{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:50:34Z","timestamp":1793314234511,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2004,9,1]],"date-time":"2004-09-01T00:00:00Z","timestamp":1093996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2004,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Different metal and biodegradable suture anchors are available for rotator cuff repair. Poor bone quality may result in anchor loosening and tendon rerupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypotheses<\/jats:title>\n                    <jats:p>Higher bone mineral density is associated with higher pull-out strength of suture anchors. Depending on anchor placement, pull-out strengths of anchors are different within the greater tuberosity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cadaveric biomechanical study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Trabecular and cortical bone mineral densities were determined for different regions within the greater tuberosity. Metal screw-type and biodegradable hook-type anchors were cyclically loaded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean failure load of metal and biodegradable anchors was 273 N and 162 N, respectively, for the proximal part (P &lt; .01) and 184 N and 112 N, respectively, for the distal part (P &lt; .01). Both types of anchors showed higher failure loads in the proximal-anterior and -middle parts of the greater tuberosity than in the distal part (P &lt; .01). A significant positive correlation was found between cortical bone mineral density and failure load of metal anchors (P &lt; .01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bone quality, anchor type, and anchor placement have a significant impact on anchor failure loads.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Suture anchors should be placed in the proximal-anterior and -middle parts of the greater tuberosity. In the distal parts, biodegradable hook-like anchors should be used with caution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546503262644","type":"journal-article","created":{"date-parts":[[2004,7,20]],"date-time":"2004-07-20T21:14:16Z","timestamp":1090358056000},"page":"1466-1473","source":"Crossref","is-referenced-by-count":186,"title":["Anchor Design and Bone Mineral Density Affect the Pull-Out Strength of Suture Anchors in Rotator Cuff Repair"],"prefix":"10.1177","volume":"32","author":[{"given":"Markus J.","family":"Tingart","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Regensburg, Regensburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Apreleva","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janne","family":"Lehtinen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Zurakowski","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedic Surgery and Biostatistics, Children's Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon J. P.","family":"Warner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,9,1]]},"reference":[{"key":"bibr1-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.286.6376.1489"},{"key":"bibr2-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90031-1"},{"key":"bibr3-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(99)70003-4"},{"key":"bibr4-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90034-7"},{"key":"bibr5-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90216-9"},{"key":"bibr6-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(96)80035-8"},{"key":"bibr7-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90100-0"},{"key":"bibr8-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90174-7"},{"key":"bibr9-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(96)80028-0"},{"key":"bibr10-0363546503262644","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200112000-00013"},{"key":"bibr11-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200109000-00012"},{"key":"bibr12-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B3.8175836"},{"key":"bibr13-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21243"},{"key":"bibr14-0363546503262644","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00004"},{"key":"bibr15-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100621"},{"key":"bibr16-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.5650100817"},{"key":"bibr17-0363546503262644","unstructured":"LangTA, SecicM. How to Report Statistics in Medicine. Philadelphia, Pa: American College of Physicians; 1997: 81\u201392."},{"key":"bibr18-0363546503262644","unstructured":"MontgomeryD. Design and Analysis of Experiments. New York, NY: John Wiley; 2001: 47\u201353."},{"key":"bibr19-0363546503262644","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200212000-00005"},{"key":"bibr20-0363546503262644","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199501000-00002"},{"key":"bibr21-0363546503262644","volume-title":"Biometry: The Principles and Practice of Statistics in Biological Research","author":"Sokal RR","year":"1995"},{"key":"bibr22-0363546503262644","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70268-6"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546503262644","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546503262644","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546503262644","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:41:18Z","timestamp":1777369278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546503262644"}},"subtitle":["Which Anchors are Best to use in Patients with Low Bone Quality?"],"short-title":[],"issued":{"date-parts":[[2004,9]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2004,9]]}},"alternative-id":["10.1177\/0363546503262644"],"URL":"https:\/\/doi.org\/10.1177\/0363546503262644","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,9]]}}}