_2_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.03.007"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806310010030?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806310010030?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.2010.09.015","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2010.09.015","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2010.09.015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:11:37Z","timestamp":1773565897000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2010.09.015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1,31]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["10.1016\/j.arthro.2010.09.015"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2010.09.015","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1,31]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Comparison of Completely Knotless and Hybrid Double-Row Fixation Systems: A Biomechanical Study","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2010.09.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2011 Arthroscopy Association of North America. 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