{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:39:39Z","timestamp":1786984779274,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To present an alternative arthroscopic rip\u2010stop technique with a single suture tape weaved through the tendon from anterior to posterior and to biomechanically test its strength against a control technique consisting of a single\u2010row repair with simple sutures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a controlled biomechanical study. Dissection and harvesting of the supraspinatus muscle\u2010tendon unit were performed along the cable in 9 matched\u2010pair cadaveric shoulders. Samples were divided into 2 groups: simple suture repair only (SSR) and simple suture repair with rip\u2010stop (SSPR). Biomechanical testing was performed with an initial preload, followed by cyclic loading and then ramp to failure. Peak\u2010to\u2010peak displacement, stiffness (in newtons per millimeter), load at failure (in newtons), and failure mechanism were recorded. Data were compared using the paired\u2010sample\n                      <jats:italic>t<\/jats:italic>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The average peak\u2010to\u2010peak displacement for SSR samples was not significantly different from that of SSPR samples (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .96). Similarly, elongation in the SSR and SSPR groups was not significantly different (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .82). Stiffness was significantly different between the SSR and SSPR groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0054): SSR samples were less stiff than SSPR samples. Moreover, SSR samples failed at significantly lower forces than did SSPR samples (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .028). A larger percentage of failures occurred due to tendon cut\u2010through among SSR samples versus suture breakage among SSPR samples.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An alternative rip\u2010stop technique is presented in this biomechanical model that may assist surgeons to better deal with difficult rotator cuff repairs. Weaving a suture tape as a rip\u2010stop can increase stiffness, achieve higher failure loads when compared with simple suture repair with no rip\u2010stop, and reduce tendon cut\u2010through.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This study provides insight into a variation of rip\u2010stop stitch techniques that may help solve the clinical problem of failure occurring at the suture\u2010tendon interface, specifically tendon cut\u2010through.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.04.005","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T12:46:34Z","timestamp":1628253994000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["A Weaving Rip\u2010Stop Technique Leads to a Significantly Increased Load to Failure and Reduction in Suture\u2010Tendon Cut\u2010Through in a Biomechanical Model of Rotator Cuff Repair"],"prefix":"10.1002","volume":"3","author":[{"given":"Ryan A.","family":"Neeley","sequence":"first","affiliation":[{"name":"Florida Orthopaedic Institute Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel A.","family":"Diaz","sequence":"additional","affiliation":[{"name":"Foundation for Orthopaedic Research &amp; Education Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"II","given":"R. Allen","family":"Gorman","sequence":"additional","affiliation":[{"name":"Foundation for Orthopaedic Research &amp; Education Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Frankle","sequence":"additional","affiliation":[{"name":"Florida Orthopaedic Institute Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Mighell","sequence":"additional","affiliation":[{"name":"Florida Orthopaedic Institute Tampa Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.01.006"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4626-3"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0639-6"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B3.32336"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.11.004"},{"key":"e_1_2_2_7_2","unstructured":"iData Research.Over 460 000 rotator cuff surgeries per year reported in the United States by iData Research Published 2018https:\/\/idataresearch.com\/over\u2010460000\u2010rotator\u2010cuff\u2010surgeries\u2010per\u2010year\u2010reported\u2010in\u2010the\u2010united\u2010states\u2010by\u2010idata\u2010research\/. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}