{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:53:27Z","timestamp":1760234007271,"version":"build-2065373602"},"reference-count":23,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T00:00:00Z","timestamp":1616112000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Injuries to the knee ligaments can be particularly disabling in young patients, given the risk of long-term disability if adequate fixation is not achieved during initial repair. The TWINFIX\u2122 titanium (Ti) suture anchor with ULTRABRAID\u2122 Suture (Smith and Nephew, London, UK) was designed to secure tendon and ligament reconstructions with increased boney ingrowth at the anchor site with minimal invasive technique. This retrospective analysis looked at 33 patients (41 implants) operated with this device between 2015 and 2019 at a single institution. The average age of patients was 33.18 years (standard deviation [SD], 15.26), with an average body mass index of 24.88 (SD, 3.49). The indications were lateral extra-articular tenodesis during anterior cruciate ligament reconstruction, medial patellofemoral ligament reconstruction, quadriceps or patellar tendon repair and medial collateral ligament repair. After an average follow up of 24.3 + 6.53 months, there was no reports of clinical failure or radiographic evidence of implant failure or loosening. One patient experienced a complication unrelated to the study device, requiring manipulation under anesthesia with resolution of symptoms. This case series supports the safety and performance of this implants for the knee procedures in which its use is indicated. Additional follow-up will be required to determine whether these effects are sustained at medium- and long-term durations.<\/jats:p>","DOI":"10.3390\/medicina57030287","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T11:18:38Z","timestamp":1616152718000},"page":"287","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Safety and Performance of Titanium Suture Anchors Used in Knee Ligament Repair Procedures"],"prefix":"10.3390","volume":"57","author":[{"given":"Antonio","family":"Maestro","sequence":"first","affiliation":[{"name":"Hospital Bego\u00f1a, Avda, Pablo Iglesias 92, 33204 Gij\u00f3n, Spain"},{"name":"Real Sporting Gijon SAD, Camino Mareo-Granda, 645, 33390 Gijon, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3068-2957","authenticated-orcid":false,"given":"Iv\u00e1n","family":"Pipa","sequence":"additional","affiliation":[{"name":"Hospital Bego\u00f1a, Avda, Pablo Iglesias 92, 33204 Gij\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00e1s","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Hospital Bego\u00f1a, Avda, Pablo Iglesias 92, 33204 Gij\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carmen","family":"Toyos","sequence":"additional","affiliation":[{"name":"Hospital Bego\u00f1a, Avda, Pablo Iglesias 92, 33204 Gij\u00f3n, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5678-8472","authenticated-orcid":false,"given":"Marcelino","family":"Torrontegui-Duarte","sequence":"additional","affiliation":[{"name":"Departament Nursing and Podiatry, Universidad de Malaga, 29016 Malaga, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesar","family":"Casta\u00f1o","sequence":"additional","affiliation":[{"name":"Real Sporting Gijon SAD, Camino Mareo-Granda, 645, 33390 Gijon, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,3,19]]},"reference":[{"key":"ref_1","first-page":"15","article-title":"Complete Rupture of the Triceps Tendon and Ulnar Collateral Ligament of the Elbow in a 13-Year-Old Football Player: A Case Report","volume":"8","author":"Khalil","year":"2018","journal-title":"J. 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