{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T12:35:12Z","timestamp":1786710912410,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T00:00:00Z","timestamp":1727568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T00:00:00Z","timestamp":1727568000000},"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":["CARTILAGE"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The purpose of the study was to determine average tensile forces resulting in suture failure while tying a knot during repair of complete radial meniscus tears and to compare the failure tensile force based on meniscus tissue location: the peripheral (red-red) versus inner (white-white).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      This study was designed as a cadaveric biomechanical study using 24 menisci harvested from fresh frozen cadaveric knees with midbody radial tears. Tears were repaired using 2-0 nonabsorbable suture in both the inner meniscus and the peripheral meniscus. A force gauge was used to measure the tension of a surgeon\u2019s knot until failure of either the suture or the meniscus tissue. Statistical analysis was performed comparing suture failure tensile forces between inner and peripheral sutures using 2-sample\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Suture repairs primarily failed due to meniscal tissue cut-out after suture tensioning (96%). There was no statistical difference in failure mode between medial and lateral meniscus for both the inner (100% cut-out) and the peripheral (92% cut-out;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.703) sutures. The peripheral sutures failed as significantly higher loads (54 \u00b1 26 N) than the inner sutures (36 \u00b1 11 N,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.006). The peripheral meniscus tissue tolerated significantly higher tension at failure (36 \u00b1 7 N) than the inner meniscus (26 \u00b1 7 N,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When tying parallel sutures to repair a radial meniscus tear, suture tensile forces above 30 N may tear through meniscus tissue. Surgeons should not use suture tying forces above 30 N when repairing radial meniscus tears with parallel sutures. The peripheral meniscus can withstand higher knot-tying forces than the inner meniscus, so surgeons should consider tying the peripheral suture before the inner suture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19476035241284827","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T04:30:47Z","timestamp":1727670647000},"page":"821-828","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Suture Tying Force for Cut-Out during Radial Meniscus Tear Repair: A Biomechanical Evaluation of Failure Loads during the Knot-Tying Process"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8637-0122","authenticated-orcid":false,"given":"Patrick A.","family":"Massey","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edwin","family":"Dudoussat","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carver","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Scalisi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayden","family":"McBride","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Rutz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni F.","family":"Solitro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,29]]},"reference":[{"issue":"8","key":"e_1_3_2_2_2","doi-asserted-by":"crossref","DOI":"10.1016\/j.arthro.2022.02.010","article-title":"Several techniques exist with favorable biomechanical outcomes in radial meniscus tear repair: a systematic review","volume":"38","author":"Oosten J","year":"2022","unstructured":"Oosten J, Yoder R, DiBartola A, Bowler J, Sparks A, Duerr R, et al. Several techniques exist with favorable biomechanical outcomes in radial meniscus tear repair: a systematic review. Arthrosc: J Arthrosc Rel Surg. 2022;38(8):2557-78.e4.","journal-title":"Arthrosc: J Arthrosc Rel Surg"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2022.101810"},{"issue":"3","key":"e_1_3_2_4_2","article-title":"Editorial commentary: efforts to heal meniscal radial tears are ongoing","volume":"37","author":"Kim JG","year":"2021","unstructured":"Kim JG, Lee DW. Editorial commentary: efforts to heal meniscal radial tears are ongoing. Arthrosc: J Arthrosc Rel Surg. 2021;37(3):941-3.","journal-title":"Arthrosc: J Arthrosc Rel Surg"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2019-000380"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198211000-00021"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4395-4"},{"issue":"5","key":"e_1_3_2_8_2","doi-asserted-by":"crossref","DOI":"10.1016\/j.arthro.2018.11.040","article-title":"Influence of sutures on cartilage integrity: do meniscus sutures harm cartilage? An experimental animal study","volume":"35","author":"Venjakob AJ","year":"2019","unstructured":"Venjakob AJ, F\u00f6hr P, Henke F, Tischer T, Sandmann GH, Blanke F, et al. Influence of sutures on cartilage integrity: do meniscus sutures harm cartilage? An experimental animal study. 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