{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:31:15Z","timestamp":1781782275859,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"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":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Posterior medial meniscus root (PMMR) tears (PMMRTs) can be repaired using various techniques to promote healing. However, the biomechanical properties of suture-relay all-suture anchor (ASA) versus conventional suture anchor (CSA) and loop-locking transtibial pullout (TTP) have not been well established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the biomechanical properties of PMMR repairs using suture-relay ASA, CSA, and loop-locking TTP.<\/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 33 fresh-frozen porcine knee joints with intact medial menisci were randomly divided into 3 groups, with 11 specimens in each group: ASA, CSA, and TTP. The study involved cyclic loading, with displacement measurements taken after 100, 500, and 1000 cycles. Subsequently, the specimens were loaded until clinical failure (defined as 3-mm displacement) and then to ultimate failure of the construct, with data recorded for displacement after cyclic loading, load to 3-mm displacement, and ultimate load to failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After 1000 cyclic loadings, the suture-relay ASA group showed considerably less displacement than the loop-locking TTP group (1.8 \u00b1 0.7 mm vs 2.9 \u00b1 0.3 mm; P &lt; .001), but the displacements did not differ considerably between the suture-relay ASA and CSA groups (2.2 \u00b1 0.9 mm; P &gt; .05). The mean loads to clinical failure were significantly greater in the suture-relay ASA and CSA groups (61.3 \u00b1 6.5 and 57.5 \u00b1 9.7 N, respectively) than in the loop-locking TTP group (38.3 \u00b1 9.4 N; P &lt; .05). The ultimate load to failure was significantly greater in the suture-relay ASA group than in the loop-locking TTP group (153 \u00b1 55.1 N vs 102 \u00b1 12.9 N; P &lt; .05). All specimens in the loop-locking TTP group failed by suture elongation mode, whereas only 2 specimens (18%) in the suture-relay ASA group and 5 specimens (45%) in the CSA group failed by suture elongation. Nine specimens (82%) in the suture-relay ASA group and 6 specimens (55%) in the CSA group failed due to suture cutout through the meniscal tissue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The biomechanical properties after PMMR repair did not statistically differ between the suture-relay ASA and CSA groups. The suture-relay ASA technique had a higher load to failure than the loop-locking TTP technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>The suture-relay ASA technique is a promising option for the repair of PMMRTs; its repairing strength is also comparable to that of the CSA technique. Notably, the suture-relay ASA technique can be utilized without establishing a posteromedial portal, resulting in decreased procedure time and mitigating challenges associated with working from the posterior aspect of the knee.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241279847","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T13:02:15Z","timestamp":1728392535000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Biomechanical Comparison of Suture-Relay All-Suture Anchors and Conventional Suture Anchors for Posterior Medial Meniscus Root Repair in Porcine Models"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0359-5703","authenticated-orcid":false,"given":"Nadhaporn","family":"Saengpetch","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Napat","family":"Prasitmeeboon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanapol","family":"Janyawongchot","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panya","family":"Aroonjarattham","sequence":"additional","affiliation":[{"name":"Department of Mechanical Engineering, Faculty of Engineering, Mahidol University, Nakornpathom, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chompunut","family":"Somtua","sequence":"additional","affiliation":[{"name":"Faculty of Engineering, Rangsit University, Pathumthani, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorawut","family":"Thamyongkit","sequence":"additional","affiliation":[{"name":"Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"bibr1-23259671241279847","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00748"},{"key":"bibr2-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514549445"},{"key":"bibr3-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.01.003"},{"key":"bibr4-23259671241279847","doi-asserted-by":"publisher","DOI":"10.4081\/or.2015.5792"},{"key":"bibr5-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514549447"},{"key":"bibr6-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.09.041"},{"key":"bibr7-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3832-0"},{"key":"bibr8-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2760-0"},{"key":"bibr9-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2020.02.007"},{"key":"bibr10-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513502946"},{"key":"bibr11-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1716-7"},{"key":"bibr12-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2010.04.006"},{"key":"bibr13-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510382847"},{"key":"bibr14-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-008-0810-8"},{"key":"bibr15-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.12.040"},{"key":"bibr16-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511413250"},{"key":"bibr17-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211017514"},{"key":"bibr18-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516673996"},{"key":"bibr19-23259671241279847","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.024"},{"issue":"9","key":"bibr20-23259671241279847","doi-asserted-by":"crossref","DOI":"10.1177\/2325967119873274","volume":"7","author":"Nakama 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