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The independent SA was looped over a femoral button and knotted on a tibial button. Preconditioned constructs were incrementally increased loaded (100N\/1,000 cycles) from 100N to 400N for 4,000 cycles (0.75 Hz) with final pull to failure (50 mm\/min). Isolated mechanical and optical measurements during construct loading of the SA allowed to quantify the load and elongation range during load sharing. Construct elongation, stiffness and ultimate strength were further assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Load sharing in 7\u2010mm grafts started earlier (200N) with a significant greater content than 9\u2010mm grafts (300N) to transfer 31% (125N) and 20% (80N) of the final load (400N) over the SA. Peak load sharing with SA reduced total elongation for 7\u2010mm (1.90 \u00b1 0.27 mm vs 4.77 \u00b1 1.08 mm,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and\u00a09\u2010mm grafts (1.50 \u00b1 0.33 mm vs 3.57 \u00b1 0.54 mm,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and adequately increased stiffness of 7\u2010mm (113.4 \u00b1 9.3 N\/mm vs 195.9 \u00b1 9.8 N\/mm,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) to the level of augmented 9\u2010mm grafts (208.9 \u00b1 13.7N\/mm). Augmentation of 7\u2010mm (835 \u00b1 92N vs 1,435 \u00b1 228N,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) and 9\u2010mm grafts (1,044 \u00b1 49N vs 1,806 \u00b1 157N,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) significantly increased failure loads.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Load sharing with SA occurred earlier (200N vs 300N) in lower stiffness 7\u2010mm grafts to carry 31% (7\u2010mm) and 20% (9\u2010mm) of the final load (400N). Loads until peak load sharing were transferred over the graft. Augmented constructs showed significantly lower construct elongation and increased stiffness without significance between variable grafts. Failure load of augmented grafts were significantly increased.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Suture tape ligament augmentation may potentially protect biological grafts from excessive peak loading and elongation, thus reducing the risk of graft tears.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.09.032","type":"journal-article","created":{"date-parts":[[2021,10,14]],"date-time":"2021-10-14T13:16:32Z","timestamp":1634217392000},"page":"88-98","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":45,"title":["Independent Suture Augmentation With All\u2010Inside Anterior Cruciate Ligament Reconstruction Reduces Peak Loads on Soft\u2010Tissue Graft. A Biomechanical Full\u2010Construct Study"],"prefix":"10.1002","volume":"38","author":[{"given":"Samuel","family":"Bachmaier","sequence":"first","affiliation":[{"name":"Department of Orthopedic Research Arthrex Inc. Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick A.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Missouri Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan H.","family":"Argintar","sequence":"additional","affiliation":[{"name":"MedStar Washington Hospital Center Washington DC U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence D.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Research Arthrex Inc. Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coen A.","family":"Wijdicks","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Research Arthrex Inc. 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