TY - JOUR
T1 - Suture anchors and tacks for shoulder surgery, part II
T2 - The prevention and treatment of complications
AU - Park, Hyung Bin
AU - Keyurapan, Ekavit
AU - Gill, Harpreet S.
AU - Selhi, Harpal S.
AU - McFarland, Edward G.
PY - 2006/1
Y1 - 2006/1
N2 - The use of suture anchors and tacks around the shoulder requires a thorough knowledge of the proper use of the devices and how to insert them. Although typically not technically demanding, suture anchors and tacks can present unique and frustrating challenges to the patient and the surgeon. These challenges can occur whether the procedure is performed via an open or arthroscopic approach, but knowledge of the potential challenges may optimize the surgical result and prevent complications. Complications can be categorized as technique-related or device-related issues (mechanical or biologic failure). Technique-related complications include problems with the delivery systems, anchor malpositioning, and suture management issues, such as knots not sliding. Device-related complications include implant fracture, migration secondary to poor fixation, synovitis from implant degradation, and osteolysis. This review describes the prevention of these and other complications, addresses the indications or need for intervention, and suggests potential solutions when intervention is indicated.
AB - The use of suture anchors and tacks around the shoulder requires a thorough knowledge of the proper use of the devices and how to insert them. Although typically not technically demanding, suture anchors and tacks can present unique and frustrating challenges to the patient and the surgeon. These challenges can occur whether the procedure is performed via an open or arthroscopic approach, but knowledge of the potential challenges may optimize the surgical result and prevent complications. Complications can be categorized as technique-related or device-related issues (mechanical or biologic failure). Technique-related complications include problems with the delivery systems, anchor malpositioning, and suture management issues, such as knots not sliding. Device-related complications include implant fracture, migration secondary to poor fixation, synovitis from implant degradation, and osteolysis. This review describes the prevention of these and other complications, addresses the indications or need for intervention, and suggests potential solutions when intervention is indicated.
KW - Anchors
KW - Complications
KW - Infection
KW - Shoulder
KW - Synovitis
UR - http://www.scopus.com/inward/record.url?scp=29844436781&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=29844436781&partnerID=8YFLogxK
U2 - 10.1177/0363546505284240
DO - 10.1177/0363546505284240
M3 - Review article
C2 - 16397097
AN - SCOPUS:29844436781
SN - 0363-5465
VL - 34
SP - 136
EP - 144
JO - American Journal of Sports Medicine
JF - American Journal of Sports Medicine
IS - 1
ER -