{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:41:31Z","timestamp":1787982091844,"version":"build-2784847793"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T00:00:00Z","timestamp":1648252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T00:00:00Z","timestamp":1648252800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T00:00:00Z","timestamp":1648252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T00:00:00Z","timestamp":1648252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,12,18]],"date-time":"2021-12-18T00:00:00Z","timestamp":1639785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009027","name":"Smith and Nephew Orthopaedics Ltd","doi-asserted-by":"publisher","award":["A17-ASDUS-GR-598"],"award-info":[{"award-number":["A17-ASDUS-GR-598"]}],"id":[{"id":"10.13039\/100009027","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":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate three different methods of attachment of continuous loop suspensory cortical preparation of all soft tissue central quad tendon grafts compared to a bone block control for anterior cruciate ligament reconstruction on construct displacement and load to failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010two cadaveric central quadriceps tendon (CQT) specimens were harvested, using three clinical techniques for graft fixation: cortical button alone (BTB EB), BTB cortical button with rip\u2010stop suture (BTB RS), and continuous loop cortical button (BTB CL). A control group was also included that consisted of a bone block secured within testing clamps (BTB CON). Specimens were preloaded to 150 N. Tendons were then cyclically loaded between 50 N and 250 N for 1,000 cycles at .5 Hz. Displacement was measured at the point of fixation of the CQT after the 150 N preload, 250 N initial load and every 100th cycle. The specimens were loaded to failure after 1,000 cycles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was a significant increase in displacement from .32 \u00b1 .56 mm for the BTB CON to 1.91 \u00b1 1.13 mm for the BTB RS (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014) and 3.85 \u00b1 2.32 mm for the BTB CL condition (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .023). There was no significant increase in displacement for BTB EB (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .182). Failure occurred for all of the BTB CL and 62.5% of the BTB EB specimens within the first 50 cycles. Twenty\u2010five percent of the BTB CON specimens and 12.5% BTB RS failed at \u223c400 and 500 cycles, respectively. Similar failure loads were observed for the BTB CON and the BTB RS (446.4 \u00b1 151.46 N vs 505.74 \u00b1 131.41 N;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .99) Failure testing was not feasible for the BTB CL and BTB EB preparation methods.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In response to cyclic loading, the three all\u2010soft tissue suspensory conditions experienced significantly greater displacement compared to the bone block controls. None of the soft\u2010tissue conditions appeared superior when compared to each other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>It remains unknown which method of soft\u2010tissue suspensory provides optimal fixation. As these autografts become more common, it is essential to evaluate which fixation methods provide superior outcomes<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2021.12.008","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T22:10:12Z","timestamp":1648246212000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Biomechanical Comparison of Three Suspensory Techniques for all Soft Tissue Central Quadriceps Tendon Graft Fixation"],"prefix":"10.1002","volume":"4","author":[{"given":"Michelle E.","family":"Arakgi","sequence":"first","affiliation":[{"name":"Fowler Kennedy Sports Medicine Clinic Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy A.","family":"Burkhart","sequence":"additional","affiliation":[{"name":"Kinesiology and Physical Education University of Toronto Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Hoshino","sequence":"additional","affiliation":[{"name":"The Fraternity Memorial Hospital Yokoami, Sumida\u2010Ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Degen","sequence":"additional","affiliation":[{"name":"Fowler Kennedy Sports Medicine Clinic Western University London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Getgood","sequence":"additional","affiliation":[{"name":"Fowler Kennedy Sports Medicine Clinic Western University London Ontario 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}