{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T03:21:01Z","timestamp":1789269661767,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"vor","delay-in-days":104,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Transtibial pullout repair for posterior meniscus root tear is widely performed to restore meniscal function. However, it is sometimes technically difficult to pass the suture through the posterior medial meniscus root in narrow joint space. To address this limitation, a new suture technique using an all\u2010inside meniscal suture device through the tibial tunnel was proposed. The purpose of the present study was to compare the biomechanical properties of a meniscus\u2010suture construct prepared using an all\u2010inside meniscal suture device and those of the construct prepared using conventional suture techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 18 fresh\u2010frozen porcine medial menisci were used and randomly divided into three groups according to the type of suturing technique applied. Three suturing methods were evaluated: suturing with all\u2010inside meniscal suture device, single simple suture, and double simple sutures. All specimens were subjected to cyclic loading of 300\u2009cycles followed by a load\u2010to\u2010failure test. The displacement after cyclic loading, the ultimate failure load, and the mode of failure were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference among the three suturing techniques regarding both displacement after cyclic loading and ultimate failure load. Suture breakage was the most common failure mode in each group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The biomechanical properties of meniscus\u2010suture construct with the all\u2010inside meniscal suture device were equivalent to those obtained using conventional suture techniques. Our results suggest that pullout repair using the all\u2010inside meniscal suture device through the tibial tunnel could serve as an alternative suture technique for the repair of posterior meniscus root tears.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s40634-019-0186-4","type":"journal-article","created":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T06:03:31Z","timestamp":1555308211000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Biomechanical comparison of meniscus\u2010suture constructs for pullout repair of medial meniscus posterior root tears"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3767-7344","authenticated-orcid":false,"given":"Shinichiro","family":"Okimura","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Sapporo Medical University School of Medicine South\u20101, West 16, Chuo\u2010ku 060\u20108543 Sapporo Hokkaido 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All applicable international, national, and institutional guidelines for the care and use of animals were followed.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"17"}}