Three‐Anchor Knotless Compression Bridges Improve Contact Mechanics in a Biomechanical Model of Large, Single‐Row Tendon Repairs

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Authors: Nisha M. Kotta, Benjamin L. Smith, Roger Quesada-Jimenez, Anthony Nicholas Khoury, Benjamin Gilbert Domb
Cited by: 1
References: 36

Abstract

Purpose To investigate the influence of anchor density on tendon footprint contact mechanics in knotless all‐suture anchor compression bridge constructs. Methods Unicortical polyurethane solid foam blocks with a cancellous density of 20 lb/ft 3 and a cortical density of 40 lb/ft 3 simulated bone. Tendons were replicated with 4.76‐mm‐thick 40A durometer polyurethane rubber sized to 27 × 12 mm. Test groups consisted of two 2.6‐mm all‐suture anchor single‐row knotless compression bridge constructs evaluated at interanchor distances of 10, 15, 20, and 25 mm. A 3‐anchor construct was also evaluated for the 25‐mm (large tear) condition. The repair sutures of each construct were individually hooked onto a zeroed, handheld force gauge and manually tensioned to create a minor (

Fields of Study & Subjects

Orthopedic Surgery and Rehabilitation Shoulder Injury and Treatment Tendon Structure and Treatment

Publication details

Journal / source
Arthroscopy Sports Medicine and Rehabilitation
Publisher
Wiley
Volume
8
Issue
5
Pages
e70082–e70082
Publication date
6 September 2026
Language
EN