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Adjustable loop suspensory implants and cortical buttons were used for fixation on a porcine tibia and acrylic block. Testing included force\u2010controlled cyclic loading at 250 N and 400 N followed by load to failure.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The 2 suture augmentation groups had less total elongation and increased stiffness compared to the nonsuture\u2010augmented group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .025). The SemiT+2.0\u2010mm tape group had 36% less total elongation and 34% increased stiffness compared to SemiT+1.3mm tape (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Suture augmentation improves construct biomechanics at time zero following hamstring tendon ACLR. Augmentation with 2.0\u2010mm tape suture improves construct biomechanics compared to 1.3\u2010mm tape suture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Independent suture augmentation of a quadrupled SemiT graft improves ACLR construct biomechanics. Outcomes were improved with augmentation using 2.0\u2010mm tape suture compared to 1.3\u2010mm tape suture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.06.020","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T15:10:15Z","timestamp":1687619415000},"page":"124-132","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Suture Augmentation of a Four\u2010Strand Semitendinosus Graft Improves Time\u2010Zero Biomechanical Properties"],"prefix":"10.1002","volume":"40","author":[{"given":"Garrett J.","family":"Wallace","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Daniel","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jed A.","family":"Diekfuss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Emory University School of Medicine Atlanta Georgia USA"},{"name":"Emory Sports Performance and Research Center (SPARC) Flowery Branch Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allen A.","family":"Champagne","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Queen\u2019s University Kingston Ontario Canada"},{"name":"School of Medicine Queen\u2019s University Kingston Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Myer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Emory University School of Medicine Atlanta Georgia USA"},{"name":"Emory Sports Performance and Research Center (SPARC) Flowery Branch Georgia U.S.A."},{"name":"Emory Sports Medicine Center Atlanta Georgia U.S.A."},{"name":"The Micheli Center for Sports Injury Prevention Waltham Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarred","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Emory University School of Medicine Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph D.","family":"Lamplot","sequence":"additional","affiliation":[{"name":"Campbell Clinic Memphis Tennessee 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