{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T21:42:21Z","timestamp":1788644541833,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,6,27]],"date-time":"2011-06-27T00:00:00Z","timestamp":1309132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2011,6,27]],"date-time":"2011-06-27T00:00:00Z","timestamp":1309132800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,6,27]],"date-time":"2011-06-27T00:00:00Z","timestamp":1309132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,6,27]],"date-time":"2011-06-27T00:00:00Z","timestamp":1309132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008426","name":"DePuy Mitek","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008426","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this study was to biomechanically compare the cyclic and ultimate failure load (UFL) of 4 widely used techniques for arthroscopically performable suprapectoral tenodesis of the long head of the biceps tendon (LHB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used 28 fresh\u2010frozen human cadaveric specimens (mean age, 65 years [range, 43 to 78 years; SD, 6.7 years]; 43% male specimens) to investigate 4 different techniques for LHB tenodesis. All techniques were performed in an open manner, with localization at the entrance of the bicipital groove. Two suture anchor techniques (Healix [DePuy Mitek, Raynham, MA], 5.5 mm, with modified lasso\u2010loop stitch; BioSwiveLock [Arthrex, Naples, FL], 5.5 mm, with interlocking Krackow stitch) and two techniques using tenodesis screws (Bio\u2010Tenodesis screw [Arthrex], 8 \u00d7 23 mm; Biceptor [Smith &amp; Nephew, Andover, MA], 8 \u00d7 25 mm) were investigated. Under a 10\u2010N preload, an axial cyclic load with 100 cycles, 1\u2010Hz frequency, and 50\u2010N maximum load was applied. UFL was evaluated with an axial traction of 0.2 mm\/s. LHB displacement during testing was measured by 3\u2010dimensional photogrammetry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All techniques had a mean displacement of less than 3 mm after cyclic loading. The highest UFL was measured with the Bio\u2010Tenodesis screw (mean, 218.3 N; range, 134.0 to 313.0 N; SD, 59.7 N) and the lowest with the BioSwiveLock (mean, 111.2 N; range, 60.0 to 156.8 N; SD, 32.3 N). The Healix had the second highest UFL (mean, 187.1 N; range, 144.7 to 245.0 N; SD, 35.5 N), followed by the Biceptor (mean, 173.9 N; range, 147.0 to 209.3 N; SD, 27.2 N). There was no significant difference between the Healix, Bio\u2010Tenodesis screw, and Biceptor (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05), but the Healix and Bio\u2010Tenodesis screw had a significantly higher UFL than the BioSwiveLock (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). The failure mode was either suture cutout or failure at the anchor\u2010suture\u2010bone interface or of the tendon itself and was generally dependent on technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>All techniques resisted cyclic testing without a higher grade of displacement, and all devices except the BioSwiveLock had a satisfactory UFL whereas different failure mechanisms were present. The modified lasso\u2010loop stitch provides sufficient tendon fixation and is equivalent to interference screws.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The lasso\u2010loop suture anchor technique is an appropriate alternative for suprapectoral LHB tenodesis compared with tenodesis screw techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.03.082","type":"journal-article","created":{"date-parts":[[2011,6,28]],"date-time":"2011-06-28T03:25:44Z","timestamp":1309231544000},"page":"1036-1047","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":82,"title":["Biomechanical Comparison of Arthroscopically Performable Techniques for Suprapectoral Biceps Tenodesis"],"prefix":"10.1002","volume":"27","author":[{"given":"Thilo","family":"Patzer","sequence":"first","affiliation":[{"name":"Department of Orthopaedics University Hospital of D\u00fcsseldorf D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan M.","family":"Rundic","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rheumatology University Hospital of Marburg Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evgenij","family":"Bobrowitsch","sequence":"additional","affiliation":[{"name":"Laboratory of Biomechanics and Biomaterials Department of Orthopaedics Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin D.","family":"Olender","sequence":"additional","affiliation":[{"name":"Laboratory of Biomechanics and Biomaterials Department of Orthopaedics Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christof","family":"Hurschler","sequence":"additional","affiliation":[{"name":"Laboratory of Biomechanics and Biomaterials Department of Orthopaedics Hannover Medical School Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus D.","family":"Schofer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rheumatology University Hospital of Marburg Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,6,27]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3181824f1e"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B8.19278"},{"key":"e_1_2_3_4_1","first-page":"672","article-title":"Entrapment of the long head of the biceps: The \u201chourglass biceps.\u201d: Another cause of pain and locking of the 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}