{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T03:38:24Z","timestamp":1790134704633,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["NCKUH 10904008"],"award-info":[{"award-number":["NCKUH 10904008"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["10904008"],"award-info":[{"award-number":["10904008"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["11101005"],"award-info":[{"award-number":["11101005"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the correlation between suture contamination and rotator cuff tendon retear after arthroscopic rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing primary arthroscopic rotator cuff repair from April 1, 2020, to September 30, 2022, were enrolled. Those younger than 18 years, with a history of shoulder surgeries or shoulder infection episodes, or who declined participation were excluded. A 5\u2010cm section of the first\u2010cut suture, originating from the anchor eyelet ends, in each rotator cuff repair surgery was subjected to bacteria culture and polymerase chain reaction analysis. Patients with positive culture findings were matched 1:1 to those with negative culture reports based on age, sex, tear size as well as involved tendons, preoperative fatty infiltration grade (Goutallier grade), and preoperative muscle atrophy grade (Warner score). Postoperative rotator cuff tendon retear assessments were conducted at the 6\u2010month mark using the Sugaya classification via magnetic resonance imaging. The Wilcoxon signed\u2010rank test was used for matched\u2010pair comparisons between the groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 141 patients (60 men and 81 women) with a mean age of 61.0 \u00b1 8 years were finally enrolled. Twenty\u2010six patients (18 men and 8 women) had a positive culture, while 115 patients (42 men and 73 women) had a negative culture. After the propensity score matching process, 24 culture\u2010negative patients (16 men and 8 women) were selected as the culture\u2010negative group. Age, fatty infiltration grade, and muscle atrophy grade were not significantly different between matched groups. The retear grade in the culture\u2010positive group was significantly higher than that in the culture\u2010negative group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .020) under the matched\u2010pair comparison.\n                      <jats:italic>Cutibacterium acnes<\/jats:italic>\n                      was the most prevalent bacterial species responsible for suture contamination.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The matched\u2010pair analysis revealed that the presence of bacterial contamination on sutures was associated with a higher risk of retear on magnetic resonance imaging following arthroscopic rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.02.019","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T23:59:55Z","timestamp":1708559995000},"page":"2372-2378","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Suture Contamination During Arthroscopic Rotator Cuff Repair Is Associated With Significantly Higher Retear Rates in Magnetic Resonance Imaging: A Matched\u2010Pair Analysis"],"prefix":"10.1002","volume":"40","author":[{"given":"Chih\u2010Kai","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"},{"name":"Department of Orthopaedic Surgery National Cheng Kung University Hospital Dou\u2010Liou Branch Yunlin Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai\u2010Lan","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fa\u2010Chuan","family":"Kuan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueh","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Kaohsiung Veteran General Hospital Tainan Branch Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010Ting","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Pathology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei\u2010Fang","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Pathology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po\u2010Lin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"},{"name":"Center for Infection Control National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei\u2010Ren","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan"},{"name":"Musculoskeletal Research Center Innovation Headquarter National Cheng Kung University Tainan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,21]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i8.612"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-18-00232"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2019.02.008"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4202-2"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.03.038"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.01.029"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.10.029"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-023-05971-y"},{"key":"e_1_2_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2020.03.004"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4630-1"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.12.037"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.11.007"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-018-9462-7"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms10030605"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.10.033"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1472-765X.2004.01506.x"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.011"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.12.186"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.19.00039"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.3343\/alm.2020.40.1.63"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118774302"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.1021\/acsnano.3c03556"},{"key":"e_1_2_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.10.016"},{"key":"e_1_2_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.03.003"},{"key":"e_1_2_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.07.019"},{"key":"e_1_2_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.02.016"},{"key":"e_1_2_4_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04640-w"},{"key":"e_1_2_4_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-022-00807-0"},{"key":"e_1_2_4_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.05.010"},{"key":"e_1_2_4_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.04.027"},{"key":"e_1_2_4_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.12.005"},{"key":"e_1_2_4_33_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453670903316868"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806324001543?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806324001543?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.02.019","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2024.02.019","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2024.02.019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:29:51Z","timestamp":1773566991000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2024.02.019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,21]]},"references-count":32,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1016\/j.arthro.2024.02.019"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2024.02.019","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,21]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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