{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:42:37Z","timestamp":1777880557310,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["NCKUH-11204010"],"award-info":[{"award-number":["NCKUH-11204010"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>A coracoclavicular (CC) fixation technique using an all-suture anchor with the assistance of fluoroscopy can prevent iatrogenic anterior deltoid detachment from the clavicle; however, soft anchor pullout has been reported as a complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the biomechanical properties of conventional metallic and all-suture anchors for CC suture fixation.<\/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>A total of 24 fresh-frozen cadaveric specimens were divided into 2 groups: metal anchor group (group M) and all-suture anchor group (group A). In group M, 5.0-mm metallic suture anchors were used for CC fixation, whereas 2.8-mm all-suture anchors were used in group A. The prepared specimens were mounted on a materials testing machine. After preconditioning at 0 to 20 N for 10 cycles, the specimens were subjected to cyclic loading from 20 to 70 N for 1000 cycles. Finally, all the specimens were loaded to failure. Cyclic elongation, linear stiffness, ultimate load, and failure modes were recorded, and the Mann-Whitney U test was used to compare nonparametric parameters between the 2 groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All of the specimens completed the cyclic loading test. The elongation after cyclic loading in group M (1.6 \u00b1 0.6 mm) was significantly smaller compared with that in group A (2.5 \u00b1 1.2 mm) ( P = .02). No between-group differences were found in linear stiffness (42 \u00b1 17 N\/mm in group M and 41 \u00b1 17 N\/mm in group A). The ultimate failure load in group M (263 \u00b1 66 N) was significantly greater than that in group A (177 \u00b1 76 N) ( P = .02). All specimens failed because of suture anchor pullout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of all-suture anchors in CC fixation resulted in significantly greater cyclic displacement and smaller ultimate failure load than that of metallic anchors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Understanding the most biomechanically sound suture anchor may assist in lowering the risk of clinical failure in CC fixation and repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671231222505","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T06:30:13Z","timestamp":1706077813000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Biomechanical Comparison of Coracoclavicular Fixation Using Metallic Versus All-Suture Anchors"],"prefix":"10.1177","volume":"12","author":[{"given":"Chih-Kai","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yueh","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kaohsiung Veterans General Hospital Tainan Branch, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen-Hao","family":"Chiang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":"Musculoskeletal Research Center, Innovation Headquarter, National Cheng Kung University, Tainan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"bibr1-23259671231222505","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2019.08.002"},{"key":"bibr2-23259671231222505","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.10.007"},{"key":"bibr3-23259671231222505","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.12.002"},{"key":"bibr4-23259671231222505","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-022-05245-5"},{"key":"bibr5-23259671231222505","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-022-04384-7"},{"key":"bibr6-23259671231222505","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06004-6"},{"issue":"9","key":"bibr7-23259671231222505","volume":"14","author":"Okereke 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