{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:41:09Z","timestamp":1790383269926,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,3,6]],"date-time":"2021-03-06T00:00:00Z","timestamp":1614988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the mechanical properties, tendon resistance to suture cutout, and knot size of a broad variety of high\u2010strength sutures and tapes available for arthroscopic rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Nine different types of high\u2010strength sutures and tapes for arthroscopic rotator cuff repair were studied: 6 were tapes (FiberTape, Hi\u2010Fi Tape, Permatape, SutureTape, UltraTape, and XBraid TT), and 3 were sutures (Dynacord, FiberWire, and Ultrabraid). First, mechanical tensile testing of suture loops (n\u00a0= 6) was performed. Second, the suture material was passed through an intact human cadaveric rotator cuff tendon (supraspinatus or infraspinatus), and cyclic as well as load\u2010to\u2010failure testing was performed, 8 times for each suture or tape. Statistical analysis of groups (tapes vs sutures) and between each suture and each tape was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Material testing revealed significant differences with superior mechanical properties of tapes compared with sutures regarding load for 3 mm of displacement (201 N vs 84 N,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001), displacement at 200 N (3.6 mm vs 6.6\u00a0mm,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.0001), stiffness (46 N\/mm vs 25 N\/mm,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001), and ultimate load to failure (509 N vs 288 N,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). FiberTape showed the highest ultimate load to failure (805.5 \u00b1 36.1 N), the highest load necessary for 3 mm of displacement (376.2 \u00b1 19.1 N), and the lowest displacement at a 200\u2010N load (2 \u00b1 0.1 mm). Permatape had the highest stiffness (58.5\u00a0\u00b1\u00a05.3 N\/mm). FiberTape had the highest knot height (9.5 \u00b1 1.3 mm) and knot width (3.8 \u00b1 0.7 mm) of a suture loop with 7 square knots. The typical failure mode in the cadaveric study part was tendon cut through.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Biomechanical in\u00a0vitro testing showed that high\u2010strength suture tapes compared with regular high\u2010strength sutures have significantly better mechanical properties in both dry\u2010laboratory testing and human cadaveric rotator cuff tendon pullout testing. FiberTape outperformed the other tapes and the sutures used in this analysis. Nonetheless, differences in tendon testing appeared to be less substantial than in dry\u2010laboratory testing, and FiberTape had the highest knot height and width.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>FiberTape revealed the most favorable biomechanical performance in dry\u2010laboratory and rotator cuff tendon testing. It may provide the best repair strength in\u00a0vivo; however, it also has the largest knot size.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.01.029","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T03:39:57Z","timestamp":1623728397000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":45,"title":["High\u2010Strength Suture Tapes Are Biomechanically Stronger Than High\u2010Strength Sutures Used in Rotator Cuff Repair"],"prefix":"10.1002","volume":"3","author":[{"given":"Paul","family":"Borbas","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Balgrist University Hospital Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Balgrist University Hospital Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lukas","family":"Ernstbrunner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Balgrist University Hospital Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Hoch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Balgrist University Hospital Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Bachmann","sequence":"additional","affiliation":[{"name":"Institute of Biomechanics ETH Zurich Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samy","family":"Bouaicha","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Balgrist University Hospital Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Wieser","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Balgrist University Hospital Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514561004"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.05.015"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511429778"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519876289"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(03)00122-0"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.09.018"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2018.08.010"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.034"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520934786"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2103-6"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.02.018"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2003.21"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.25329"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.06.013"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.02.028"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.07.018"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.08.013"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2018.09.004"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.053"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.04.075"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519867928"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314793"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.03.004"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2011.02.007"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20190424-09"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.06.018"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.021"}],"container-title":["Arthroscopy, 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}