The peak stress method (PSM) is an engineering, finite element (FE)‐oriented method to rapidly estimate the notch stress intensity factors by using the singular linear elastic peak stresses calculated from coarse FE analyses. The average element size adopted to generate the mesh pattern can be chosen arbitrarily within a given range. Originally, the PSM has been calibrated under pure mode I and pure mode II loadings by means of Ansys FE software. In the present contribution, a round robin between 10 Italian universities has been carried out to calibrate the PSM with 7 different commercial FE codes. To this aim, several two‐dimensional mode I and mode II problems have been analysed independently by the participants. The obtained results have been used to calibrate the PSM for given stress analysis conditions in (i) FE software, (ii) element type and element formulation, (iii) mesh pattern, and (iv) criteria for stress extrapolation and principal stress analysis at FE nodes.

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Purpose A suture passed along the part of the graft that will be inserted into the femoral tunnel is widely used by surgeons, because it could prevent the graft sliding on the femoral fixation device during pulling from the tibial side. The aim of this study was to evaluate the biomechanical effects of suturing the intratunnel femoral part of the graft during an anterior cruciate ligament (ACL) reconstruction. Methods Bovine digital extensor tendons and tibias were harvested from 20 fresh-frozen mature bovine knees ranging in age from 18 to 24 months. Quadruple-strand bovine tendons were passed through the tibial tunnel and secured distally with a bioabsorbable interference screw. In one half of all grafts (N = 10), the looped-over part of the graft was sutured in a whipstitch technique over a distance of 30 mm (Group 1). In one half of all grafts (N = 10), the looped-over part was left free from any suture (Group 2). The grafts were preconditioned at 50 N for 10 min, followed by cyclic loading at 1 Hz between 50 N and 250 N for 1,000 cycles. Load-to-failure test was then carried out at a rate of 1 mm/s. Results There was no statistically significant difference between mean stiffness at pullout and yield load between the two groups. In all specimens on Group 1, failure occurred following to partial breaking and then slipping of the tendons between the screw and the tunnel. Concerning Group 2, in six cases failure occurred as described for Group 1 specimens. In the remaining four cases, failure occurred entirely through the ligament mid-substance. Conclusions Suturing in a whipstitch fashion the femoral portion of the graft doesn't affect the mechanical proprieties of the ACL graft. When suspension fixation device is used, suturing the looped-over part of the graft could be helpful in order to provide equal tension in all of the strands of the graft at time of tibial fixation.

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