ArticleOrthopaedic journal of sports medicine2025
Biomechanical Evaluation of a Novel Anchorless Transosseous Suture: The Open-Box Technique in Rotator Cuff Repair.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Arthroscopic transition from suture anchors to transosseous suture technique for treating rotator cuff tear with osteoporosis- a case report.BMC musculoskeletal disorders · 2025Article
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Authors and funding
12 authors.
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Abstract
Background: Some early biomechanical studies have pointed out that the strength of transosseous suturing is not quite satisfactory. Based on previous studies, we enhanced the strength-related factors and developed a high-strength transosseous suture method, open-box (OBOX), which may offer superior biomechanical strength. Purpose/Hypothesis: The purpose of this study was to compare cyclic loading, ultimate load to failure, and failure mode of OBOX configuration with those of the anchorless X-box (XBOX) construct and the anchored double-row suture bridge (ADRSB) construct. It was hypothesized that the ultimate strength (US) of the OBOX configuration is similar to that of the ADRSB construct and higher than that of the XBOX construct. Study Design: Controlled laboratory study. Methods: A total of 24 fresh-frozen porcine cadaveric shoulders were randomized to 3 repair constructs (8 cases per group). The infraspinatus tendon was detached and repaired to the footprint of the supraspinatus with different repair constructs. Biomechanical testing involved initial preload, cyclic loading, and ultimate failure load. Cameras recorded the bare footprint area (BFA, %), optical markers monitored first-cycle excursion (FCE, mm), and cyclic elongation (CE, %). The US (N) was measured by a mechanical testing machine, and the failure mode was recorded. Results: The mean US in the OBOX group (708.91 ± 116.34 N) was significantly higher than that in the XBOX group (466.58 ± 70 N) ( Conclusion: The OBOX construct demonstrated significantly higher mean US than the XBOX construct in the porcine cadaveric model and was comparable with ADRSB repair. The most common failure modes were type 2 tendon tear for OBOX, type 1 tendon tear for XBOX, and fixing material-related failure for ADRSB. Clinical Relevance: The OBOX configuration represents a novel transosseous repair method with high fixation strength comparable with the ADRSB construct and stronger than the XBOX construct. However, caution is necessary because of the potential for type 2 tendon tear associated with OBOX, which could complicate revision procedures.
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