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After screening by eligibility criteria, 18 full\u2010text articles were included. The individual biomechanical factors evaluated included ultimate load to failure (in newtons), stiffness (in newtons per millimeter), and cyclic displacement (in millimeters). After reviewing the included literature, we performed a quality analysis of the studies (Quality Appraisal for Cadaveric Studies scale score) and a meta\u2010analysis comparing raw mean differences in data between the suprapectoral and subpectoral fixation location groups, as well as between the fixation construct groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 18 included studies, 347 cadaveric specimens were evaluated for ultimate load to failure, stiffness, and cyclic displacement when comparing both location (suprapectoral vs subpectoral) and tenodesis fixation type (interference screw vs cortical button, suture anchor, or all\u2013soft\u2010tissue techniques). Interference screw fixation showed significantly greater mean stiffness by 8.0 N\/mm (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .013) compared with the other grouped techniques but did not show significant differences when evaluated for ultimate load to failure and cyclic displacement (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .28 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .18, respectively). Additionally, no difference in construct strength was seen when comparing the fixation strength of suprapectoral versus subpectoral techniques for stiffness, ultimate load to failure, and cyclic loading (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .47,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .053, and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .13, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this meta\u2010analysis, no significant biomechanical differences were found when the results were stratified by specific surgical technique (interference screw vs other tenodesis techniques) and location (suprapectoral vs subpectoral biceps tenodesis).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>As a result of this study, when biomechanically evaluating specific tenodesis constructs, the individual clinician has the liberty of choosing the fixation technique based on his or her preference and knowledge of shortcomings of each type of fixation construct.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.05.055","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T19:41:37Z","timestamp":1593546097000},"page":"3081-3091","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["A Systematic Review and Meta\u2010analysis of Biceps Tenodesis Fixation Strengths: Fixation Type and Location Are Biomechanically Equivalent"],"prefix":"10.1002","volume":"36","author":[{"given":"Travis J.","family":"Dekker","sequence":"first","affiliation":[{"name":"The Steadman 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