{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:29:12Z","timestamp":1777613352498,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,1,17]],"date-time":"2017-01-17T00:00:00Z","timestamp":1484611200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Controversy exists regarding the ideal Achilles rupture treatment; however, operative treatment is considered for athletes and active patients. The ideal repair construct is evolving, and the effect of suture caliber or number of core strands has not been studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Simulated mid-substance Achilles ruptures were performed in 24 cadavers. Specimens were randomized to three 6-core-strand style repair constructs: (1) 4 No. 2 sutures and two 2-mm tapes (2T); (2) 2 No. 2 sutures and four 2-mm tapes (4T); (3) 12 (double-6-strand) strand repair (12 No. 2-0 sutures [12S]). Repairs were subjected to a cyclic loading protocol representative of postoperative rehabilitation. These data were compared to a previously published standard open repair technique (6-core strands with No. 2 sutures) on 9 specimens tested under the same conditions.\n                      <jats:sup>6<\/jats:sup>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>No significant elongation differences were observed between the repair groups and the previously published standard repair group in the first 2 stages of the simulated rehabilitation protocol. Both the 2T and 12S repairs survived a significantly greater number of cycles to failure ( P = 0.0005, P = 0.0267, respectively) and had a significantly higher failure load ( P = .0005, P = .0118, respectively) compared to the previously published data. These 2 constructs consistently survived the advanced stages of the simulated rehabilitation protocol. The majority of repairs failed at the knots.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this study, the 2T and 12S constructs survived the later stages of our simulated rehabilitation protocol, suggesting that they may be able to accommodate a more aggressive clinical rehabilitation protocol. Substituting suture-tape for 2 core strands or doubling the core strands with a smaller-caliber suture created a biomechanically stronger construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Achilles repair with an added nonabsorbable, high\u2013tensile strength tape allowed for a stronger construct that may allow for a more aggressive, early rehabilitation protocol and earlier return to function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100716687368","type":"journal-article","created":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T23:30:22Z","timestamp":1484782222000},"page":"564-570","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Effect of Suture Caliber and Number of Core Strands on Repair of Acute Achilles Ruptures: A Biomechanical Study"],"prefix":"10.1177","volume":"38","author":[{"given":"Jonathon D.","family":"Backus","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"},{"name":"Cornerstone Orthopaedics, Louisville, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel Cole","family":"Marchetti","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik L.","family":"Slette","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimi D.","family":"Dahl","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis Lee","family":"Turnbull","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas O.","family":"Clanton","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"},{"name":"The Steadman Clinic, Vail, CO, 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