{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T21:42:01Z","timestamp":1788644521087,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Suprapectoral tenodesis is a frequently used technique for treating pathologies of the long head of the biceps brachii (LHBB) tendon. However, so far, no Gold Standard treatment exist. Hence, the arthroscopic LassoLoop360 (LL360) technique is introduced aiming to provide secure fixation and improved biomechanical properties. It was hypothesized, that the LL360 technique would show superior biomechanical response to cyclic loading and ultimate load\u2010to\u2010failure testing compared to the commonly used simple Lasso Loop (SLL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010two porcine superficial flexor digitorum tendons were prepared using a No. 2 suture according to either the SLL or the LL360 technique. Displacement after cyclic loading (1.000 cycles) between 5 and 30\u00a0N, ultimate load\u2010to\u2010failure (ULTF), mode of failure as well as the construct stiffness were tested.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significantly less displacement was found in the LL360\u00a0group (SLL 2.25\u2009\u00b1\u20090.51\u00a0mm; LL360 1.67\u2009\u00b1\u20090.37\u00a0mm; <jats:italic>p<\/jats:italic>\u2009=\u20090.01). Ultimate Load to Failure was significantly higher in the LL360 (168.6\u2009\u00b1\u200929.6\u00a0N) as compared to the SLL (124.1\u2009\u00b1\u200925.8\u00a0N, <jats:italic>p<\/jats:italic>\u2009=\u20090.02). The LL360 also revealed a significant higher stiffness compared to the SLL (SLL 13.1\u2009\u00b1\u20090.9\u00a0N\/mm vs. LL360 19.1\u2009\u00b1\u20091.0\u00a0N\/mm, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The most common mode of failure was the suture cutting through the tendon, with a significantly less suture cutting through for the LL360 compared with the SLL (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The LassoLoop360\u2010technique offers superior biomechanical characteristics regarding the tendon\u2010suture\u2010interface compared to the SLL. In the initial healing phase, the suture\u2010tendon\u2010interface is the most vulnerable part of the tendon\u2010suture\u2010anchor construct, the aim of this new technique is to reduce this weakest part of the chain (Ponce et al., Am J Sports Med 39:188\u2013194, 2011). This technique may therefore be beneficial for arthroscopic suprapectoral biceps tenodesis at the entrance of the bicipital groove.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-019-05604-1","type":"journal-article","created":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T11:02:42Z","timestamp":1561719762000},"page":"3962-3969","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The new LassoLoop360\u00b0 technique for biomechanically superior tissue grip"],"prefix":"10.1002","volume":"27","author":[{"given":"Sebastian","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics and Traumatology University Hospital Basel Spitalstrasse 21 4031 Basel Switzerland"},{"name":"<!--<label>2<\/label>--> University of Basel Petersplatz 1 4003 Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebekka","family":"Flury","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> University of Basel Petersplatz 1 4003 Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> School of Life Sciences, Institute for Medical and Analytical Technologies University of Applied Sciences Northwestern Switzerland Gr\u00fcndenstrasse 40 4132 Muttenz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"de Wild","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> School of Life Sciences, Institute for Medical and Analytical Technologies University of Applied Sciences Northwestern Switzerland Gr\u00fcndenstrasse 40 4132 Muttenz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Fogerty","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Shoulder Clinic Calderdale and Huddersfield NHS Trust Acre Street, Lindley HD3 3EA Huddersfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Lafosse","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> ALPS Surgery Institute, Clinique G\u00e9n\u00e9rale 4 Chemin de la Tour la Reine 74000 Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vito","family":"Bongiorno","sequence":"additional","affiliation":[{"name":"<!--<label>6<\/label>--> Polyclinique Notre Dame Draguignan 345 Avenue Pierre Brossolette 83300 Draguignan France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Rosso","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> University of Basel Petersplatz 1 4003 Basel Switzerland"},{"name":"<!--<label>7<\/label>--> ARTHRO Medics, Shoulder and Elbow Center Thannerstrasse 45 4054 Basel 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November 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 June 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All authors declare, that they have no competing interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All porcine samples were collected from a local slaughterhouse and all animals were slaughtered for meat production and not for study purposes. Hence, approval of the Ethical Committee was not necessary.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}