{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:08:28Z","timestamp":1791803308467,"version":"4.3.4"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T00:00:00Z","timestamp":1454544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T00:00:00Z","timestamp":1454544000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T00:00:00Z","timestamp":1454544000000},"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":[[2016,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare all\u2010inside cortical\u2010button suspensory fixation in sockets versus interference screw fixation in tunnels with respect to clinical, histologic, and biomechanical assessments of all\u2013soft tissue (AST) tendon autografts used for anterior cruciate ligament (ACL) reconstruction in a canine model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>By use of a validated \u201chybrid\u201d double\u2010bundle ACL reconstruction technique (reconstruction of the anteromedial bundle with preservation of the native posterolateral bundle), dogs were randomly assigned to undergo either suspensory fixation in sockets (n\u00a0= 6) or interference screw fixation in tunnels (n\u00a0= 6). Contralateral knees were used as nonoperated controls (n\u00a0= 12). Quadrupled extensor tendon autografts were used for both ACL reconstruction groups. Dogs were assessed radiographically and functionally and humanely euthanized at 12\u00a0weeks after surgery for arthroscopic, gross, biomechanical, and histologic assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Histologic assessments showed significantly (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .018) better graft incorporation with 4\u2010zone direct healing to bone for the grafts using suspensory fixation in sockets (16.3 \u00b1 1.5) compared with the grafts using interference screw fixation in tunnels (14.2 \u00b1 2.1). Furthermore, graft healing to bone was significantly better at the aperture (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .05) and mid\u2010socket (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01) location for the group that underwent suspensory fixation in sockets (16.1 \u00b1 1.8 and 16.4 \u00b1 1.9, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Suspensory fixation of AST grafts in sockets was associated with superior tendon\u2010to\u2010bone healing compared with interference screw fixation in tunnels, with 4\u2010zone direct graft healing to bone seen for femoral and tibial sockets only in the suspensory\u2010fixation group. Biomechanical properties were similar between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>These data provide evidence suggesting that an all\u2010inside ACL reconstruction technique using adjustable\u2010loop cortical\u2010button suspensory fixation in bone sockets has potential clinical advantages for ACL reconstruction using AST grafts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.11.026","type":"journal-article","created":{"date-parts":[[2016,2,4]],"date-time":"2016-02-04T09:01:04Z","timestamp":1454576464000},"page":"1086-1097","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":76,"title":["Suspensory Versus Interference Screw Fixation for Arthroscopic Anterior Cruciate Ligament Reconstruction in a Translational Large\u2010Animal Model"],"prefix":"10.1002","volume":"32","author":[{"given":"Patrick A.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."},{"name":"Columbia Orthopaedic Group Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Stannard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."},{"name":"Comparative Orthopaedic Laboratory Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferris M.","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."},{"name":"Comparative Orthopaedic Laboratory Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiichi","family":"Kuroki","sequence":"additional","affiliation":[{"name":"Comparative Orthopaedic Laboratory Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantelle C.","family":"Bozynski","sequence":"additional","affiliation":[{"name":"Comparative Orthopaedic Laboratory Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James L.","family":"Cook","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."},{"name":"Comparative Orthopaedic Laboratory Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,4]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01618"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290011601"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500409"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.30656"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261714"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00658.x"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.082"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290041601"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050151"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290059"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-008-0560-8"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.36112"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020401"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020501"},{"key":"e_1_2_3_16_2","first-page":"36","article-title":"Validation of a histologic scoring system for the examination of quality of tendon graft to bone tunnel healing in anterior cruciate ligament reconstruction","volume":"33","author":"Lui P.P.","year":"2011","journal-title":"Anal Quant Cytol Histol"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0118-6"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512469875"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.02.008"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.04.009"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2013.09.006"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(70)90050-3"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(98)00094-1"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1080\/10255840290010265"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2003.10.010"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-008-0584-0"},{"key":"e_1_2_3_27_2","first-page":"506","article-title":"Tibial fixation properties of a continuous\u2010loop ACL hamstring graft construct with suspensory fixation in porcine bone","volume":"28","author":"Smith P.A.","year":"2015","journal-title":"J\u00a0Knee Surg"},{"key":"e_1_2_3_28_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.30657"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22870"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020201"},{"key":"e_1_2_3_31_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2005.226.232"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00653.x"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2013.12049.x"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505278702"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.34.2000238"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199904000-00013"},{"key":"e_1_2_3_37_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466030-00005"},{"key":"e_1_2_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2012.08.005"},{"key":"e_1_2_3_39_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514552994"},{"key":"e_1_2_3_40_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199312000-00009"},{"key":"e_1_2_3_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500420"},{"key":"e_1_2_3_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050138"},{"key":"e_1_2_3_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050056"},{"key":"e_1_2_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.03.008"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806315009123?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806315009123?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2015.11.026","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2015.11.026","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2015.11.026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:43:17Z","timestamp":1773564197000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2015.11.026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,4]]},"references-count":43,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1016\/j.arthro.2015.11.026"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2015.11.026","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Suspensory Versus Interference Screw Fixation for Arthroscopic Anterior Cruciate Ligament Reconstruction in a Translational Large-Animal Model","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.2015.11.026","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}