{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:41:11Z","timestamp":1790383271553,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2011,9,19]],"date-time":"2011-09-19T00:00:00Z","timestamp":1316390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,9,19]],"date-time":"2011-09-19T00:00:00Z","timestamp":1316390400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,9,19]],"date-time":"2011-09-19T00:00:00Z","timestamp":1316390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,9,19]],"date-time":"2011-09-19T00:00:00Z","timestamp":1316390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2011,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We have occasionally observed suture loosening in initial suture legs after final fixation of adjacent suture legs in the lateral row of rotator cuff repairs during arthroscopic rotator cuff repair with transosseous\u2010equivalent suture\u2010bridge constructs. We sought to determine how this occurred and what effects it had on tendon fixation stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six pairs of fresh\u2010frozen human shoulders were prepared with a simulated cuff defect. A suture\u2010bridge repair was performed in each specimen with one of each pair randomized to one type of \u201cknotless\u201d lateral\u2010row screw\u2010in anchor and the other of the pair to a knotless push\u2010in type. The repairs were cyclically loaded with 100 N for 1,000 cycles. Suture leg tensions were measured during the repair and after cycling. Lateral tendon laxity was measured before and after cycling. A pilot study on the effect of suture tension on the tendon contact footprint was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The initial suture legs did not show a decrease in tension after the second lateral\u2010row anchor was secured. Tension of the suture legs after cycling showed that no one leg loosened more than another; however, they all loosened when compared with total suture tensions before cycling (0.1 to 1.0 mm,\n                      <jats:italic>P<\/jats:italic>\n                      = .008). There was no significant difference between suture tension changes for the 2 anchor types after cycling (\n                      <jats:italic>P<\/jats:italic>\n                      = .140). Although the lateral tendon laxity increased slightly (0.04 mm) after cycling, this was not significant (\n                      <jats:italic>P<\/jats:italic>\n                      = .245), nor was there a difference between anchor types.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Suture loosening occurred after cycling these rotator cuff repairs, but this did not appear to affect lateral tendon laxity for the 2 lateral anchor types studied, although medial tendon movement was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Suture loosening after cycling the 2 transosseous\u2010equivalent suture\u2010bridge repairs studied could affect the area and pressure of tendon\u2010bone contact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.06.019","type":"journal-article","created":{"date-parts":[[2011,9,16]],"date-time":"2011-09-16T10:16:10Z","timestamp":1316168170000},"page":"1478-1484","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Suture Loosening and Its Effect on Tendon Fixation in Knotless Double\u2010Row Rotator Cuff Repairs"],"prefix":"10.1002","volume":"27","author":[{"given":"Frederick","family":"Kummer","sequence":"first","affiliation":[{"name":"Department of Orthopedics New York University Hospital for Joint Diseases New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Hergan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York University Hospital for Joint Diseases New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Thut","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York University Hospital for Joint Diseases New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Pahk","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York University Hospital for Joint Diseases New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laith M.","family":"Jazrawi","sequence":"additional","affiliation":[{"name":"Department of Orthopedics New York University Hospital for Joint Diseases New York New York 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}