{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T19:18:41Z","timestamp":1793992721621,"version":"4.8.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100007308","name":"Arthrex GmbH","doi-asserted-by":"publisher","award":["The anchors tested were funded by the manufacturer"],"award-info":[{"award-number":["The anchors tested were funded by the manufacturer"]}],"id":[{"id":"10.13039\/100007308","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007308","name":"Arthrex GmbH","doi-asserted-by":"publisher","award":["The anchors tested were funded by the manufacturer"],"award-info":[{"award-number":["The anchors tested were funded by the manufacturer"]}],"id":[{"id":"10.13039\/100007308","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007308","name":"Arthrex GmbH","doi-asserted-by":"publisher","award":["The anchors tested were funded by the manufacturer"],"award-info":[{"award-number":["The anchors tested were funded by the manufacturer"]}],"id":[{"id":"10.13039\/100007308","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Tenodesis of the long head of the biceps tendon is frequently performed in shoulder surgery, and all-suture anchors have become more popular as fixation methods. However, uncertainty still exists regarding the ultimate load to failure of all-suture anchors and the best insertion angle at a cortical humeral insertion point.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The purpose of this study was to compare the biomechanical characteristics of three types of all-suture anchors frequently used for biceps tenodesis. In addition, the influence of two different insertion angles was observed in a porcine humeri model.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The ultimate load to failure and failure mode of three types of all-suture anchors (1.6 FiberTak\u00ae, 1.9 FiberTak\u00ae, 2.6 FiberTak\u00ae, Arthrex\u00ae) applicable for subpectoral biceps tenodesis were evaluated at 90\u00b0 and 45\u00b0 insertion angles in 12 fresh-frozen porcine humeri. The anchors were inserted equally alternated in a randomized manner at three different insertion sites along the bicipital groove, and the suture tapes were knotted around a rod for pullout testing. In total, 36 anchors were evaluated in a universal testing machine (Zwick &amp; Roell).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The 2.6 FiberTak\u00ae shows higher ultimate loads to failure with a 90\u00b0 insertion angle (944.0\u00a0<jats:italic>N<\/jats:italic>\u2009\u00b1\u2009169.7\u00a0N; 537.0\u00a0<jats:italic>N<\/jats:italic>\u2009\u00b1\u2009308.8\u00a0N) compared to the 1.9 FiberTak\u00ae (677.8\u00a0<jats:italic>N<\/jats:italic>\u2009\u00b1\u200957.7\u00a0N; 426.3\u00a0<jats:italic>N<\/jats:italic>\u2009\u00b1\u2009167.0\u00a0N, p-value: 0.0080) and 1.6 FiberTak\u00ae (733.0\u00a0<jats:italic>N<\/jats:italic>\u2009\u00b1\u200967.6\u00a0N; 450.0\u00a0<jats:italic>N<\/jats:italic>\u2009\u00b1\u2009155.8\u00a0N, p-value: 0.0018). All anchor types show significantly higher ultimate loads to failure and smaller standard deviations at the 90\u00b0 insertion angle than at the 45\u00b0 insertion angle. The major failure mode was anchor pullout. Only the 2.6 FiberTak\u00ae anchors showed suture breakage as the major failure mode when placed with a 90\u00b0 insertion angle.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>All three all-suture anchors are suitable fixation methods for subpectoral biceps tenodesis. Regarding our data, we recommend 90\u00b0 as the optimum insertion angle.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical relevance<\/jats:title>\n                <jats:p>The influence of anchor size and insertion angle of an all-suture anchor should be known by the surgeon for optimizing ultimate loads to failure and for achieving a secure fixation.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-024-07503-0","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T12:01:42Z","timestamp":1716465702000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["All-suture anchor size and drill angle influence load to failure in a porcine model of subpectoral biceps tenodesis, a biomechanical study"],"prefix":"10.1186","volume":"25","author":[{"given":"Prisca S.","family":"Alt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Marx","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sepp","family":"Braun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"issue":"3","key":"7503_CR1","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1097\/JSA.0b013e3181824edf","volume":"16","author":"MT Provencher","year":"2008","unstructured":"Provencher MT, LeClere LE, Romeo AA. Subpectoral biceps tenodesis. Sports Med Arthrosc Rev. 2008;16(3):170\u20136.","journal-title":"Sports Med Arthrosc Rev"},{"issue":"11","key":"7503_CR2","doi-asserted-by":"publisher","first-page":"e0225648","DOI":"10.1371\/journal.pone.0225648","volume":"14","author":"D Ntalos","year":"2019","unstructured":"Ntalos D, Sellenschloh K, Huber G, Briem D, P\u00fcschel K, Morlock MM, et al. Conventional rotator cuff versus all-suture anchors - a biomechanical study focusing on the insertion angle in an unlimited cyclic model. PLoS ONE. 2019;14(11):e0225648.","journal-title":"PLoS ONE"},{"issue":"10","key":"7503_CR3","doi-asserted-by":"publisher","first-page":"2478","DOI":"10.1177\/0363546519860489","volume":"47","author":"A Otto","year":"2019","unstructured":"Otto A, Mehl J, Obopilwe E, Cote M, Lacheta L, Scheiderer B, et al. Biomechanical comparison of onlay distal biceps tendon repair: all-suture anchors versus titanium suture anchors. 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