{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T23:36:53Z","timestamp":1793230613127,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T00:00:00Z","timestamp":1378339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>As an alternative to the standard single-point suture-anchor technique, a suture-bridge technique has been described for the treatment of bony Bankart fractures. There is, however, little evidence supporting one technique over the other.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose\/Hypothesis:<\/jats:title>\n                    <jats:p>To compare the failure strength, fixation stability, and loading mechanics of the 2 techniques for the fixation of bony Bankart fractures. We hypothesized that use of the double-point suture-bridge technique would result in superior strength and fixation stability because of the increased compression and contact area between the bony fragment and glenoid fracture site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Controlled laboratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 16 shoulders (8 pairs) were tested with an intact glenoid, after creation of a 15% bony Bankart fracture, and after fragment fixation using a single-point or suture-bridge technique. Paired specimens were randomly assigned to each technique. Cyclic progressive loading was applied via a materials testing machine to the glenoid concentrically and eccentrically according to a staircase protocol. Failure strength, fragment displacement, glenoid strain load transfer, and contact area were quantified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No significant differences in failure strength were found between the single-point and suture-bridge techniques (mean strength, 74 \u00b1 28 N vs 77 \u00b1 56 N, respectively; P = .91). Additionally, no significant differences were found for glenoid load transfer ( P \u2265 .318) and glenohumeral joint contact ( P = .357) between the 2 techniques. Centralized loading, however, produced significant differences in fragment displacement at 5, 150, and 200 N ( P \u2264 .045), with the single-point technique permitting greater fragment displacement in all cases (0.06-0.28 mm). Similarly, eccentric loading caused significantly greater fragment displacement with the single-point technique at \u226525 N compared with the suture-bridge technique (mean range, 0.38-0.63 mm vs 0.14-0.19 mm, respectively; .009 \u2264 P \u2264 .048).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Single-point and suture-bridge techniques for the fixation of bony Bankart fragments have equivalent failure strengths and load transfers. The suture-bridge technique does provide statistically greater initial fracture fragment stability; however, the clinical implications of this are presently unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>This study will aid in the selection of the optimal repair technique for bony Bankart fractures by providing important insights into the quality of initial fixation and ultimate strength.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546513501795","type":"journal-article","created":{"date-parts":[[2013,9,5]],"date-time":"2013-09-05T23:56:27Z","timestamp":1378425387000},"page":"2624-2631","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Suture Anchor Fixation of Bony Bankart Fractures"],"prefix":"10.1177","volume":"41","author":[{"given":"Joshua W.","family":"Giles","sequence":"first","affiliation":[{"name":"The Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabor J.","family":"Puskas","sequence":"additional","affiliation":[{"name":"The Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, London, Ontario, Canada"},{"name":"Balgrist University Hospital, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark F.","family":"Welsh","sequence":"additional","affiliation":[{"name":"The Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Johnson","sequence":"additional","affiliation":[{"name":"The Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George S.","family":"Athwal","sequence":"additional","affiliation":[{"name":"The Hand and Upper Limb Centre, St Joseph\u2019s Health Care London, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,9,5]]},"reference":[{"key":"bibr1-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-0266(03)00098-6"},{"key":"bibr2-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260012301"},{"key":"bibr3-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512460835"},{"key":"bibr4-0363546513501795","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200001000-00005"},{"key":"bibr5-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512469090"},{"key":"bibr6-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0845-6"},{"key":"bibr7-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90195-7"},{"key":"bibr8-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.07.005"},{"key":"bibr9-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.01.012"},{"key":"bibr10-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509359069"},{"key":"bibr11-0363546513501795","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200908000-00002"},{"key":"bibr12-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.35266"},{"key":"bibr13-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507305011"},{"issue":"3","key":"bibr14-0363546513501795","first-page":"134","volume":"40","author":"Ranawat AS","year":"2011","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr15-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271521"},{"key":"bibr16-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1016\/j.orthres.2005.03.005"},{"key":"bibr17-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0926-5"},{"key":"bibr18-0363546513501795","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1390-z"}],"container-title":["The American Journal of Sports 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Technique"],"short-title":[],"issued":{"date-parts":[[2013,9,5]]},"references-count":18,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1177\/0363546513501795"],"URL":"https:\/\/doi.org\/10.1177\/0363546513501795","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,5]]}}}