{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T22:26:23Z","timestamp":1793658383832,"version":"4.5.1"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"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\/100008542","name":"Arthroscopy Association of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011549","name":"American Orthopaedic Society for Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011549","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019400","name":"CONMED Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019400","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":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the biomechanical properties and failure mechanisms of lateral extra\u2010articular tenodesis (LET) performed using onlay staple, inlay interference screw, and onlay all\u2010suture anchor fixation techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010four nonmatched pairs of human cadaveric knees were randomized to receive a cortical staple (n = 8), an interference screw (n = 8), or an all\u2010suture anchor (n = 8). A modified Lemaire LET technique was performed for all knees using their respective fixation technique. Biomechanical testing was performed using a tensile\u2010testing apparatus (MTS Systems). All knees were subjected to an axially directed preload cycle and subsequently assessed for cyclic and load\u2010to\u2010failure outcomes. Results were analyzed via analysis of variance, Kruskal\u2010Wallis, and post\u2010hoc Tukey tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three staple\u2010fixated LETs failed during the cyclic loading and were excluded from analysis. Average elongation after cyclic loading was 2.89 mm (staple), 2.06 mm (screw), and 3.51 mm (anchor) (\n                      <jats:italic>P<\/jats:italic>\n                      = .134). Average maximum load to failure was 174.1 N (staple), 250.8 N (screw), and 199.2 N (anchor), with a significant between\u2010group difference on analysis of variance testing (\n                      <jats:italic>P<\/jats:italic>\n                      = .023). Post hoc analysis revealed staple fixation had a significantly lower maximum load than interference screw fixation (\n                      <jats:italic>P<\/jats:italic>\n                      = .026). Displacement at maximum load was significantly higher in the anchor group (22.2 mm) compared to the staple (11.3 mm) (\n                      <jats:italic>P<\/jats:italic>\n                      = .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While staple fixation resulted in early failure, both interference screw and anchor fixations are viable options for LET, with suture anchors offering less rigidity under high loads when compared with either fixation strategy. However, no differences were observed in elongation during cyclic loading.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Emerging literature has revealed a 70% tunnel convergence rate when utilizing an interference screw for femoral fixation of a LET. The results of the present time\u2010zero cadaveric study explore the role of surface\u2010based fixation methods, given that it may mitigate convergence risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.06.029","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T02:48:18Z","timestamp":1751424498000},"page":"4733-4739","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Interference Screw and Suture Anchor Fixation for Lateral Extra\u2010articular Tenodesis Yield No Significant Differences in Load to Failure, While Staple Fixation Lags Behind: A Cadaveric Biomechanical Study"],"prefix":"10.1002","volume":"41","author":[{"given":"Ron","family":"Gilat","sequence":"first","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeeshan A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Bernardo","family":"Villareal\u2010Espinosa","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew S.","family":"Bi","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harkirat S.","family":"Jawanda","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garrett R.","family":"Jackson","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safa","family":"Gursoy","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."},{"name":"Acibadem University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enzo S.","family":"Mameri","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth F.","family":"Shewman","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Rush University Medical College Chicago Illinois U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo E.","family":"Gelber","sequence":"additional","affiliation":[{"name":"ReSport Clinic 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