{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:14:45Z","timestamp":1777929285650,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["NCKUH-11304025"],"award-info":[{"award-number":["NCKUH-11304025"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["NCKUH-11307025"],"award-info":[{"award-number":["NCKUH-11307025"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Science and Technology Council","award":["NSTC112-2314-B-006-115-MY"],"award-info":[{"award-number":["NSTC112-2314-B-006-115-MY"]}]},{"name":"Tainan Municipal Hospital","award":["RA24008"],"award-info":[{"award-number":["RA24008"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The utilization of all-suture anchors in coracoclavicular (CC) suture fixations offers satisfactory clinical advantages. This study aimed to compare the biomechanical properties of suture looping, conventional metallic anchors, and all-suture anchors in CC suture fixation in a synthetic bone model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>Suture looping for CC fixation would result in smaller cyclic elongation and greater ultimate pull-out strength than suture anchor techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 27 composite scapula were divided into three groups: suture looping group (group L), metallic anchor group (group M), and all-suture anchor group (group A). In group L, two No. 2 braided sutures were looped into the coracoid base for CC fixation. In groups M and A, 5.0\u00a0mm metallic suture anchors and 2.8\u00a0mm all-suture anchors were used, respectively. Prepared specimens were secured using a material testing machine. Each specimen was tested with a preload between 0 and 20\u00a0N for 10 cycles, cyclic loading between 20 and 70\u00a0N for 1000 cycles, and final loading to failure. Cyclic elongation, linear stiffness, ultimate load, and failure modes were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All the specimens were subjected to cyclic loading tests. Elongation after cyclic loading in group L (1.0 \u00b1 0.2\u00a0mm) was significantly smaller than that in groups M (1.4 \u00b1 0.2\u00a0mm) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .002) and A (2.5 \u00b1 1.1\u00a0mm) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; .001). Cyclic elongation in group M was also significantly lower than that in group A (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .004). Ultimate failure load in group L (472 \u00b1 53\u00a0N) was significantly greater than that in group M (380 \u00b1 35\u00a0N) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .002) and A (354 \u00b1 94\u00a0N) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .010). Suture rupture was the most common failure pattern in group L, whereas two specimens failed because of a coracoid fracture. Both suture rupture and anchor pull-out were common in groups M and A.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The suture looping technique in CC fixation provides a significantly smaller cyclic displacement and greater ultimate failure load than metallic and all-suture anchors. The clinical relevance is that smaller cyclic elongation and greater ultimate failure load imply a reduced risk of fixation construct failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536251350422","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T03:04:43Z","timestamp":1750820683000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Suture looping technique for coracoclavicular fixation biomechanically outperforms fixation constructs utilizing either a metallic anchor or an all-suture anchor"],"prefix":"10.1177","volume":"33","author":[{"given":"Hao-Ming","family":"Chang","sequence":"first","affiliation":[{"name":"Tainan Municipal Hospital (Managed By Show Chwan Medical Care Corporation)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shih-Ting","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Ditmanson Medical Foundation Chia - Yi Christian Hospital, Chiayi, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Hsiu","family":"Wang","sequence":"additional","affiliation":[{"name":"National Cheng Kung University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Meng","family":"Hsiao","sequence":"additional","affiliation":[{"name":"China Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai-Lan","family":"Hsu","sequence":"additional","affiliation":[{"name":"National Cheng Kung University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fa-Chuan","family":"Kuan","sequence":"additional","affiliation":[{"name":"National Cheng Kung University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6133-3584","authenticated-orcid":false,"given":"Wei-Ren","family":"Su","sequence":"additional","affiliation":[{"name":"National Cheng Kung University Hospital"},{"name":"National Cheng Kung University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3231-1789","authenticated-orcid":false,"given":"Chih-Kai","family":"Hong","sequence":"additional","affiliation":[{"name":"National Cheng Kung University Hospital"},{"name":"National Taiwan University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05245-5"},{"key":"e_1_3_4_3_2","first-page":"e28657","article-title":"Surgical management of acute rockwood grade III acromioclavicular joint dislocations: a systematic review","volume":"14","author":"Okereke I","year":"2022","unstructured":"Okereke I, Abdelfatah E. Surgical management of acute rockwood grade III acromioclavicular joint dislocations: a systematic review. 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