{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:37:11Z","timestamp":1790005031538,"version":"4.0.1"},"reference-count":45,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cheese-wiring, the suture that cuts through the meniscus, is a well-known issue in meniscal repair. So far, contributing factors are neither fully understood nor sufficiently studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis\/Purpose:<\/jats:title>\n                    <jats:p>To investigate whether the construct stiffness of repair sutures and devices correlates with suture cut-through (cheese-wiring) during load-to-failure testing.<\/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>In 131 porcine menisci, longitudinal bucket-handle tears were repaired using either inside-out sutures (n = 66; No. 0 Ultrabraid, 2-0 Orthocord, 2-0 FiberWire, and 2-0 Ethibond) or all-inside devices (n = 65; FastFix360, Omnispan, and Meniscal Cinch). After cyclic loading, load-to-failure testing was performed. The mode of failure and construct stiffness were recorded. A receiver operating characteristic curve analysis was performed to define the optimal stiffness threshold for predicting meniscal repair failure by cheese-wiring. The 2-tailed t test and analysis of variance were used to test significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Loss of suture fixation was the most common mode of failure in all specimens (58%), except for the Omnispan, which failed most commonly because of anchor pull-through. The Omnispan demonstrated the highest construct stiffness (30.8 \u00b1 3.5 N\/mm), whereas the Meniscal Cinch (18.0 \u00b1 8.8 N\/mm) and Ethibond (19.4 \u00b1 7.8 N\/mm) demonstrated the lowest construct stiffness. The Omnispan showed significantly higher stiffness compared with the Meniscal Cinch ( P &lt; .001) and Ethibond ( P = .02), whereas the stiffness of the Meniscal Cinch was significantly lower compared with that of the FiberWire ( P = .01), Ultrabraid ( P = .04), and FastFix360 ( P = .03). While meniscal repair with a high construct stiffness more often failed by cheese-wiring, meniscal repair with a lower stiffness failed by loss of suture fixation, knot slippage, or anchor pull-through. Meniscal repair with a stiffness &gt;26.5 N\/mm had a 3.6 times higher risk of failure due to cheese-wiring during load-to-failure testing (95% CI, 1.4-8.2; P &lt; .0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Meniscal repair using inside-out sutures and all-inside devices with a higher construct stiffness (&gt;26.5 N\/mm) was more likely to fail through suture cut-through (cheese-wiring) than that with a lower stiffness (\u226426.5 N\/mm).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>This is the first study investigating the impact of construct stiffness on meniscal repair failure by suture cut-through (cheese-wiring).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671211015674","type":"journal-article","created":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T13:29:38Z","timestamp":1623763778000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Increased Construct Stiffness With Meniscal Repair Sutures and Devices Increases the Risk of Cheese-Wiring During Biomechanical Load-to-Failure Testing"],"prefix":"10.1177","volume":"9","author":[{"given":"Sebastian","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland."},{"name":"University of Basel, Basel, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Schwenk","sequence":"additional","affiliation":[{"name":"University of Basel, Basel, Switzerland."},{"name":"Department of Medical Oncology, Kantonsspital Aarau, Aarau, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"de Wild","sequence":"additional","affiliation":[{"name":"Institute for Medical Engineering and Medical Informatics, School of Life Sciences, University of Applied Sciences and Arts Northwestern Switzerland, Muttenz, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitris","family":"Dimitriou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Rosso","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland."},{"name":"Shoulder and Elbow Unit, ARTHRO Medics, Basel, Switzerland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,15]]},"reference":[{"key":"bibr1-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1188-z"},{"issue":"3","key":"bibr2-23259671211015674","first-page":"371","volume":"140","author":"Aspden R","year":"1985","journal-title":"J Anat"},{"key":"bibr3-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80095-7"},{"key":"bibr4-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.11.020"},{"key":"bibr5-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.03.020"},{"issue":"1","key":"bibr6-23259671211015674","first-page":"2","volume":"10","author":"Barrett GR","year":"1997","journal-title":"Am J Knee Surg"},{"key":"bibr7-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.08.011"},{"key":"bibr8-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506290667"},{"key":"bibr9-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200207000-00029"},{"key":"bibr10-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1159\/000327012"},{"key":"bibr11-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270051401"},{"key":"bibr12-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2966-9"},{"key":"bibr13-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505278254"},{"key":"bibr14-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516632504"},{"issue":"252","key":"bibr15-23259671211015674","first-page":"19","author":"Fithian DC","year":"1990","journal-title":"Clin Orthop Relat Res"},{"key":"bibr16-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22456"},{"key":"bibr17-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-009-0871-4"},{"key":"bibr18-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.10.012"},{"key":"bibr19-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.01.032"},{"key":"bibr20-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-3448-7_7"},{"key":"bibr21-23259671211015674","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.140115"},{"key":"bibr22-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.30639"},{"key":"bibr23-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513479775"},{"key":"bibr24-23259671211015674","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2010.0304"},{"key":"bibr25-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.09.008"},{"issue":"172","key":"bibr26-23259671211015674","first-page":"148","author":"Lynch MA","year":"1983","journal-title":"Clin Orthop Relat Res"},{"key":"bibr27-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2006.01.005"},{"key":"bibr28-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.biomaterials.2011.06.037"},{"key":"bibr29-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(96)90170-X"},{"key":"bibr30-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1515\/ijb-2018-0060"},{"key":"bibr31-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.08.027"},{"key":"bibr32-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509346051"},{"key":"bibr33-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(91)90093-D"},{"key":"bibr34-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120935810"},{"key":"bibr35-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.03.088"},{"key":"bibr36-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90008-6"},{"key":"bibr37-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511424723"},{"key":"bibr38-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514538394"},{"key":"bibr39-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/s001130050748"},{"key":"bibr40-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.09.020"},{"key":"bibr41-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510364052"},{"key":"bibr42-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117712448"},{"key":"bibr43-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2528-6"},{"key":"bibr44-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-003-0439-7"},{"key":"bibr45-23259671211015674","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503260749"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671211015674","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671211015674","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671211015674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:56:58Z","timestamp":1777593418000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671211015674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,1]]},"references-count":45,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6,1]]}},"alternative-id":["10.1177\/23259671211015674"],"URL":"https:\/\/doi.org\/10.1177\/23259671211015674","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,1]]},"article-number":"23259671211015674"}}