{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:50:39Z","timestamp":1791427839459,"version":"4.3.3"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":87,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"DOI":"10.1186\/s12891-026-10186-4","type":"journal-article","created":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T23:24:11Z","timestamp":1783898651000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of tendon-to-bone gap on adjustable- versus fixed-loop biceps tendon fixation"],"prefix":"10.1186","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2835-9333","authenticated-orcid":false,"given":"Golovakha M.","family":"L.","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4796-6019","authenticated-orcid":false,"given":"Lisunov M.","family":"S.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-3645","authenticated-orcid":false,"given":"Panchenko S.","family":"P.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"issue":"7","key":"10186_CR1","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1530\/EOR-23-0035","volume":"8","author":"M Jaschke","year":"2023","unstructured":"Jaschke M, Rekawek K, Sokolowski S, Kolodziej L. Distal biceps tendon rupture: a comprehensive overview. EFORT Open Rev. 2023;8(7):509\u201320. https:\/\/doi.org\/10.1530\/EOR-23-0035.","journal-title":"EFORT Open Rev"},{"issue":"4","key":"10186_CR2","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/j.jisako.2023.02.004","volume":"8","author":"EA W\u00f6rner","year":"2023","unstructured":"W\u00f6rner EA, Nagel M, Kodde IF, Eygendaal D, The B. Return to sports following distal biceps tendon repair: a current concepts review. J ISAKOS. 2023;8(4):227\u201331. https:\/\/doi.org\/10.1016\/j.jisako.2023.02.004.","journal-title":"J ISAKOS"},{"issue":"7","key":"10186_CR3","doi-asserted-by":"publisher","first-page":"1769","DOI":"10.1177\/03635465241295618","volume":"53","author":"P Boufadel","year":"2025","unstructured":"Boufadel P, Daher M, Lopez R, Fares MY, Lawand J, Khan AZ, Abboud JA. Return to sport after distal biceps tendon repair: a systematic review. Am J Sports Med. 2025;53(7):1769\u201378. https:\/\/doi.org\/10.1177\/03635465241295618.","journal-title":"Am J Sports Med"},{"issue":"1","key":"10186_CR4","doi-asserted-by":"publisher","first-page":"3","DOI":"10.25259\/JASSM_22_2022","volume":"5","author":"ST Campbell","year":"2024","unstructured":"Campbell ST, Liu J, Gowd AK, Amin N, Sardelli M, Morrison M. Does retensioning of adjustable-loop cortical suspension devices improve performance: a systematic review and meta-analysis. J Arthrosc Surg Sports Med. 2024;5(1):3\u201311. https:\/\/doi.org\/10.25259\/JASSM_22_2022.","journal-title":"J Arthrosc Surg Sports Med"},{"key":"10186_CR5","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1186\/s40634-022-00544-1","volume":"9","author":"SB Elmholt","year":"2022","unstructured":"Elmholt SB, Nielsen TG, Lind M. Fixed-loop vs. adjustable-loop cortical button devices for femoral fixation in ACL reconstruction \u2013 a systematic review and meta-analysis. J Exp Orthop. 2022;9:106. https:\/\/doi.org\/10.1186\/s40634-022-00544-1.","journal-title":"J Exp Orthop"},{"issue":"5","key":"10186_CR6","doi-asserted-by":"publisher","first-page":"232596712513403","DOI":"10.1177\/23259671251340302","volume":"13","author":"SM Alarifi","year":"2025","unstructured":"Alarifi SM, Herrington LC, Althomali OW, Alenezi F, Bin Sheeha B, Jones RK. Biomechanical analysis after anterior cruciate ligament reconstruction at the return-to-sport time point. Orthop J Sports Med. 2025;13(5):23259671251340302. https:\/\/doi.org\/10.1177\/23259671251340302.","journal-title":"Orthop J Sports Med"},{"issue":"4","key":"10186_CR7","doi-asserted-by":"publisher","first-page":"618","DOI":"10.1007\/s40846-017-0334-1","volume":"38","author":"S Strafun","year":"2018","unstructured":"Strafun S, Levadnyi I, Makarov V, Awrejcewicz J. Comparative biomechanical analysis of stress-strain state of the elbow joint after displaced radial head fractures. J Med Biol Eng. 2018;38(4):618\u201324. https:\/\/doi.org\/10.1007\/s40846-017-0334-1.","journal-title":"J Med Biol Eng"},{"key":"10186_CR8","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1097\/BLO.0b013e31802f78aa","volume":"456","author":"R Kulshreshtha","year":"2007","unstructured":"Kulshreshtha R, Singh R, Sinha J, Hall S. Anatomy of the distal biceps brachii tendon and its clinical relevance. Clin Orthop Relat Res. 2007;456:117\u201320. https:\/\/doi.org\/10.1097\/BLO.0b013e31802f78aa.","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"10186_CR9","doi-asserted-by":"publisher","first-page":"459","DOI":"10.1016\/j.jchb.2011.08.009","volume":"62","author":"JA Junno","year":"2011","unstructured":"Junno JA, Niinim\u00e4ki S, Niskanen M, Nunez M, Tuukkanen J. Cross sectional properties of the human radial tuberosity. Homo. 2011;62(6):459\u201365. https:\/\/doi.org\/10.1016\/j.jchb.2011.08.009.","journal-title":"Homo"},{"issue":"Pt 1","key":"10186_CR10","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1111\/j.1469-7793.1999.00307.x","volume":"521","author":"CN Maganaris","year":"1999","unstructured":"Maganaris CN, Paul JP. In vivo human tendon mechanical properties. J Physiol. 1999;521(Pt 1):307\u201313. https:\/\/doi.org\/10.1111\/j.1469-7793.1999.00307.x.","journal-title":"J Physiol"},{"issue":"5","key":"10186_CR11","doi-asserted-by":"publisher","first-page":"168","DOI":"10.3390\/jfb16050168","volume":"16","author":"N Beisekenov","year":"2025","unstructured":"Beisekenov N, Sadenova M, Azamatov B, Syrnev B. Analysis of biomechanical characteristics of bone tissues using a Bayesian neural network: a narrative review. J Funct Biomater. 2025;16(5):168. https:\/\/doi.org\/10.3390\/jfb16050168.","journal-title":"J Funct Biomater"},{"issue":"5","key":"10186_CR12","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1016\/j.jhsa.2010.02.005","volume":"35","author":"P Scherman","year":"2010","unstructured":"Scherman P, Haddad R, Scougall P, Walsh WR. Cross-sectional area and strength differences of Fiberwire, Prolene, and Ticron sutures. J Hand Surg Am. 2010;35(5):780\u20134. https:\/\/doi.org\/10.1016\/j.jhsa.2010.02.005.","journal-title":"J Hand Surg Am"},{"key":"10186_CR13","unstructured":"Alden A. Finite element modeling and experimental characterization of knot configuration effect on the mechanical performance of surgical suture [dissertation]. Kalamazoo (MI): Western Michigan University; 2018. Available from: https:\/\/scholarworks.wmich.edu\/dissertations\/3375."},{"key":"10186_CR14","unstructured":"Arthrex I. FiberWire\u00ae vs Dynacord\u2122 orthopedic sutures: a performance comparison. 2024. (Manufacturer data) Available from: https:\/\/www.arthrex.com\/es\/recursos\/LA1-000181-en-US\/fiberwire-vs-dynacord-orthopedic-sutures-a-performance-comparison?referringteam=shoulder. Accessed 27 Oct 2025."},{"key":"10186_CR15","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1186\/1471-2474-15-230","volume":"15","author":"ML Golovakha","year":"2014","unstructured":"Golovakha ML, Orljanski W, Benedetto KP, Panchenko S, B\u00fcchler P, Henle P, Aghayev E. Comparison of theoretical fixation stability of three devices employed in medial opening wedge high tibial osteotomy: a finite element analysis. BMC Musculoskelet Disord. 2014;15:230. https:\/\/doi.org\/10.1186\/1471-2474-15-230.","journal-title":"BMC Musculoskelet Disord"},{"issue":"3","key":"10186_CR16","doi-asserted-by":"publisher","first-page":"709","DOI":"10.1007\/BF02670293","volume":"22","author":"YT Lee","year":"1991","unstructured":"Lee YT, Peters M, Welsch G. Elastic moduli and tensile and physical properties of heat-treated and quenched powder metallurgical Ti-6Al-4V alloy. Metall Trans A. 1991;22(3):709\u201314. https:\/\/doi.org\/10.1007\/BF02670293.","journal-title":"Metall Trans A"},{"issue":"3","key":"10186_CR17","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/j.clinbiomech.2011.09.010","volume":"27","author":"DR Shukla","year":"2012","unstructured":"Shukla DR, Morrey BF, Thoreson AR, An KN, O\u2019Driscoll SW. Distal biceps tendon rupture: an in vitro study. Clin Biomech (Bristol Avon). 2012;27(3):263\u20137. https:\/\/doi.org\/10.1016\/j.clinbiomech.2011.09.010.","journal-title":"Clin Biomech (Bristol Avon)"},{"issue":"11","key":"10186_CR18","doi-asserted-by":"publisher","first-page":"3125","DOI":"10.1177\/0363546520986999","volume":"49","author":"AL Taylor","year":"2021","unstructured":"Taylor AL, Bansal A, Shi BY, Best MJ, Huish EG, Srikumaran U. Optimizing fixation for distal biceps tendon repairs: a systematic review and meta-regression of cadaveric biomechanical testing. Am J Sports Med. 2021;49(11):3125\u201331. https:\/\/doi.org\/10.1177\/0363546520986999.","journal-title":"Am J Sports Med"},{"issue":"7","key":"10186_CR19","doi-asserted-by":"publisher","first-page":"1895","DOI":"10.1177\/03635465231171131","volume":"51","author":"L Ernstbrunner","year":"2023","unstructured":"Ernstbrunner L, Almond M, Rupasinghe HS, Jo OI, Zbeda RM, Ackland DC, Ek ET. Biomechanical comparison of distal biceps tendon repair techniques: extracortical single-button inlay fixation versus intracortical double-button onlay anatomic footprint fixation. Am J Sports Med. 2023;51(7):1895\u2013903. https:\/\/doi.org\/10.1177\/03635465231171131.","journal-title":"Am J Sports Med"},{"issue":"3","key":"10186_CR20","doi-asserted-by":"publisher","first-page":"e807","DOI":"10.1016\/j.asmr.2021.01.022","volume":"3","author":"A Majumdar","year":"2021","unstructured":"Majumdar A, Salas C, Chavez W, Bankhead C, Sapradit TJ, Mercer D, Wascher DC, Richter DL. No significant difference between intramedullary and extramedullary button fixation for distal biceps brachii tendon rupture after cyclic loading in a cadaver model. Arthrosc Sports Med Rehabil. 2021;3(3):e807\u201313. https:\/\/doi.org\/10.1016\/j.asmr.2021.01.022.","journal-title":"Arthrosc Sports Med Rehabil"},{"issue":"4","key":"10186_CR21","doi-asserted-by":"publisher","first-page":"232596711876874","DOI":"10.1177\/2325967118768743","volume":"6","author":"PA Smith","year":"2018","unstructured":"Smith PA, Piepenbrink M, Smith SK, Bachmaier S, Bedi A, Wijdicks CA. Adjustable- versus fixed-loop devices for femoral fixation in ACL reconstruction: an in vitro full-construct biomechanical study of surgical technique-based tibial fixation and graft preparation. Orthop J Sports Med. 2018;6(4):2325967118768743. https:\/\/doi.org\/10.1177\/2325967118768743.","journal-title":"Orthop J Sports Med"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12891-026-10186-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-026-10186-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-026-10186-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:17:47Z","timestamp":1791425867000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12891-026-10186-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["10186"],"URL":"https:\/\/doi.org\/10.1186\/s12891-026-10186-4","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"assertion":[{"value":"17 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The materials of the study were reviewed at a meeting of the Bioethics Commission of Zaporizhzhia State Medical and Pharmaceutical University (protocol dated 11 June 2026, No. 9). The Commission concluded that the study does not violate bioethical norms. All experiments and procedures described in this study were performed in accordance with the Declaration of Helsinki and relevant guidelines and regulations.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"846"}}