{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T08:20:38Z","timestamp":1787732438547,"version":"build-2784847793"},"reference-count":39,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100007928","name":"perelman school of medicine, university of pennsylvania","doi-asserted-by":"publisher","award":["P20 GM139760"],"award-info":[{"award-number":["P20 GM139760"]}],"id":[{"id":"10.13039\/100007928","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":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Meniscal tears are common sports-related injuries, and surgical repairs continue to have undesirable clinical outcomes. Meniscal allograft transplantation is limited by the availability of suitable age-matched and size-matched allografts and poor long-term survival. Segmental meniscal transplantation may improve outcomes by preserving the meniscotibial ligament complex; however, little is known about how surgical techniques influence the biomechanics of such reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the biomechanical performance of 2 surgical reconstruction strategies for segmental meniscal transplantation using a cadaveric bovine meniscus model.<\/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 bovine meniscus explants (12 medial, 12 lateral) underwent 2 repair techniques (n = 12 per group; 6 medial and 6 lateral per group): (1) Repair 1, using 2 hashtag, 1 vertical rip-stop, and 2 luggage tag sutures; and (2) Repair 2, using 4 luggage, 1 vertical mattress, and 2 horizontal mattress sutures. Half of the specimens (n = 12) underwent quasi-static uniaxial tensile testing to failure; the remaining half underwent 1000 loading cycles before failure. Outcomes included stiffness, maximum force, failure mode, construct deformation, and cyclic survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Repair 1 demonstrated significantly higher ultimate failure loads in both static (311.9 \u00b1 26.2 N vs. 209.5 \u00b1 82.6 N;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .016) and dynamic testing (339 \u00b1 43 N vs. 181 \u00b1 89 N;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .003) compared with Repair 2. During cyclic loading, 33% of Repair 2 specimens did not complete the full protocol. Cyclic stiffness and construct deformation favored Repair 1, although differences between groups did not reach significance at any individual cycle count.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A surgical technique combining hashtag sutures with luggage-tag fixation (Repair 1) increased ultimate failure load and reduced the likelihood of cyclic failure, suggesting it may enhance the stability and durability of segmental meniscal repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Robust fixation of segmental meniscal repairs may improve surgical outcomes for meniscal deficiency and offer an alternative to full meniscal transplantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671261468500","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:28:08Z","timestamp":1787570888000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Approach to Segmental Meniscal Repair Improves Ultimate Strength and Resistance to Cyclic Fatigue"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2446-6556","authenticated-orcid":false,"given":"Hisham","family":"Omar","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering, University of Delaware, Newark, Delaware, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3270-7708","authenticated-orcid":false,"given":"Akbar N.","family":"Syed","sequence":"additional","affiliation":[{"name":"The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Landrum","sequence":"additional","affiliation":[{"name":"The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Sommer","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, University of Delaware, Newark, Delaware, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4160-0163","authenticated-orcid":false,"given":"Kevin","family":"Shea","sequence":"additional","affiliation":[{"name":"Stanford University School of Medicine, Stanford, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6145-7835","authenticated-orcid":false,"given":"Theodore J.","family":"Ganley","sequence":"additional","affiliation":[{"name":"The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0351-9196","authenticated-orcid":false,"given":"Michael W.","family":"Hast","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering, University of Delaware, Newark, Delaware, USA"},{"name":"Department of Mechanical Engineering, University of Delaware, Newark, Delaware, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"232","article-title":"The innervation of the human meniscus","author":"Assimakopoulos AP","year":"1992","unstructured":"Assimakopoulos AP, Katonis PG, Agapitos MV, Exarchou EI. 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