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Orthopaedics"},{"DOI":"10.13039\/501100004208","name":"\u00d6ssur","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004208","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Athletico"},{"name":"ConMed Linvatec"},{"name":"Miomed"},{"name":"Mitek"},{"name":"Arthroscopy"},{"name":"Vindico Medical-Orthopedics Hyperguide"}],"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":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the biomechanical properties of all\u2010suture suture anchors (ASSAs) with conventional suture anchors (CSAs) for double\u2010row rotator cuff repair (RCR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fourteen fresh\u2010frozen human cadaveric shoulders were randomized into 2 RCR treatment groups: ASSA and CSA. All constructs received a double\u2010row repair, with the lateral\u2010row implants consisting of two 5.5\u2010mm PEEK (polyether ether ketone) Footprint anchors. Each construct was loaded to a 10\u2010N preload for 2\u00a0minutes, followed by cyclic loading from 10 to 160\u00a0N at a rate of 100\u00a0N\/s for 100 cycles. Load\u2010to\u2010failure testing was performed immediately after cyclic loading testing at 1\u00a0mm\/s from the zero position until failure. Cyclic creep, elongation amplitude, maximum load, stiffness, energy, and failure mode were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant difference in cyclic creep (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .117) or elongation amplitude (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .428) was found between the ASSA and CSA groups during cyclic testing. Three specimens in each group (43% in each) failed by the suture tearing through the tendon. The remaining specimens in each group failed by the anchor pulling out of the humeral head. The mean maximum load was 617.73 \u00b1 177.77\u00a0N and 545.13 \u00b1 212.98\u00a0N for the ASSA and CSA groups, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .339). Maximum elongation before failure\u00a0was not different between groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .122). Mean energy and stiffness were not statistically different between the ASSA and CSA groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .629 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .973, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this cadaveric analysis with a simplified unidirectional experimental setup, failure mechanics and maximum load between the ASSA and CSA constructs were similar, with no difference in energy and stiffness. Although the ASSA group showed slightly larger elongation than\u00a0the CSA group, these differences may not be clinically relevant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This study provides a biomechanical head\u2010to\u2010head comparison of ASSAs and CSAs, indicating that ASSAs may be clinically equivalent to CSAs for use in an RCR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.01.023","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T17:30:27Z","timestamp":1555349427000},"page":"1370-1376","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Biomechanical Analysis of Medial\u2010Row All\u2010Suture Suture Anchor Fixation for Rotator Cuff Repair in a Pair\u2010Matched Cadaveric Model"],"prefix":"10.1002","volume":"35","author":[{"given":"Eamon D.","family":"Bernardoni","sequence":"first","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel M.","family":"Frank","sequence":"additional","affiliation":[{"name":"CU Sports Medicine Department of Orthopedics University of Colorado School of Medicine Boulder Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreya S.","family":"Veera","sequence":"additional","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian R.","family":"Waterman","sequence":"additional","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin W.","family":"Griffin","sequence":"additional","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth F.","family":"Shewman","sequence":"additional","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian J.","family":"Cole","sequence":"additional","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony A.","family":"Romeo","sequence":"additional","affiliation":[{"name":"Section of Sports Medicine Department of Orthopaedic 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