{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T19:18:43Z","timestamp":1793992723724,"version":"4.8.0"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100009339","name":"Steadman Philippon Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009339","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the biomechanical performance of Bankart repair using 1.8\u2010mm knotless all\u2010suture anchors in comparison to 1.8\u2010mm knotted all\u2010suture anchors with both simple and horizontal mattress stitch configurations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty fresh\u2010frozen human cadaveric shoulders were dissected to the capsule, leaving the glenoid and humeral capsular insertions intact. A standardized anteroinferior labral tear was created and repaired using 3 anchors. A 2\u00a0\u00d7 2 factorial design was implemented, with 6 matched pairs randomized between knotless and knotted anchor repairs and 6 matched pairs randomized into simple and horizontal mattress stitch configurations. In addition, 6 unpaired shoulders were used to evaluate the native capsulolabral state. First failure load, ultimate load, and stiffness were assessed. Linear mixed\u2010effects modeling was used to compare endpoints. Digital image correlation was used to evaluate capsular strain throughout testing. Failure modes were reported qualitatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The knotless all\u2010suture anchor repair showed similar biomechanical strength to the knotted all\u2010suture anchors for first failure load (coefficient, 142 N; 95% confidence interval [CI], \u201330 to 314 N;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .12), ultimate load (coefficient, 11.1 N; 95% CI, \u2013104.9 to 127.2 N;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .847), and stiffness (coefficient, 3.4 N\/mm\n                      <jats:sup>2<\/jats:sup>\n                      ; 95% CI, \u201314.1 to 20.9 N\/mm\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .697) when stitch configuration was held constant. No statistically significant differences were found on comparison of simple and mattress stitch configurations for first failure load (coefficient, \u201331 N; 95% CI, \u2013205 to 143 N;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .720), ultimate load (coefficient, 112 N; 95% CI, \u2013321 to 97 N;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.291), and stiffness (coefficient, \u20139.6 N\/mm\n                      <jats:sup>2<\/jats:sup>\n                      ; 95% CI, \u201327.3 to 8.1 N\/mm\n                      <jats:sup>2<\/jats:sup>\n                      ;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .284) when anchor type was held constant. Specimens with knotless anchors and simple stitch techniques resulted in lower stiffness compared with the native state (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .030). The knotless\u2010mattress configuration resulted in significantly lower strain than the knotted\u2010mattress (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .037) and knotless\u2010simple (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .019) configurations and was the only configuration that did not result in a significant increase in strain compared with the intact specimens (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .216). Fewer instances of suture slippage (loss of loop security) were observed with knotless anchors versus knotted anchors (11% vs 30%), and less soft\u2010tissue failure was observed with the mattress stitch configuration versus the simple stitch configuration (36% vs 47%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Knotless and knotted all\u2010suture anchor repairs with simple and mattress stitch configurations showed similar values of ultimate load, first failure load, and stiffness. However, the horizontal mattress stitch configuration proved to decrease capsular strain more similarly to the native state compared with the simple stitch configuration. Ultimate load and first failure load for all repairs were similar to those of the native state.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Knotless all\u2010suture anchors have a smaller diameter than solid anchors, can be inserted through curved guides, and preserve glenoid bone stock. This study presents knotless, tensionable all\u2010suture anchor repair for labral tears that displays high biomechanical fixation strength, similar to the native capsulolabral state.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.01.046","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T11:40:51Z","timestamp":1581334851000},"page":"1523-1532","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":53,"title":["Biomechanical Evaluation of Knotless and Knotted All\u2010Suture Anchor Repair Constructs in 4 Bankart Repair Configurations"],"prefix":"10.1002","volume":"36","author":[{"given":"Lucca","family":"Lacheta","sequence":"first","affiliation":[{"name":"Center for Musculoskeletal Surgery Charit\u00e8 Universitaetsmedizin Berlin Berlin Germany"},{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Brady","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel I.","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant J.","family":"Dornan","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis J.","family":"Dekker","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"The Steadman Clinic Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Anderson","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burak","family":"Altintas","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"Krob","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Millett","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"The Steadman Clinic Vail Colorado 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