{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:31:02Z","timestamp":1792269062317,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the biomechanical properties of rotator cuff repair with graft augmentation (RCR\u2010G) with regard to ultimate load to failure, gap displacement, and stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was performed by searching PubMed, the Cochrane library, and Embase using Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines to identify studies that analyzed the biomechanical properties of RCR\u2010G. The search string implemented used the concepts \u201crotator cuff\u201d and \u201cgraft,\u201d and \u201cbiomechanical\u201d OR \u201ccadaver.\u201d Meta\u2010analysis was performed to provide a quantitative comparison of the 2 techniques. Primary outcome measures were ultimate load to failure (N), gap displacement (mm), and stiffness (N\/mm).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our initial search yielded 1,493 articles for review. Following screening for inclusion criteria, 8 studies were included in the meta\u2010analysis, including a total of 191 cadaveric specimens (106 RCR\u2010G, 85 RCR). The pooled analysis from 6 studies reporting on ultimate load to failure revealed a statistically significant difference in favor of RCR\u2010G compared with RCR (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Pooled analysis from 6 studies reporting on gap displacement failed to reveal a difference between RCR\u2010G and RCR (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .719). Pooled analysis from 4 studies reporting on stiffness failed to reveal a difference between RCR\u2010G and RCR (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .842).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Graft augmentation of RCR in\u00a0vitro resulted in significantly increased ultimate load to failure, with no influence on gap formation or stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The biomechanical advantage of RCR with graft augmentation demonstrated via increased ultimate load to failure in cadaveric studies may provide an explanation for the decreased RCR retear rates and improved patient reported outcomes reported in the clinical literature regarding graft augmentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.04.023","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T22:12:21Z","timestamp":1684361541000},"page":"2202-2210","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Graft Augmentation of Rotator Cuff Repair Improves Load to Failure But Does Not Affect Stiffness or Gap Formation: A Meta\u2010analysis of Biomechanical Studies"],"prefix":"10.1002","volume":"39","author":[{"given":"Casey","family":"Imbergamo","sequence":"first","affiliation":[{"name":"MedStar Orthopaedic Institute Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark D.","family":"Wieland","sequence":"additional","affiliation":[{"name":"MedStar Orthopaedic Institute Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean B.","family":"Sequeira","sequence":"additional","affiliation":[{"name":"MedStar Orthopaedic Institute Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aneesh","family":"Patankar","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School New Brunswick New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C.","family":"Dreese","sequence":"additional","affiliation":[{"name":"MedStar Orthopaedic Institute Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heath P.","family":"Gould","sequence":"additional","affiliation":[{"name":"MedStar Orthopaedic Institute Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.04.006"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90148-9"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.004"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200402000-00002"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860050-00017"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.10.020"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.04.005"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518774762"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.07.013"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.11.039"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.008"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2012.05.001"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.12.016"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20140825-05"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2436-6"},{"key":"e_1_2_2_17_2","first-page":"E527","article-title":"Biomechanics of polyhydroxyalkanoate mesh\u2010augmented single\u2010row rotator cuff repairs","volume":"45","author":"Tashjian R.Z.","year":"2016","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_2_18_2","doi-asserted-by":"crossref","unstructured":"Wilke J Krause F Niederer D et\u00a0al. 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