{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:18:53Z","timestamp":1784819933271,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T00:00:00Z","timestamp":1644537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,1,7]],"date-time":"2022-01-07T00:00:00Z","timestamp":1641513600000},"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":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the biomechanical properties of 2 different fixation techniques (interference bone plug fixation vs transosseous suture fixation) of the posterior horn of the medial meniscus using a porcine model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010six matched pairs of fresh\u2010frozen juvenile domestic porcine knees were used in this study. Specimens were randomly distributed among 3 groups: (1) native meniscus groups, (2) interference fixation, and (3) transosseous suture fixation. In each group, the posterior segments of the tested medial menisci were gripped with the freeze clamps and fixed to the tensile testing machine. Samples were preconditioned, followed by cyclic tension\u2010relaxation for 1000 cycles between 10 and 30 N at 0.5 Hz and finally pulled to failure at a rate of 0.55 mm\/s. The cyclic elongation, stiffness to failure, mode, and ultimate load to failure were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There was no significant difference in ultimate load to failure between the interference fixation (169.71 \u00b1 71.98 N) and transosseous suture fixation (222.73 \u00b1 72.40 N) groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .118), both were significantly less than that of the native meniscus (405.46 \u00b1 95.62) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Interference fixation displayed cyclic elongation (1.04 \u00b1 0.71 mm) and stiffness (69.10 \u00b1 25.8 N\/mm) that were not significantly different from the native meniscus tissue (0.78 \u00b1 0.53 mm and 83.1 \u00b126.28 N\/mm) (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .359 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .224), in comparison to transosseous suture fixation, which did show increased cyclic elongation (1.85 \u00b1 1.44 mm) (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .047) and decreased stiffness (34.72 \u00b1 10.2 N\/mm) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Interference fixation of the posterior horn of the medial meniscus has superior cyclic elongation and stiffness when compared to transosseous suture fixation. Interference fixation and the native meniscus model have a similar stiffness and cyclic elongation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The significance of our study is that using interference fixation for meniscal allograft transplantation has the potential to reduce short term surgical failures as well as long term complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2022.01.001","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T10:33:55Z","timestamp":1644575635000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Biomechanical Comparison of Meniscal Allograft Root Fixation Techniques: Anterograde Interference Bone Plug Fixation Yields Favorable Results Compared to Transosseous Suture Fixation Alone"],"prefix":"10.1002","volume":"4","author":[{"given":"Andrzej","family":"Brzezinski","sequence":"first","affiliation":[{"name":"Rutgers\u2010Robert Wood Johnson Medical School New Brunswick New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Imbergamo","sequence":"additional","affiliation":[{"name":"MedStar Union Memorial Hospital Baltimore Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Pfaff","sequence":"additional","affiliation":[{"name":"Rutgers\u2010Robert Wood Johnson Medical School New Brunswick New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rae","family":"Tarapore","sequence":"additional","affiliation":[{"name":"Rutgers\u2010Robert Wood Johnson Medical School New Brunswick New Jersey 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}