{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T10:08:03Z","timestamp":1773569283250,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T00:00:00Z","timestamp":1630022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T00:00:00Z","timestamp":1626998400000},"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 investigate whether pullout strength in the acellular dermal allograft matrix (ADM) used for superior capsule reconstruction depends on the distance from the edge of the graft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>ADM used for superior capsule reconstruction was obtained and cut into 30 squares. Two sutures were placed through the center of each graft by using a loaded Keith needle and forming a simple stitch. The grafts were divided into 3 groups of 10 grafts with a distance of 5 mm, 10 mm or 15 mm from the closest edge of the graft, respectively. The grafts were then preloaded to 5 N and pulled to failure at a rate of 12 mm\/s on an MTS 858 MiniBionix servohydraulic mechanical test frame. The load to failure was recorded as well as the stiffness of each graft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean load to failure was 34.5 N (SD 7.89) for the 5 mm grafts, 31.7 N (SD 5.99) for the 10 mm grafts, and 66.2 N (SD 18.4) for the 15 mm grafts. There was a significant difference (&lt;\u00a00.0001) between the large grafts (15 mm) and the 2 smaller grafts (10 mm, 5 mm). There was no significant difference in stiffness between the groups of graft (\n                      <jats:italic>P<\/jats:italic>\n                      0.40).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Placing the suture at least 15 mm from the edge of the graft increases the graft\u2019s ultimate yield strength to suture pullout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The depths of the suture in ADM could improve pullout strength for constructs of superior capsular reconstructions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.06.015","type":"journal-article","created":{"date-parts":[[2021,8,27]],"date-time":"2021-08-27T01:53:12Z","timestamp":1630029192000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Increased Bite Distance From the Edge Lowers Risk of\u00a0Pullout of Simple Sutures from Acellular\u00a0Dermal\u00a0Allograft"],"prefix":"10.1002","volume":"3","author":[{"given":"Chad D.","family":"Hanson","sequence":"first","affiliation":[{"name":"Oklahoma State University Medical Center Department of Orthopaedic Surgery Tulsa Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay C.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Oklahoma State University Medical Center Department of Orthopaedic Surgery Tulsa Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jake X.","family":"Checketts","sequence":"additional","affiliation":[{"name":"Oklahoma State University Medical Center Department of Orthopaedic Surgery Tulsa Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David P.","family":"Beason","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute Lemak Health Birmingham Alabama U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Pille","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute Lemak Health Birmingham Alabama U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Lemak","sequence":"additional","affiliation":[{"name":"American Sports Medicine Institute Lemak Health Birmingham Alabama U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,27]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.038"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-19-00057"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517745626"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.265"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.009"},{"key":"e_1_2_2_7_2","first-page":"266","article-title":"Superior capsular reconstruction: Clinical outcomes after minimum 2\u2010year follow\u2010up","volume":"46","author":"Andersen W.J.","year":"2017","journal-title":"Am J Orthop"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516631751"},{"key":"e_1_2_2_9_2","unstructured":"Stilwell R Stevens PJ. The biomechanics of AlloMend acellular dermal matrix: Ultimate tensile strength. pacmedical.com.https:\/\/pacmedical.com\/wp\u2010content\/uploads\/2018\/11\/AlloMend\u2010Suture\u2010Retention.pdf."},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.09.016"},{"key":"e_1_2_2_11_2","first-page":"888","article-title":"A\u00a0biomechanical study of suture pullout in linea alba","volume":"106","author":"Campbell J.A.","year":"1989","journal-title":"Surgery"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000000072"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.07.013"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2012.05.001"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X2100122X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X2100122X?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.asmr.2021.06.015","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2021.06.015","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2021.06.015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:58:59Z","timestamp":1773565139000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2021.06.015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,27]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1016\/j.asmr.2021.06.015"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2021.06.015","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,27]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Increased Bite Distance From the Edge Lowers Risk of\u00a0Pullout of Simple Sutures from Acellular\u00a0Dermal\u00a0Allograft","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2021.06.015","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 The Authors. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}