{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T17:50:40Z","timestamp":1785693040642,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T00:00:00Z","timestamp":1487203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T00:00:00Z","timestamp":1487203200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T00:00:00Z","timestamp":1487203200000},"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":[[2017,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the displacement, stiffness, and ultimate failure load of a fixed\u2010loop cortical suspensory device with 2 adjustable\u2010loop devices when positioned on metaphyseal bone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty devices (10 of each device) were positioned on the metaphyseal cortex of 30 porcine femora simulating anatomic anterior cruciate ligament femoral tunnel placement. Bovine tendons were used for soft tissue grafts, and the constructs were then cycled 1,000 times and pulled to failure, measuring displacement, stiffness, and failure load.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Initial displacement, cyclic displacement, and total displacement were 2.98\u00a0mm, 2.09\u00a0mm, and 5.08\u00a0mm for the Endobutton CL (ECL), 2.82\u00a0mm, 2.27\u00a0mm, and 5.09\u00a0mm for the Tightrope (TRT), and 4.25\u00a0mm, 3.19\u00a0mm, and 7.44\u00a0mm for the adjustable\u2010loop ToggleLoc Inline with Ziploop (TLZ), respectively. There was no difference between the ECL and the TRT on any measured outcome. Differences between the\u00a0TLZ and ECL were statistically significant (initial displacement\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .024, cyclic displacement\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001, and total displacement\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), as were those between the TLZ and TRT (initial displacement\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .010, cyclic displacement\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.001, and total displacement\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Failure loads were 804\u00a0N, 801\u00a0N, and 682\u00a0N for the TRT, ECL, and TLZ, respectively, with no statistically significant difference.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When positioned on the metaphyseal cortex, there was no difference in the biomechanical performance of the fixed\u2010loop ECL and adjustable\u2010loop TRT, and no lengthening of the TRTs was observed during cycling. However, the TLZ showed statistically significantly lower stiffness and more displacement during cycling with lengthening of the adjustable loop, the clinical significance of which is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>When used for femoral\u2010sided soft tissue graft fixation in an anatomically placed femoral tunnel, the adjustable\u2010loop TRT was biomechanically equivalent to the fixed\u2010loop ECL. However, the adjustable\u2010loop TLZ showed displacement during biomechanical testing that could potentially contribute to clinical failure after anterior cruciate ligament reconstruction. However, the clinical significance was not directly tested.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2016.12.014","type":"journal-article","created":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T16:16:38Z","timestamp":1487261798000},"page":"1225","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":35,"title":["Biomechanical Comparison of Fixed\u2010Loop and Adjustable\u2010Loop Cortical Suspensory Devices for Metaphyseal Femoral\u2010Sided Soft Tissue Graft Fixation in Anatomic Anterior Cruciate Ligament Reconstruction Using a Porcine Model"],"prefix":"10.1002","volume":"33","author":[{"given":"Darin D.","family":"Nye","sequence":"first","affiliation":[{"name":"Andrews Institute for Orthopaedics and Sports Medicine Gulf Breeze Florida U.S.A."},{"name":"Northwest Ohio Orthopedics and Sports Medicine Findlay Ohio U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Ryan","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of South Alabama Mobile Alabama U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Liu","sequence":"additional","affiliation":[{"name":"Auburn University Edward Via College of Osteopathic Medicine Auburn Alabama U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger V.","family":"Ostrander","sequence":"additional","affiliation":[{"name":"Andrews Institute for Orthopaedics and Sports Medicine Gulf Breeze Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,16]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261714"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020401"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.04.082"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.30609"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.01.021"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.018"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512469875"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2013.11.001"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.10.015"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300607"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01552161"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513507769"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513518297"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072040-00014"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/1025584021000001614"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(98)00094-1"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/10255840290010265"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2003.10.010"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199303000-00009"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508326706"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.22203\/eCM.v013a01"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806316310520?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806316310520?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.2016.12.014","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2016.12.014","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2016.12.014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:58:39Z","timestamp":1773565119000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2016.12.014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,16]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,6]]}},"alternative-id":["10.1016\/j.arthro.2016.12.014"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2016.12.014","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,16]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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