{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:40:48Z","timestamp":1777880448249,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"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":[[2023,2,1]]},"abstract":"\n Background:<\/jats:title>\n Several new adjustable-loop devices (ALDs) for anterior cruciate ligament reconstruction (ACLR) have not been tested in vitro.<\/jats:p>\n <\/jats:sec>\n \n Purpose:<\/jats:title>\n To compare the biomechanical performances of 5 ALDs under a high cyclic load and forces representative of the return-to-play conditions seen in the recovering athlete.<\/jats:p>\n <\/jats:sec>\n \n Study Design:<\/jats:title>\n Controlled laboratory study.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A total of 10 devices for each of 5 chosen ALDs (UltraButton [Smith & Nephew], RigidLoop [DePuy Mitek], ProCinch [Stryker], TightRope [Arthrex], and ToggleLoc [Biomet]) were tested in a device-only model. The devices were secured to a servohydraulic test machine and preconditioned from 10 to 75 N at a rate of 0.5 Hz for 20 cycles. They were then subjected to high cyclic forces (100-500 N for 4000 cycles) and subsequently pulled to failure at 50 mm\/min. The preconditioning displacement, permanent deformation, cumulative peak displacement, stiffness coefficient, and load to failure data were collected.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The UltraButton displayed the greatest preconditioning displacement (0.22 \u00b1 0.20 mm), followed by the RigidLoop (0.11 \u00b1 0.03 mm), ProCinch (0.07 \u00b1 0.04 mm), TightRope (0.07 \u00b1 0.02 mm), and ToggleLoc (0.02 \u00b1 0.03 mm). The TightRope displayed the greatest permanent deformation (3.19 \u00b1 1.03 mm) followed by the UltraButton (2.14 \u00b1 0.92 mm), ToggleLoc (2.02 \u00b1 1.09 mm), RigidLoop (1.67 \u00b1 0.1 mm), and ProCinch (1.38 \u00b1 0.18 mm). The TightRope displayed the greatest cumulative peak displacement (3.69 \u00b1 1.03 mm) followed by the UltraButton (2.46 \u00b1 0.92 mm), ToggleLoc (2.37 \u00b1 1.08 mm), RigidLoop (2.01 \u00b1 0.1 mm), and ProCinch (1.75 \u00b1 0.19 mm). The UltraButton displayed the largest stiffness coefficient (1347.22 \u00b1 136.33 N\/mm) followed by the RigidLoop (1325.4 \u00b1 116.37 N\/mm), ToggleLoc (1216.62 \u00b1 131.32 N\/mm), ProCinch (1155.56 \u00b1 88.04), and TightRope (848.48 \u00b1 31.94). The ToggleLoc displayed the largest load to failure (1874.42 \u00b1 101.08 N) followed by the RigidLoop (1614.12 \u00b1 129.11 N), UltraButton (1391.69 \u00b1 142.04 N), ProCinch (1384.85 \u00b1 58.62 N), and TightRope (991.8 \u00b1 51.1 N.)<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The 5 ALDs exhibited different biomechanical properties. None of them had peak cumulative displacements for which the confidence interval lay above 3 mm, thus no single device was determined to have a higher rate of clinical failure compared with the others.<\/jats:p>\n <\/jats:sec>\n \n Clinical Relevance:<\/jats:title>\n ALD choice may affect biomechanics after ACLR.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/23259671221146788","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T13:35:28Z","timestamp":1676554528000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Biomechanical Comparison of Adjustable-Loop Femoral Cortical Suspension Devices for Soft Tissue ACL Reconstruction"],"prefix":"10.1177","volume":"11","author":[{"given":"Garrett","family":"Chapman","sequence":"first","affiliation":[{"name":"Spine and Joint Institute, Redlands Community Hospital, Redlands, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Hannah","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Vij","sequence":"additional","affiliation":[{"name":"University of Arizona College of Medicine\u2013Phoenix, Phoenix, Arizona, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph N.","family":"Liu","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, California, USA."},{"name":"Department of Orthopedic Surgery, Keck Hospital of University of Southern California, Los Angeles, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin J.","family":"Morrison","sequence":"additional","affiliation":[{"name":"Renown Pediatric Orthopedics and Scoliosis, University of Nevada, Reno School of Medicine, Reno, Nevada, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirav","family":"Amin","sequence":"additional","affiliation":[{"name":"Jerry L. Pettis Memorial Veterans Hospital, Loma Linda Healthcare System, Loma Linda, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,16]]},"reference":[{"key":"bibr1-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261714"},{"key":"bibr2-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513507769"},{"key":"bibr3-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200511"},{"key":"bibr4-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300607"},{"issue":"5","key":"bibr5-23259671221146788","first-page":"167","volume":"11","author":"Harrington IJ","year":"1976","journal-title":"Biomed Eng"},{"key":"bibr6-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100203"},{"key":"bibr7-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514553779"},{"key":"bibr8-23259671221146788","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466030-00005"},{"key":"bibr9-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512469875"},{"key":"bibr10-23259671221146788","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.30609"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671221146788","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671221146788","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671221146788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:11:30Z","timestamp":1777594290000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671221146788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2,1]]}},"alternative-id":["10.1177\/23259671221146788"],"URL":"https:\/\/doi.org\/10.1177\/23259671221146788","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,1]]},"article-number":"23259671221146788"}}