{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:18:50Z","timestamp":1787170730078,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"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":"publisher","award":["AIRR-0057"],"award-info":[{"award-number":["AIRR-0057"]}],"id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Although double-row suture-anchored (DRSA) techniques for Achilles insertional tendinosis has proven successful, a reoccurring failure mode not yet addressed is suture tearing through the tendon. This study aims to address suture tearing by incorporating a rip-stop element. Authors hypothesized that the Rip-Stop group would demonstrate increased strength compared with more traditional techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>12 paired cadaveric feet were used in this study (n\u2009=\u200924). One sample from each pair was assigned to receive the standard double-row (SDR) Achilles repair with 4.75-mm knotless anchors (n\u2009=\u200912). The control\u2019s matched sides were divided between 2 DRSA bridge groups: modified double-row (MDR) bridge with 3.9-mm anchors or rip-stop double-row (RS-DR) bridge repair with soft proximal anchors and 3.9-mm anchored distal row. In neutral position, specimens underwent 1000 cycles (20-100\u2009N) followed by load to failure. Displacements, stiffness, ultimate load, and failure mode were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>RS-DR had the lowest initial displacement values followed by SDR and MDR (1.3\u2009\u00b1\u20090.4, 2.7\u2009\u00b1\u20091.4, and 3.2\u2009\u00b1\u20091.3\u2009mm, respectively). Significance was detected when comparing initial displacement of RS-DR to MDR ( P\u2009=\u2009.038). Cyclic displacement was lowest for RS-DR, followed by MDR and SDR (1.6\u2009\u00b1\u20090.9, 2.2\u2009\u00b1\u20091.1, and 4.5\u2009\u00b1\u20093.2\u2009mm, respectively). Cyclic stiffness was similar for RS-DR and MDR (89.1\u2009\u00b1\u200924.6 and 81.9\u2009\u00b1\u20095.6\u2009N\/mm, respectively). RS-DR ultimate load (1116.8\u2009\u00b1\u2009405.7\u2009N) was statistically greater than SDR (465.6\u2009\u00b1\u2009352.7, P\u2009=\u2009.003).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>RS-DR\u2013repaired specimens demonstrated a decrease in displacement values and increased ultimate load and stiffness when compared to other groups. Results of this cadaveric model suggest that the addition of a rip-stop to DRSA Achilles repair is more impactful than anchor size. Limitations include that this was a time-zero biomechanical study, which cannot simulate the performance of the repairs during postoperative healing and recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>A rip-stop technique for Achilles repair effectively improves dynamic mechanical characteristics and may mitigate suture tearing through tendon in a patient cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007241227948","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T04:31:26Z","timestamp":1707798686000},"page":"535-541","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Double-Row Achilles Insertional Repair With Rip-Stop Increases Construct Strength Compared to Traditional Techniques: A Biomechanical Study"],"prefix":"10.1177","volume":"45","author":[{"given":"Anand","family":"Vora","sequence":"first","affiliation":[{"name":"Illinois Bone & Joint Institute, Libertyville, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"Ingwer","sequence":"additional","affiliation":[{"name":"Arthrex, Inc, Naples, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Withrow","sequence":"additional","affiliation":[{"name":"Arthrex, Inc, Naples, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2999-6537","authenticated-orcid":false,"given":"Nicholas","family":"Denove","sequence":"additional","affiliation":[{"name":"Arthrex, Inc, Naples, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Hauck","sequence":"additional","affiliation":[{"name":"Arthrex, Inc, Naples, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7418-5605","authenticated-orcid":false,"given":"Anthony","family":"Khoury","sequence":"additional","affiliation":[{"name":"Arthrex, Inc, Naples, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"bibr1-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211003871"},{"key":"bibr2-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513487061"},{"key":"bibr3-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513516602"},{"key":"bibr4-10711007241227948","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00081"},{"key":"bibr5-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2016.10.012"},{"key":"bibr6-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514549004"},{"key":"bibr7-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715609921"},{"key":"bibr8-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512453294"},{"key":"bibr9-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211002814"},{"key":"bibr10-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.05.009"},{"key":"bibr11-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.05.012"},{"key":"bibr12-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506293255"},{"key":"bibr13-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000707"},{"key":"bibr14-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720959023"},{"key":"bibr15-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.04.005"},{"key":"bibr16-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06004-6"},{"key":"bibr17-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2020.05.001"},{"key":"bibr18-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.07.001"},{"key":"bibr19-10711007241227948","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.19.00035"},{"key":"bibr20-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2012.11.004"},{"key":"bibr21-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2021.12.015"},{"key":"bibr22-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/9872643"},{"key":"bibr23-10711007241227948","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/4920647"}],"container-title":["Foot &amp; 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