{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:28:30Z","timestamp":1782127710066,"version":"3.54.5"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:00:00Z","timestamp":1425254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:00:00Z","timestamp":1425254400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:00:00Z","timestamp":1425254400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the tendon graft holding strength of 3 needleless grasping suture techniques, namely the modified Prusik knot, Wittstein suture loop, and modified rolling hitch.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty fresh\u2010frozen porcine flexor profundus tendons were used and randomly divided into 3 groups of 10 specimens. The experimental procedure was designed to assess elongation of the suture\u2010tendon construct across 3 different needleless tendon\u2010grasping techniques. All suture configurations were completed with a multistranded nonabsorbable suture. Each tendon was pre\u2010tensioned to 100\u00a0N for 3 cycles, cyclically loaded to 200\u00a0N for 200 cycles, and then finally loaded to failure. Elongation, load to failure, and mode of failure for each suture\u2010tendon construct were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During cyclic loading, there were no significant differences in elongation for any of the tested suture\u2010tendon constructs (modified rolling hitch, 21.2% \u00b1 9.6%; modified Prusik knot, 21.4% \u00b1 9.9%; and Wittstein suture loop, 26.2% \u00b1 4.5%). Similarly, the failure load and cross\u2010sectional area were not significantly different across all tested suture groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified Prusik knot, Wittstein suture loop, and modified rolling\u2010hitch techniques had equal elongation after cyclic loading, as well as load to failure, in this in\u00a0vitro biomechanical evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>These needleless grasping suture techniques may be an attractive alternative to the commonly used whipstitch techniques for tendon graft fixation in ligament reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.01.011","type":"journal-article","created":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T00:49:56Z","timestamp":1425343796000},"page":"1151-1155","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Evaluation of 3 Needleless Grasping Suture Techniques for Soft\u2010Tissue Graft Fixation: A Porcine Biomechanical Study"],"prefix":"10.1002","volume":"31","author":[{"given":"Chih\u2010Kai","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Medicine National Cheng Kung University College of Medicine Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming\u2010Long","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering National Cheng Kung University Tainan Taiwan"},{"name":"Medical Device Innovation Center National Cheng Kung University Tainan 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