{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T02:43:58Z","timestamp":1769827438337,"version":"3.49.0"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,8,1]],"date-time":"2019-08-01T00:00:00Z","timestamp":1564617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Biomechanics"],"published-print":{"date-parts":[[2019,8]]},"DOI":"10.1016\/j.jbiomech.2019.06.021","type":"journal-article","created":{"date-parts":[[2019,7,2]],"date-time":"2019-07-02T14:12:52Z","timestamp":1562076772000},"page":"132-139","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Biomechanical testing of various suture techniques for Achilles tendon repair with and without augmentation by using synthetic polyester grafts"],"prefix":"10.1016","volume":"93","author":[{"given":"Alexander","family":"Jahnke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Gernandt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helge","family":"Hudel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gafar Adam","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Rickert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Alfonso","family":"Fonseca Ulloa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Stolz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"20\u201322","key":"10.1016\/j.jbiomech.2019.06.021_b9000","doi-asserted-by":"crossref","first-page":"1646","DOI":"10.1080\/09638280701785882","article-title":"Achilles tendon problems: not just an orthopaedic issue","volume":"30","author":"Ames","year":"2008","journal-title":"Disabil Rehabil."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0005","doi-asserted-by":"crossref","first-page":"329","DOI":"10.3113\/FAI.2008.0329","article-title":"A biomechanical study of Achilles tendon repair augmentation using GraftJacket matrix","volume":"29","author":"Barber","year":"2008","journal-title":"Foot Ankle Int."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0010","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1053\/j.jfas.2014.02.001","article-title":"Collagen ribbon augmentation of Achilles tendon tears: a biomechanical evaluation","volume":"53","author":"Berlet","year":"2014","journal-title":"J. Foot Ankle Surg.: Off. Publ. Am. College Foot Ankle Surgeons"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0015","doi-asserted-by":"crossref","first-page":"A63-A63","DOI":"10.1111\/j.1445-2197.2009.04927_46.x","article-title":"The arterial anatomy of the Achilles tendon: anatomical study and clinical implications","volume":"79","author":"Chen","year":"2009","journal-title":"ANZ J. Surg."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0020","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s00276-001-0259-8","article-title":"Effects of freezing\/thawing on the biomechanical properties of human tendons","volume":"23","author":"Clavert","year":"2001","journal-title":"Surg. Radiol. Anatom.: SRA"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0025","first-page":"492","article-title":"Acute rupture of the tendo calcaneus. Surgical repair with functional aftertreatment","volume":"53","author":"Crolla","year":"1987","journal-title":"Acta Orthopaedica Belgica"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0030","doi-asserted-by":"crossref","first-page":"S545","DOI":"10.3113\/FAI.2011.0545","article-title":"Augmented tendon Achilles repair using a tissue reinforcement scaffold: a biomechanical study","volume":"32","author":"Giza","year":"2011","journal-title":"Foot Ankle Int."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0035","series-title":"Langzeitergebnisse operativ behandelter Achillessehnenrupturen","author":"Guckenberger","year":"2004"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0040","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s00402-008-0602-1","article-title":"Biomechanical comparison of the primary stability of suturing Achilles tendon rupture: a cadaver study of Bunnell and Kessler techniques under cyclic loading conditions","volume":"128","author":"Herbort","year":"2008","journal-title":"Archiv. Orthopaed. Trauma Surg."},{"issue":"10","key":"10.1016\/j.jbiomech.2019.06.021_b9005","doi-asserted-by":"crossref","first-page":"2419","DOI":"10.1177\/0363546514540599","article-title":"Acute achilles tendon ruptures: incidence of injury and surgery in Sweden between 2001 and 2012","volume":"42","author":"Huttunen","year":"2014","journal-title":"Am J Sports Med."},{"issue":"3","key":"10.1016\/j.jbiomech.2019.06.021_b9035","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1177\/036354658901700305","article-title":"The role of recreational sport activity in Achilles tendon rupture. A clinical, pathoanatomical, and sociological study of 292 cases","volume":"17","author":"J\u00f3zsa","year":"1989","journal-title":"Am J Sports Med."},{"issue":"1","key":"10.1016\/j.jbiomech.2019.06.021_b9025","doi-asserted-by":"crossref","first-page":"e133","DOI":"10.1111\/sms.12253","article-title":"Epidemiology of Achilles tendon ruptures: increasing incidence over a 33-year period","volume":"25","author":"Lantto","year":"2015","journal-title":"Scandinavian journal of medicine science in sports"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0045","doi-asserted-by":"crossref","first-page":"79","DOI":"10.2165\/00007256-199825020-00002","article-title":"Total Achilles tendon rupture (Auckland, N.Z.). A review","volume":"25","author":"Leppilahti","year":"1998","journal-title":"Sports Med."},{"issue":"4","key":"10.1016\/j.jbiomech.2019.06.021_b9040","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S0020-1383(96)00200-8","article-title":"The incidence of Achilles tendon rupture in Copenhagen","volume":"28","author":"Levi","year":"1997","journal-title":"Injury."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0050","doi-asserted-by":"crossref","first-page":"316281","DOI":"10.1155\/2012\/316281","article-title":"Tendon regeneration and repair with stem cells","volume":"2012","author":"MacLean","year":"2012","journal-title":"Stem Cells Int."},{"issue":"3","key":"10.1016\/j.jbiomech.2019.06.021_b9045","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/00042752-199907000-00007","article-title":"Changing incidence of Achilles tendon rupture in Scotland: a 15-year study","volume":"9","author":"Maffulli","year":"1999","journal-title":"Clin J Sport Med."},{"issue":"7","key":"10.1016\/j.jbiomech.2019.06.021_b9050","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.2106\/00004623-199907000-00017","article-title":"Rupture of the Achilles tendon","volume":"81","author":"Maffulli","year":"1999","journal-title":"J Bone Joint Surg Am."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0055","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1007\/s00167-010-1193-2","article-title":"Marked pathological changes proximal and distal to the site of rupture in acute Achilles tendon ruptures","volume":"19","author":"Maffulli","year":"2011","journal-title":"Knee Surgery Sports Traumatol. Arthrosc.: Off. J. ESSKA"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0060","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1177\/1753193411414117","article-title":"A study of the anatomy and repair strengths of porcine flexor and extensor tendons: are they appropriate experimental models?","volume":"36","author":"Mao","year":"2011","journal-title":"J. Hand Surg., Eur."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0065","doi-asserted-by":"crossref","first-page":"983","DOI":"10.2106\/00004623-199907000-00011","article-title":"Early motion of the ankle after operative treatment of a rupture of the Achilles tendon. A prospective, randomized clinical and radiographic study","volume":"81","author":"Mortensen","year":"1999","journal-title":"J. Bone Joint Surg."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0070","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1177\/0363546505284186","article-title":"Weakness in end-range plantar flexion after Achilles tendon repair","volume":"34","author":"Mullaney","year":"2006","journal-title":"Am. J. Sports Med."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0075","unstructured":"neoligaments\u2122 (Ed.). Poly-Tape Instructions for use."},{"issue":"4","key":"10.1016\/j.jbiomech.2019.06.021_b0080","doi-asserted-by":"crossref","first-page":"620","DOI":"10.3109\/17453678308992899","article-title":"Separation of tendon ends after suture of achilles tendon","volume":"54","author":"Nystr\u00f6m","year":"1983","journal-title":"Acta Orthopaedica Scandinavica"},{"issue":"3","key":"10.1016\/j.jbiomech.2019.06.021_b9055","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1177\/145749690809700312","article-title":"The increasing incidence and difference in sex distribution of Achilles tendon rupture in Finland in 1987\u20131999","volume":"97","author":"Nyyss\u00f6nen","year":"2008","journal-title":"Scand J Surg."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0085","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.jbiomech.2017.08.018","article-title":"The influence of cryopreservation and quick-freezing on the mechanical properties of tendons","volume":"64","author":"Oswald","year":"2017","journal-title":"J. Biomech."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0090","doi-asserted-by":"crossref","unstructured":"Paar, O., Klever, P., Erli, H.-J., 2001. Gef\u00e4\u00dfversorgung der Achillessehne \u2013 Radiologische, mikroradiographische und histologische Untersuchungen \u2013. Aktuelle Traumatologie 31, 241\u2013244.","DOI":"10.1055\/s-2001-18729"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0095","doi-asserted-by":"crossref","first-page":"1947","DOI":"10.1007\/s00264-012-1533-6","article-title":"Initial Achilles tendon repair strength\u2013synthesized biomechanical data from 196 cadaver repairs","volume":"36","author":"Sadoghi","year":"2012","journal-title":"Int. Orthopaedics"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0100","doi-asserted-by":"crossref","first-page":"2550","DOI":"10.1177\/0363546513501785","article-title":"Early controlled tension improves the material properties of healing human achilles tendons after ruptures: a randomized trial","volume":"41","author":"Schepull","year":"2013","journal-title":"Am. J. Sports Med."},{"issue":"1","key":"10.1016\/j.jbiomech.2019.06.021_b9060","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0434.R1","article-title":"The epidemiology and trends in management of acute Achilles tendon ruptures in Ontario, Canada: a population-based study of 27 607 patients","volume":"99-B","author":"Sheth","year":"2017","journal-title":"Bone Joint J."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0105","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1177\/107110079501600404","article-title":"The strength of Achilles tendon repair: an in vitro study of the biomechanical behavior in human cadaver tendons","volume":"16","author":"Watson","year":"1995","journal-title":"Foot Ankle Int."},{"key":"10.1016\/j.jbiomech.2019.06.021_b0110","doi-asserted-by":"crossref","first-page":"e331","DOI":"10.3928\/01477447-20120222-41","article-title":"Xenograft scaffold full-wrap reinforcement of Krackow achilles tendon repair","volume":"35","author":"Wisbeck","year":"2012","journal-title":"Orthopedics"},{"key":"10.1016\/j.jbiomech.2019.06.021_b0115","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1177\/03635465020300041701","article-title":"Quantitative review of operative and nonoperative management of achilles tendon ruptures","volume":"30","author":"Wong","year":"2002","journal-title":"Am. J. Sports Med."},{"issue":"2","key":"10.1016\/j.jbiomech.2019.06.021_b0120","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/S0266-7681(98)80181-2","article-title":"Mechanical strengths of tendon sutures. An in vitro comparative study of six techniques","volume":"23","author":"Zatiti","year":"1998","journal-title":"J. Hand. Surg. Br. Apr."}],"container-title":["Journal of Biomechanics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021929019304233?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021929019304233?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T01:22:58Z","timestamp":1758244978000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0021929019304233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8]]},"references-count":33,"alternative-id":["S0021929019304233"],"URL":"https:\/\/doi.org\/10.1016\/j.jbiomech.2019.06.021","relation":{},"ISSN":["0021-9290"],"issn-type":[{"value":"0021-9290","type":"print"}],"subject":[],"published":{"date-parts":[[2019,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Biomechanical testing of various suture techniques for Achilles tendon repair with and without augmentation by using synthetic polyester grafts","name":"articletitle","label":"Article Title"},{"value":"Journal of Biomechanics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jbiomech.2019.06.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}