AI Article Synopsis
- The suture bridge technique for rotator cuff repair is gaining popularity due to its ability to provide a more secure and anatomically similar repair compared to traditional methods.
- Despite the advantages of knotless suture anchors in eliminating the difficulties of knot tying, previous studies have indicated that they may not hold well under stress compared to the anchor's pullout strength from bone.
- This case study demonstrates an actual instance of suture loosening occurring in a patient, leading to complications such as bursitis, highlighting potential risks associated with the technique.
Article Abstract
Rotator cuff repair using a suture bridge and knotless suture anchors is a relatively new, but increasingly used technique. The suture bridge technique creates an anatomically similar and more secure rotator cuff repair compared with conventional arthroscopic techniques and the use of knotless anchors eliminates the challenges associated with knot tying during arthroscopic surgery. However, previous in vitro biomechanical tests have shown that the hold of the suture in a knotless suture anchor is far lower than the pullout strength of the anchor from bone. Up until now slippage has been a theoretical concern. We present a prospectively diagnosed case of in vivo suture loosening after rotator cuff repair using a knotless bridge technique resulting in subacromial-subdeltoid bursitis.
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| http://dx.doi.org/10.1007/s00256-015-2317-z | DOI Listing |
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