{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:34:24Z","timestamp":1791426864951,"version":"4.3.3"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,8,5]],"date-time":"2022-08-05T00:00:00Z","timestamp":1659657600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T00:00:00Z","timestamp":1655164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008426","name":"DePuy Mitek","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008426","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011549","name":"American Orthopaedic Society for Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011549","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013615","name":"American Shoulder and Elbow Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013615","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":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To biomechanically compare a knotless double\u2010row construct with 3 medial all\u2010suture (3AS) anchors with a standard 2 medial hard body (2HB) anchor construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve matched cadaveric shoulder specimens with a mean age of 57 years (range: 54\u201061 years) were randomized to receive a knotless double\u2010row repair with either a 3AS or 2HB construct. In the 3AS construct, three 2.6\u2010mm all\u2010suture anchors were placed adjacent to the articular margin and secured laterally with two 4.75\u2010mm knotless hard body anchors. In the 2HB construct, two 4.75\u2010mm medial hard body anchors were placed medially, lateral fixation was identical to the 3AS construct. Creep, displacement, stiffness, and ultimate load were recorded for each sample. In addition, a SynDaver model was used to compare contact pressure between the 2 repair constructs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no differences in cyclic displacement at 1, 30, and 100 cycles (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .616, .497, .190, respectively), cyclic stiffness (.928), ultimate load (.445), or load to failure (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .445) between the 2 constructs. The 3AS repair construct had improved contact pressure between tendon and bone when compared with the 2HB construct at loads of 20 N, 30 N, and 40 N (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01, .02, and .04, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Displacement and load to failure properties are similar between knotless constructs using either 2HB or 3AS for the medial row. However, contact force may improve with the use of 3 medial all\u2010suture anchors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>As all\u2010suture anchors are smaller in size when compared with hard body anchors. For this reason, there is potential to place an additional all\u2010suture medial anchor to improve contact force and potentially improve rotator cuff healing when compared with the use of hard body anchors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2022.05.012","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T23:57:40Z","timestamp":1659657460000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Three Medial All Suture Anchors Improves Contact Force Compared to Two Hard Body Anchors in a Biomechanical Two\u2010Tendon Rotator Cuff Tear Model"],"prefix":"10.1002","volume":"4","author":[{"given":"Tammy R.","family":"Hoffman","sequence":"first","affiliation":[{"name":"Southern Oregon Orthopedics Medford Oregon U.S.A."},{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph D.","family":"Lamplot","sequence":"additional","affiliation":[{"name":"Emory Orthopaedics &amp; Spine Center Flowery Branch Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"McClish","sequence":"additional","affiliation":[{"name":"Arthrex Naples Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassie","family":"Payne","sequence":"additional","affiliation":[{"name":"Arthrex Naples Florida U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Denard","sequence":"additional","affiliation":[{"name":"Southern Oregon Orthopedics Medford Oregon U.S.A."},{"name":"Oregon Shoulder Institute Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,5]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211050899"},{"key":"e_1_2_3_3_2","volume-title":"Surgical 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years","volume":"9","author":"Pandey V.","year":"2021","journal-title":"Arch Bone Joint Surg"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.09.036"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.09.010"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jos.2020.02.017"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120938311"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.09.031"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.12.007"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2020.02.007"},{"key":"e_1_2_3_16_2","first-page":"527","article-title":"Clinical and radiological outcomes of rotator cuff repairs using all\u2010suture anchors as medial row anchors","volume":"9","author":"Memon K.A.","year":"2019","journal-title":"Arch Bone Joint 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}