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Force for 1 mm and 2 mm of displacement and ultimate failure load were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For 1 mm of displacement, groups 2, 3, and 4 showed significantly lower forces than group 1 (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), with no statistically significant difference between groups 2 and 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .516); for 2 mm of displacement, all groups showed significantly lower forces than group 1 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), which positively correlated with applied torque. No differences in the mean ultimate loads observed between testing groups 1, 2, and 4 were noted, with 93.3 \u00b1 3.8 N, 91.4 \u00b1 4.7 N, and 92.6 \u00b1 5.6 N, respectively; however, group 3 exhibited a significantly lower mean ultimate load (62.3 \u00b1 1.7 N) than all other groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ultimate failure load of knotted and knotless all\u2010suture anchor fixation was partially affected by loading differentials between strands in this validated foam block model. Differential loading of knotted all\u2010suture anchor fixation presented greater initial displacement when compared with symmetrically loaded knotted all\u2010suture anchors. Despite an initial increase in displacement, knotless all\u2010suture anchors showed similar ultimate failure loads to knotted all\u2010suture anchors with strands loaded equally.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The role of suture strand loading imbalance on anchor fixation is variable and should be considered during placement and fixation of the repair constructs in a clinical setting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2020.12.008","type":"journal-article","created":{"date-parts":[[2021,2,24]],"date-time":"2021-02-24T23:20:33Z","timestamp":1614208833000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effect of Torque Differences for All\u2010Suture Anchor Fixation Strength: A Biomechanical Analysis"],"prefix":"10.1002","volume":"3","author":[{"given":"Lucca","family":"Lacheta","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Center for Musculoskeletal Surgery Charit\u00e8 Universitaetsmedizin Berlin Berlin Germany"},{"name":"Department of Orthopaedic Sports Medicine Technical University of Munich Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon","family":"Miles","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brenton","family":"Douglass","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Millett","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"The Steadman Clinic Vail Colorado U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,25]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2019.02.010"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.01.046"},{"key":"e_1_2_2_4_2","first-page":"174","article-title":"Radiological and clinical outcome of arthroscopic labral repair with all\u2010suture anchors","volume":"82","author":"Willemot L.","year":"2016","journal-title":"Acta Orthop 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clinical and biomechanical performance of all\u2010suture anchors: A systematic review","volume":"2","author":"Erg\u00fcn S.","year":"2020","journal-title":"Arthroscopy"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.02.008"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.09.031"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.10.006"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.022"}],"container-title":["Arthroscopy, Sports Medicine, and 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}