Hong CK, Hsu KL, Kuan FC, et al. - In this study, the biomechanical properties of the double simple suture (DSS) technique, Krackow suture (KS) technique, and double Krackow suture (DKS) technique were compared in subpectoral biceps tenodesis applying a double-loaded suture anchor in a porcine tendon model. They applied a sum of 30 artificial composite (polymer and glass fiber) humeri and porcine flexor profundus tendons with diameter of 4.5 mm. They inserted metallic suture anchors with double-loaded No. 2 braided sutures at the subpectoral tenodesis site, 5 cm from the superomedial corner of the greater tuberosity. They applied three suture techniques to fix the tendons: a DSS applied as the control, a KS, and a DKS, which is an alternative tendon graft fixation technique. The data showed that both the KS technique and the DKS technique had similar time 0 biomechanical properties that were better than those of the double simple suture technique in this subpectoral biceps tenodesis model.