{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T07:44:10Z","timestamp":1794642250290,"version":"4.9.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:00:00Z","timestamp":1579219200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T00:00:00Z","timestamp":1579219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81772346"],"award-info":[{"award-number":["81772346"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100010031","name":"Postdoctoral Research Foundation of China","doi-asserted-by":"publisher","award":["2017M613151"],"award-info":[{"award-number":["2017M613151"]}],"id":[{"id":"10.13039\/501100010031","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009996","name":"Shaanxi Province Postdoctoral Science Foundation","doi-asserted-by":"publisher","award":["2017BSHYDZZ41"],"award-info":[{"award-number":["2017BSHYDZZ41"]}],"id":[{"id":"10.13039\/501100009996","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We introduce a new approach for a continuous loop tendon-graft preparation, benchmarking it against established graft preparation techniques widely used in conjunction with non-adjustable interference screw fixation. A four-strand bovine tendon graft was prepared using the following graft preparation techniques: standard graft using the baseball stitch technique (M-tech group); continuous loop graft using the GraftLink<jats:sup>TM<\/jats:sup> technique (Arthrex-tech group); continuous loop graft using the Kessler anastomosis technique (Kessler-tech group); and continuous loop graft using a Double-Z anastomosis technique (Double Z-tech group). Each group of eight specimens underwent cyclic loading followed by a load-to-failure test. The M\u2013technique yielded a smaller graft diameter (8.4\u2009\u00b1\u20090.5\u2009mm) compared to the statistically equivalent diameters of the three continuous loop techniques (8.9\u2009\u00b1\u20090.6\u2009mm of Arthrex-tech group, 9.1\u2009\u00b1\u20090.4\u2009mm of Kessler-tech group and 9.2\u2009\u00b1\u20090.6\u2009mm of Double Z-Tech group). The continuous loop grafts formed by the Double Z-Technique showed outstanding performance among the tested techniques in terms of ultimate failure load (982\u2009\u00b1\u2009121\u2009N) and cyclic elongation (3.7\u2009\u00b1\u20091.0\u2009mm). There was no significant difference between the four groups in cyclic stiffness. Of the assessed techniques, the Arthrex technique resulted in the lowest ultimate elongation (2.0\u2009\u00b1\u20090.7\u2009mm), followed by the Double Z-tech (4.5\u2009\u00b1\u20091.8\u2009mm), the M-tech (5.2\u2009\u00b1\u20093.9\u2009mm), and the Kessler-tech (5.3\u2009\u00b1\u20092.4\u2009mm). The Arthrex-tech group (5.98\u2009\u00b1\u20090.38\u2009min) displayed the shortest graft preparation time, followed by the M-Tech (7.94\u2009\u00b1\u20090.58\u2009min), Kessler-tech (9.03\u2009\u00b1\u20090.39\u2009min) and Double Z-Tech (13.29\u2009\u00b1\u20091.14\u2009min). Double Z-Tech can improve the construct of continuous loop tendon graft with regard to mechanical performance.<\/jats:p>","DOI":"10.1038\/s41598-019-57332-8","type":"journal-article","created":{"date-parts":[[2020,1,17]],"date-time":"2020-01-17T11:03:05Z","timestamp":1579258985000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Biomechanical comparison of the use of different surgical suture techniques for continuous loop tendon grafts preparation"],"prefix":"10.1038","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5890-5564","authenticated-orcid":false,"given":"Chen","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"G\u00f6tschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jess G.","family":"Snedeker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandro F.","family":"Fucentese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,1,17]]},"reference":[{"key":"57332_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s11751-007-0016-6","volume":"2","author":"J Dargel","year":"2007","unstructured":"Dargel, J. et al. 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