{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:33:59Z","timestamp":1791426839734,"version":"4.3.3"},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T00:00:00Z","timestamp":1592092800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T00:00:00Z","timestamp":1592092800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T00:00:00Z","timestamp":1592092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,6,14]],"date-time":"2020-06-14T00:00:00Z","timestamp":1592092800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","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":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the cyclic displacement, stiffness, and ultimate load to failure of 3 all\u2010suture anchors in human cadaveric greater tuberosities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three all\u2010suture anchors indicated for rotator cuff repair were tested in 14 matched pairs of human cadaver fresh\u2010frozen humeri. Anchors were inserted at 3 locations from anterior to posterior along the greater tuberosity and placed 5 mm from the articular margin. The constructs were cycled from 10 to 60 N at 1 Hz for 200 cycles. The anchors that survived cycling were then subjected to a single pull to failure test. A Kruskal\u2010Wallis 1\u2010way analysis of variance on ranks was performed to compare the displacement, stiffness, and ultimate load to failure of the different anchors tested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One matched pair was excluded because of poor bone quality; therefore, 13 matched pairs were included in the study. After 20, 100, and 200 cycles, there was no difference in median displacement between the anchors tested (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .23,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .21,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .18, respectively). The median ultimate load\u2010to\u2010failure between the Iconix (295.2 N, 95% confidence interval [CI], 125\u2010762.2), JuggerKnot (287.6 N, 95% CI, 152.9\u2010584.4), and Q\u2010fix (333.3 N, 95% CI, 165.0\u2010671.9) showed no statistically significant difference (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .58). After 20, 100, and 200 cycles, there was no difference in median stiffness between the anchors tested (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .41,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .19,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .26 respectively). Displacement greater than 5 mm occurred in 0 Iconix anchors (0%), 1 JuggerKnot anchor (3.64%), and 2 Q\u2010fix anchors (7.69%). One JuggerKnot anchor failed by anchor pullout during cyclic loading.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>When tested in human cadaveric humeral greater tuberosities 3 all\u2010suture anchors, the 2.9\u2010mm JuggerKnot, the 2.8\u2010mm Q\u2010fix, and the 2.3\u2010mm Iconix, showed no significant differences in median displacement or stiffness after 20, 100, or 200 cycles or in median ultimate load to failure. Although not statistically significant, the Iconix was the only anchor tested to have no failures, whereas the JuggerKnot had both a clinical and catastrophic failure and the Q\u2010fix had 2 clinical failures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level V, Controlled Laboratory Study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.06.010","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T01:59:19Z","timestamp":1592186359000},"page":"2805-2811","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":13,"title":["Cyclic and Load\u2010to\u2010Failure Properties of All\u2010Suture Anchors in Human Cadaveric Shoulder Greater\u00a0Tuberosities"],"prefix":"10.1002","volume":"36","author":[{"given":"David P.","family":"Trofa","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Columbia University New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Ruder","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Atrium Health Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas C.","family":"Yeatts","sequence":"additional","affiliation":[{"name":"OrthoCarolina Sports Medicine Center Charlotte North Carolina U.S.A."},{"name":"Atrium Health \u2013 Musculoskeletal Institute Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D.","family":"Peindl","sequence":"additional","affiliation":[{"name":"Orthopaedic Engineering Research Laboratory Atrium Health Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nahir A.","family":"Habet","sequence":"additional","affiliation":[{"name":"Orthopaedic Engineering Research Laboratory Atrium Health Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan M.","family":"Saltzman","sequence":"additional","affiliation":[{"name":"OrthoCarolina Sports Medicine Center Charlotte North Carolina U.S.A."},{"name":"Atrium Health \u2013 Musculoskeletal Institute Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James E.","family":"Fleischli","sequence":"additional","affiliation":[{"name":"OrthoCarolina Sports Medicine Center Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,6,14]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(96)80028-0"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290187"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4595-6"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4564-0"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.03.013"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2018.11.008"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.56.2000535"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2018.02.014"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.023"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.022"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.12.036"},{"key":"e_1_2_2_13_2","first-page":"174","article-title":"Radiological 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