{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:41:14Z","timestamp":1790383274020,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T00:00:00Z","timestamp":1646092800000},"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":[[2022,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the increasing prevalence of tape-type sutures, whether internal knotless anchors can consistently affix tape-type sutures has not been thoroughly investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate whether substituting tape-type sutures for conventional sutures influences the suture-holding strength of internal knotless anchors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Controlled laboratory study. Level of evidence, 5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 3 internal knotless anchors were tested: a spiral core clamping anchor (Footprint Ultra PK), a winged clamping anchor (PopLok), and a spooling anchor (ReelX STT). Four constructs were compared for each type of anchor, with the anchor double or quadruple loaded with tape-type sutures or conventional sutures. The testing protocol comprised preloading suture tension to 10 N; cyclic loading, in which tension increased in increments of 10 N from 10 to 90 N; and a load-to-failure stage set at a speed of 0.5 mm\/s. The clinical failure load (CFL) was defined as suture slippage of \u22653 mm. Also, 1-way analysis of variance and power analysis were used to compare the CFLs of the constructs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For the quadruple-loaded spiral core clamping anchors, a significant reduction in CFLs was seen with conventional sutures over tape-type sutures (138.10 \u00b1 4.73 vs 80.00 \u00b1 12.25 N, respectively; P &lt; .001). This reduction was not observed under the double-loaded condition (conventional vs tape type: 76.00 \u00b1 5.48 vs 80.00 \u00b1 10.00 N, respectively). Substitution of the suture materials did not significantly reduce the CFLs for the winged clamping anchors (conventional vs tape type: 40.00 \u00b1 10.00 vs 30.00 \u00b1 7.07 N for double loaded, respectively, and 64.00 \u00b1 13.41 vs 50.00 \u00b1 10.00 N for quadruple loaded, respectively) or the spooling anchors (conventional vs tape type: 62.00 \u00b1 19.23 vs 56.32 \u00b1 20.20N for double loaded, respectively, and 72.00 \u00b1 21.68 vs 84.00 \u00b1 13.42 N for quadruple loaded, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Substituting tape-type sutures for conventional sutures increased the CFLs of some internal knotless anchors. With specific suture-anchor combinations, quadruple-loaded conventional suture anchors had CFLs higher than those of double-loaded conventional suture anchors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>When multiple tape-type sutures are used in conjunction with a clamping anchor, clinicians should note a possible reduction in CFLs and resultant early suture slippage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671211072523","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T19:00:10Z","timestamp":1648148410000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Biomechanical Failure Loads Between Tape-Type and Conventional Sutures in Internal Knotless Anchor\u2013Based Constructs"],"prefix":"10.1177","volume":"10","author":[{"given":"Hao-Chun","family":"Chuang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe-Zhi","family":"Yen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."},{"name":"Skeleton Materials and Bio-compatibility Core Laboratory, Research Center of Clinical Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."},{"name":"Musculoskeletal Research Center, Innovation Headquarter, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Kai","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Lan","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."},{"name":"Department of Biomedical Engineering, College of Engineering, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fa-Chuan","family":"Kuan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."},{"name":"Department of Biomedical Engineering, College of Engineering, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yueh","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Sin Lau Christian Hospital, Tainan, Taiwan."},{"name":"Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-Ming","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Tainan Municipal Hospital, Show Chwan Medical Care, Tainan, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Ren","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."},{"name":"Skeleton Materials and Bio-compatibility 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