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A 1.3\u2010mm high tensile strength tape was used in a Krackow stitch to suture the tendons in both groups. Specimens and repair constructs were loaded for 3,000 cycles and then loaded to failure. Maximum load to failure, mode of failure, and construct elongation were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean (\u00b1 standard deviation) maximum load to failure for the unicortical intramedullary button and all\u2010suture anchor repairs were 503.23 \u00b1 141.77 N and 537.33 \u00b1 262.13 N (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .696), respectively. Mean maximum displacement after 3,000 cycles (\u00b1 standard deviation) was 4.17 \u00b1 2.05 mm in the button group and 2.06 \u00b1 1.05 mm in the suture anchor group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .014). Mode of failure in the button group was suture tape rupture in 7 specimens, failure at the tendon\u2013suture interface in 2 specimens, and button pullout in 1 specimen. Anchor pullout was the mode of failure in all suture anchor specimens. There were no tendon ruptures or radial tuberosity fractures in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates that onlay distal biceps repair with 2 all\u2010suture anchors has similar maximum strength to repair with an intramedullary button and that both are viable options for fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>All\u2010suture anchors and unicortical intramedullary button have similar maximum strength at time zero. Both constructs provide suitable fixation for onlay distal biceps repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.06.036","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T11:13:00Z","timestamp":1627470780000},"page":"287-294","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Intramedullary Unicortical Button and All\u2010Suture Anchors Provide Similar Maximum Strength for Onlay Distal Biceps Tendon Repair"],"prefix":"10.1002","volume":"38","author":[{"given":"Donald F.","family":"Colantonio","sequence":"first","affiliation":[{"name":"Department of Orthopaedics Walter Reed National Military Medical Center Bethesda Maryland U.S.A."},{"name":"Department of Surgery Uniformed Services University of the Health Sciences Bethesda Maryland U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony 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