{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T02:51:53Z","timestamp":1769914313684,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007308","name":"Arthrex GmbH","doi-asserted-by":"publisher","award":["EMEA\u201015036"],"award-info":[{"award-number":["EMEA\u201015036"]}],"id":[{"id":"10.13039\/100007308","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Hip abductor tendon tears remain an underrecognized diagnosis, initially classified under Greater Trochanteric Pain Syndrome. This often results in ineffective conservative treatment, providing only temporary pain relief. While certain surgical approaches, particularly knotless double\u2010row repair techniques (Hip Bridge) have shown promising clinical outcomes, comprehensive biomechanical data remain insufficient. Therefore, this study aimed to biomechanically compare Hip Bridge (HB) repair with the standard Mason\u2010Allen (MA) technique using a human cadaver model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Gluteus minimus and medius were released in 12 fresh\u2010frozen human cadaveric specimens and reattached to their anatomical footprints either with transosseous MA or knotless double\u2010row HB technique. HB consisted of two proximal PEEK (polyetheretherketone) anchors, each preloaded with double\u2010V shaped tapes, crossed, and distally fixated with two additional anchors. Femurs were fixated in a custom\u2010made sample holder while gluteal muscles were clamped using a cryo\u2010jaw. The construct underwent a cyclic loading test between 10 and 125\u2009N for 150\u2009cycles at 2.5\u2009Hz (preload 10\u2009N), followed by a pull\u2010to\u2010failure test. Failure mode and elongation were determined, the latter by a 3D optical measurement system. Statistical analysis was performed using <jats:italic>t<\/jats:italic>\u2010test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>HB repair resulted in significantly higher ultimate failure loads (339.1\u2009\u00b1\u2009144.4\u2009N) compared to the MA technique (209.6\u2009\u00b1\u200962.1\u2009N, <jats:italic>p<\/jats:italic>\u2009=\u20090.0381). HB failed exclusively due to tendon failure, whereas MA exhibited different failure modes: tendon failure (1\/6), bone cutting (4\/6), and muscle rupture (1\/6). During cyclic loading, the calculated final plastic elongation was 4.4\u2009\u00b1\u20090.5\u2009mm for MA and 3.4\u2009\u00b1\u20091.4\u2009mm for HB (<jats:italic>p<\/jats:italic>\u2009=\u20090.0731). During pull\u2010to\u2010failure testing, stiffness of 59.7\u2009\u00b1\u200912.5\u2009N\/mm (MA) and 66.8\u2009\u00b1\u200918.4\u2009N\/mm (HB) was observed (<jats:italic>p<\/jats:italic>\u2009=\u20090.247).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The HipBridge technique provides superior biomechanical stability compared to the standard Mason\u2010Allen repair, showing significantly higher ultimate failure load and reduced failure variability. This advantage may be attributed to greater contact restoration of the anatomical footprint, which is particularly beneficial for treating weakened tendons and bones in elderly patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.70153","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:36:23Z","timestamp":1755131783000},"page":"2973-2981","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Superior Primary Stability of a Knotless Double\u2010Row Construct Compared to Mason\u2010Allen Repair for Anatomical Refixation of Gluteal Tendons\u2014Biomechanical Human Cadaver Study"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4586-1878","authenticated-orcid":false,"given":"Vanessa","family":"Twardy","sequence":"first","affiliation":[{"name":"Clinic of Orthopedics and Sports Orthopedics, Klinikum Rechts der Isar, Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Warnecke","sequence":"additional","affiliation":[{"name":"Orthopedic Research Department, Arthrex GmbH  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Prodinger","sequence":"additional","affiliation":[{"name":"Medical Care Center Holzkirchen GmbH  Holzkirchen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Harrasser","sequence":"additional","affiliation":[{"name":"Clinic of Orthopedics and Sports Orthopedics, Klinikum Rechts der Isar, Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Scheele","sequence":"additional","affiliation":[{"name":"Clinic of Orthopedics and Sports Orthopedics, Klinikum Rechts der Isar, Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00fcdiger","family":"von Eisenhart\u2010Rothe","sequence":"additional","affiliation":[{"name":"Clinic of Orthopedics and Sports Orthopedics, Klinikum Rechts der Isar, Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Roth","sequence":"additional","affiliation":[{"name":"Orthopedic Research Department, Arthrex GmbH  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingo J.","family":"Banke","sequence":"additional","affiliation":[{"name":"Clinic of Orthopedics and Sports Orthopedics, Klinikum Rechts der Isar, Technical University of Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.12.10038"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790618"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-018-0568-2"},{"issue":"6","key":"e_1_2_13_5_1","first-page":"116","article-title":"Incidence and Treatment of Abductor Deficiency During Total Hip Arthroplasty Using the Posterior Approach: Repair With Direct Suture Technique and Gluteus Maximus Flap Transfer","volume":"101","author":"Whiteside L. 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