{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:46:21Z","timestamp":1777880781784,"version":"3.51.4"},"reference-count":54,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Several types of suture anchors, which differ in their working principles, are available for fixation of ligamentous structures in knee surgery. How the choice of a suture anchor type influences the biomechanical stability of ligament fixation is largely unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the biomechanical properties of different suture anchor designs regarding primary stability for tendon fixation and repair in medial collateral ligament (MCL) surgery.<\/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>The primary stability of MCL fixation was assessed in a porcine model utilizing 1 of 3 suture anchor types: a 5.5-mm titanium suture anchor (TSA), a 2.8-mm all-suture anchor (ASA), or a 5.5-mm polyether ether ketone knotless suture anchor (KLSA). Primary stability was assessed using a uniaxial material testing machine. Cyclic loading at 50 N and 100 N was applied for 500 cycles each, followed by a load-to-failure test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After 500 cycles at 50 N, the KLSA (2.4 \u00b1 0.3 mm) showed significantly ( P &lt; .05) reduced elongation in comparison to the TSA (4.0 \u00b1 0.9 mm) and ASA (3.6 \u00b1 0.7 mm), and after 500 cycles at 100 N, the KLSA (6.5 \u00b1 1.4 mm) again showed significantly ( P &lt; .05) reduced elongation in comparison to the TSA (11.0 \u00b1 2.2 mm) and ASA (12.0 \u00b1 3.6 mm). However, the KLSA (213 \u00b1 27 N) showed a significantly ( P &lt; .05) inferior ultimate failure load in comparison to the TSA (300 \u00b1 20 N) and ASA (348 \u00b1 23 N). In comparison to the TSA (113.0 \u00b1 11.0 N\/mm) and ASA (113.6 \u00b1 14.4 N\/mm), the KLSA (150.7 \u00b1 11.6 N\/mm) displayed the highest stiffness ( P &lt; .05). No significant differences were observed regarding yield load.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>KLSAs displayed significantly reduced elongation, at the cost of a reduced ultimate failure load, in comparison to TSAs and ASAs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Surgeons should be aware that differences exist between different suture anchor types regarding their biomechanical stability. KLSAs may be favorable for fixation of peripheral ligaments in knee surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671241300520","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T08:55:52Z","timestamp":1734080152000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Knotless Suture Anchors Display Favorable Elongation but an Inferior Ultimate Failure Load Versus Titanium Suture Anchors and All-Suture Anchors: A Biomechanical Comparison in a Porcine Model"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1643-5992","authenticated-orcid":false,"given":"Adrian","family":"Deichsel","sequence":"first","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Rolf","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Milstrey","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Klimek","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Peez","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Kittl","sequence":"additional","affiliation":[{"name":"Department of Trauma, Hand and Reconstructive Surgery, University Hospital M\u00fcnster, M\u00fcnster, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"bibr1-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1210\/endo.139.2.5751"},{"key":"bibr2-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/2325967121989312"},{"key":"bibr3-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.09.031"},{"key":"bibr4-23259671241300520","doi-asserted-by":"publisher","DOI":"10.3390\/s21196632"},{"key":"bibr5-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.34.3.227-a"},{"key":"bibr6-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/03635465000280051501"},{"key":"bibr7-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.01.016"},{"issue":"3","key":"bibr8-23259671241300520","volume":"12","author":"Deichsel A","year":"2024","journal-title":"Orthop J Sports Med"},{"issue":"4","key":"bibr9-23259671241300520","volume":"12","author":"Deichsel A","year":"2024","journal-title":"Orthop J Sports Med"},{"key":"bibr10-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221130753"},{"key":"bibr11-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118774000"},{"key":"bibr12-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-016-2529-2"},{"key":"bibr13-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09549-3"},{"key":"bibr14-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/0954411912451839"},{"key":"bibr15-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211031652"},{"key":"bibr16-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211017880"},{"key":"bibr17-23259671241300520","first-page":"27","author":"Glasbrenner J","year":"2018","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"bibr18-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200214"},{"key":"bibr19-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211050929"},{"key":"bibr20-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-021-00741-8"},{"key":"bibr21-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.06.023"},{"key":"bibr22-23259671241300520","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658020-00001"},{"key":"bibr23-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B6.0810987"},{"key":"bibr24-23259671241300520","volume-title":"Human Tendons: Anatomy, Physiology and Pathology","author":"J\u00f3zsa LG","year":"1997"},{"key":"bibr25-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1002\/jor.23187"},{"key":"bibr26-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1002\/jor.25647"},{"key":"bibr27-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509349347"},{"issue":"12","key":"bibr28-23259671241300520","first-page":"569","volume":"39","author":"Livermore RW","year":"2010","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr29-23259671241300520","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57030287"},{"issue":"1","key":"bibr30-23259671241300520","first-page":"3","volume":"6","author":"Makhmalbaf H","year":"2018","journal-title":"Arch Bone Jt Surg"},{"key":"bibr31-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4757-2968-9"},{"key":"bibr32-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.024"},{"key":"bibr33-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.05.025"},{"key":"bibr34-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500122"},{"issue":"12","key":"bibr35-23259671241300520","first-page":"573","volume":"4","author":"Morrison JB.","year":"1969","journal-title":"Biomed Eng"},{"key":"bibr36-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(70)90050-3"},{"key":"bibr37-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310021801"},{"key":"bibr38-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/0363546503261732"},{"key":"bibr39-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.04.028"},{"key":"bibr40-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3326-5"},{"key":"bibr41-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221143478"},{"key":"bibr42-23259671241300520","first-page":"77","volume":"26","author":"Phisitkul P","year":"2006","journal-title":"Iowa Orthop J"},{"key":"bibr43-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2011.07.005"},{"key":"bibr44-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.09.012"},{"key":"bibr45-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(98)00094-1"},{"key":"bibr46-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000180404.86078.ff"},{"key":"bibr47-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.08.048"},{"key":"bibr48-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/23094990211021536"},{"key":"bibr49-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2014.08.019"},{"key":"bibr50-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051901"},{"key":"bibr51-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03535-y"},{"key":"bibr52-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.05.001"},{"key":"bibr53-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2018.11.008"},{"key":"bibr54-23259671241300520","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03209-y"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671241300520","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23259671241300520","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23259671241300520","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:22:05Z","timestamp":1777594925000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23259671241300520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":54,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1177\/23259671241300520"],"URL":"https:\/\/doi.org\/10.1177\/23259671241300520","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"article-number":"23259671241300520"}}