{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T14:13:41Z","timestamp":1781878421748,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T00:00:00Z","timestamp":1469750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T00:00:00Z","timestamp":1469750400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T00:00:00Z","timestamp":1469750400000},"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":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the load to failure strength of anchor techniques suitable for osteoporotic bone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using an osteoporotic ovine model in 72 humeri, 6 fixation techniques were tested. Group 1: two interlocking 5\u2010mm anchors with\n                      <jats:italic>fewer<\/jats:italic>\n                      ,\n                      <jats:italic>wider threads<\/jats:italic>\n                      ; group 2: one 5\u2010mm anchor; group 3: one 5\u2010mm anchor reinforced laterally by a 6.5\u2010mm cancellous screw; group 4: one 5\u2010mm anchor in an area reinforced with a cancellous plug; group 5: two interlocking 5\u2010mm anchors with\n                      <jats:italic>smaller threads<\/jats:italic>\n                      ; group 6: one 5\u2010mm\n                      <jats:italic>smaller threaded<\/jats:italic>\n                      anchor. After a 10\u2010N preload, the specimens were cyclically loaded between 10\u00a0N and 30\u00a0N for 50 cycles and then destructively tested. Peak\u2010to\u2010peak displacement, cyclic elongation, ultimate load, stiffness, and failure mode were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Group 1 had lower peak\u2010to\u2010peak displacement than group 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), group 5 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), and group 6 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .033). In addition, group 1 showed lower cyclic elongation than group 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001), group 5 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .035), and group 6 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001). Group 1 had a higher ultimate load than group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002), group 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .019), and group 6 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .006). Group 1 also showed higher stiffness than group 2 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .007) and group 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .022). Mode of failure was predominantly caused by anchor pullout for all of the groups except group 3, which mainly failed by suture rupture.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Two interlocking suture anchors are stronger than a single anchor in osteoporotic bone. The anchor with fewer, wider threads and a smaller core diameter showed greater strength and less elongation than the other constructs. Reinforcement by cancellous autografting increased suture anchor strength.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Considering concerns about suture anchor pullout from osteoporotic bone, interlocking a second suture anchor with the first increases load to failure resistance. Anchors with small core diameters and fewer but wider threads are more efficient in osteoporotic bone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2016.05.040","type":"journal-article","created":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T21:36:14Z","timestamp":1469828174000},"page":"68-74","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["Suture Anchor Fixation in Osteoporotic Bone: A Biomechanical Study in an Ovine Model"],"prefix":"10.1002","volume":"33","author":[{"given":"Levent","family":"Horoz","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onur","family":"Hapa","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Alan","family":"Barber","sequence":"additional","affiliation":[{"name":"Plano Orthopedic and Sports Medicine Center Plano Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bu\u011fra","family":"H\u00fcsemo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Biomechanics Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"\u00d6zkan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Havit\u00e7io\u011flu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Dokuz Eyl\u00fcl University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,29]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.05.015"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509354989"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503262644"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-008-0689-4"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.103"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.02.015"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507312640"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.11.006"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1412-7"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2015.02.002"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.09.001"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.08.004"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-9-48"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.12.007"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806316303280?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806316303280?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.2016.05.040","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2016.05.040","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2016.05.040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:46:03Z","timestamp":1773564363000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2016.05.040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,29]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1016\/j.arthro.2016.05.040"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2016.05.040","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,29]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Suture Anchor Fixation in Osteoporotic Bone: A Biomechanical Study in an Ovine 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.2016.05.040","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"}]}}