2021 Annual Meeting Shoulder Access Pass-My Rotator Cuff Anchor Won’t Hold

Video Transcription

Video Summary

In this video, the speaker discusses solutions to consider when an anchor doesn't hold. They cover various factors that can affect anchor performance, such as bone quality, anchor design, and technique. For bone quality, osteoporotic bone has lower pull-out strength, and being too aggressive in preparing the footprint can be detrimental. There are different anchor options, including big or small, hard or soft anchors, and they should be chosen based on the bone being dealt with. Technique, specifically the angle of insertion, is also important. To address anchor failure, options include reinforcing the original construct, using a more lateral fixation device, or using a buddy anchor supported by an adjacent anchor. If needed, a new anchor can be placed in a different location or a different anchor can be used. Techniques involving coring reamer and allograft or tricalcium phosphate cement are discussed as well. The goal is to identify and prevent problems, choose the right anchor, and apply proper technique. Credits: None mentioned.

Asset Caption

Dr. Jan Fronek

Keywords

anchor doesn't hold

anchor performance

bone quality

anchor design

technique