{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T02:44:31Z","timestamp":1775616271113,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Elbow instability often arises from collateral ligament (LUCL) complex failure, causing varus and posterolateral rotatory subluxations. Conventional docking repair requires technical expertise balancing slack and tension. Existing suture anchors lack adjustable tensioning and rely on bone tunnel length for mechanical performance. A novel tensegrity\u2010based suture anchor system was developed to enhance implant\u2010bone fixation and optimize suture tensioning for early stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      Static three\u2010point bending tests were conducted using Sawbones (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) and paired cadaveric elbows (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914) with either conventional suture docking (CON) or elbow tensegrity screw (TEN). Force\u2010displacement relationships were plotted. Stiffness, maximum force, and displacement at peak force were measured and compared using nonparametric Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests in GraphPad Prism 10.5.0.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In foam elbows, TEN demonstrated significantly higher stiffness (3.46\u2009\u00b1\u20091.44\u2009N\/mm) than CON (1.44\u2009\u00b1\u20091.17\u2009N\/mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Maximum forces were 132.60\u2009\u00b1\u200928.82\u2009N for TEN versus 75.02\u2009\u00b1\u200920.28\u2009N for CON (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), while displacement at peak force was slightly lower in TEN (35.54\u2009\u00b1\u20095.80\u2009mm) versus CON (39.03\u2009\u00b1\u20099.05\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.22). In cadaveric elbows, TEN also had greater stiffness (12.79\u2009\u00b1\u20099.73\u2009N\/mm) versus CON (3.53\u2009\u00b1\u20092.43\u2009N\/mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Maximum forces were significantly greater for TEN (199.93\u2009\u00b1\u200935.89\u2009N) compared to CON (140.11\u2009\u00b1\u200937.23\u2009N,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), while displacements at peak force were lower in TEN (22.31\u2009\u00b1\u200910.06\u2009mm) than CON (38.68\u2009\u00b1\u20098.64\u2009mm,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). All CON samples failed from irreversible yielding and suture stretching, whereas most TEN samples failed due to suture rupture, suggesting superior bone\u2010implant and suture\u2010implant interface resistance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TEN devices significantly improved mechanical strength and pretensioning over conventional docking, enhancing early stability and reducing yield failure risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70216","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T06:05:37Z","timestamp":1767679537000},"page":"777-790","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mechanical Evaluation of Suture Docking Method Versus Novel Tensegrity Suture Screw in Treating Varus Posterolateral Surrogate and Cadaveric Elbow Instability"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1798-3379","authenticated-orcid":false,"given":"Marilyn Janice","family":"Oentaryo","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology The University of Hong Kong  Pok Fu Lam Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsz Ying Abby","family":"Yeung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology The University of Hong Kong  Pok Fu Lam Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology The University of Hong Kong  Pok Fu Lam Hong Kong 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