{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:55:01Z","timestamp":1773608101836,"version":"3.50.1"},"reference-count":16,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A wide variety of fixation methods have been reported to fix anterior cruciate ligament (ACL) tibial avulsion fractures, but there have been no studies into the fixation of these fractures with ultra-high molecular weight polyethylene (UHMWPE) suture tape as an alternative to conventional thread. Type III ACL tibial avulsion fractures were created in 20 skeletally immature porcine knees. All specimens were randomized into two treatment groups: (1) pullout repair using no. 2 suture fixation and (2) pullout repair using UHMWPE suture tape fixation. The specimens were tested cyclically (20 cycles, 0\u201340\u2009N, 100\u2009mm\/min) in the direction of the native ACL and loaded to failure (100\u2009mm\/min) on a tensile tester. Statistically significant differences between the structural properties (displacement, upper yield load, maximum load, linear stiffness, and elongation at failure) under cyclic loading and single-cycle loading were analyzed. Displacement during cyclic testing was 1.56\u2009\u00b1\u20091.03\u2009mm in the UltraBraid group and 0.99\u2009\u00b1\u20090.48\u2009mm in the SUTURETAPE group, with no significant differences found between the groups (p\u2009=\u20090.13). There were no significant differences in upper yield load (161.9\u2009\u00b1\u200968.9\u2009N in the UltraBraid group, 210.4\u2009\u00b1\u200960.1\u2009N in the SUTURETAPE group, p\u2009=\u20090.11), linear stiffness (14.7\u2009\u00b1\u20094.7N\/mm in the UltraBraid group, 18.1\u2009\u00b1\u20097.9\u2009N\/mm in the SUTURETAPE group, p\u2009=\u20090.27), or elongation at failure (20.1\u2009\u00b1\u20098.0\u2009mm in the UltraBraid group, 21.5\u2009\u00b1\u20097.2\u2009mm in the SUTURETAPE group, p\u2009=\u20090.69). On the other hand, significant differences were observed in maximum load in the SUTURETAPE group (219.7\u2009\u00b1\u200989.2\u2009N in the UltraBraid group, 319.3\u2009\u00b1\u200992.6\u2009N in the SUTURETAPE group, p\u2009=\u20090.025).<\/jats:p>","DOI":"10.1055\/s-0040-1722347","type":"journal-article","created":{"date-parts":[[2021,1,23]],"date-time":"2021-01-23T00:27:27Z","timestamp":1611361647000},"page":"1199-1203","source":"Crossref","is-referenced-by-count":14,"title":["Biomechanical Comparisons of Anterior Cruciate Ligament Avulsion Fracture Fixation Using High-Strength Suture and Ultra-High Molecular Weight Polyethylene Suture Tape in a Porcine Model"],"prefix":"10.1055","volume":"35","author":[{"given":"Tatsuya","family":"Kubo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4198-6684","authenticated-orcid":false,"given":"Tsuneari","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Kimura","sequence":"additional","affiliation":[{"name":"Gunma Sports Medicine Research Center, Zenshukai Hospital, Maebashi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsushi","family":"Takeshita","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,1,22]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.2106\/00004623-200211000-00004","article-title":"The anatomy of tibial eminence fractures: arthroscopic observations following failed closed reduction","volume":"84","author":"J Lowe","year":"2002","journal-title":"J Bone Joint Surg Am"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"2334","DOI":"10.1177\/0363546509341031","article-title":"A clinical comparison of screw and suture fixation of anterior cruciate ligament tibial avulsion fractures","volume":"37","author":"J K Seon","year":"2009","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1093\/bmb\/ldw018","article-title":"Arthroscopic treatment of tibial eminence fracture: a systematic review of different fixation methods","volume":"118","author":"L Osti","year":"2016","journal-title":"Br Med Bull"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1177\/0363546517749807","article-title":"The strength of transosseous medial meniscal root repair using a simple suture technique is dependent on suture material and position","volume":"46","author":"J R Robinson","year":"2018","journal-title":"Am J Sports Med"},{"issue":"09","key":"ref5","doi-asserted-by":"crossref","first-page":"2325967119873274","DOI":"10.1177\/2325967119873274","article-title":"Different suture materials for arthroscopic transtibial pull-out repair of medial meniscal posterior root tears: a human biomechanical study","volume":"7","author":"G Y Nakama","year":"2019","journal-title":"Orthop J Sports Med"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s00264-013-1835-3","article-title":"Biomechanical comparison of different fixation techniques for 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administration of autologous synovium-derived cells improve the structural properties of anterior cruciate ligament autograft reconstruction in sheep","volume":"39","author":"E Kondo","year":"2011","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1177\/0363546511426417","article-title":"Biomechanical and histological evaluations of the doubled semitendinosus tendon autograft after anterior cruciate ligament reconstruction in sheep","volume":"40","author":"E Kondo","year":"2012","journal-title":"Am J Sports Med"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics","volume":"48","author":"Y Kanda","year":"2013","journal-title":"Bone Marrow 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