Biomechanical testing of a new knotless suture anchor compared with established anchors for rotator cuff repair

Icariin Promotes Tendon-Bone Healing during Repair of Rotator Cuff Tears: A Biomechanical and Histological Study

“…Patients with an intact RC after reconstructive surgery tend to have notably improved functional outcomes [6,7,8]. However, despite significant advances in surgical techniques, particularly in terms of arthroscopic repair, RC repair remains linked to a high incidence of incomplete healing and re-tearing [9,10,11,12]. …”

Total cost and operating room time comparison of rotator cuff repair techniques at low, intermediate, and high volume centers: Mini-open versus all-arthroscopic

“…[1][2][3][7][8][9]12,13,[15][16][17][18]20,21 The majority of these studies indicate that with current suture anchor techniques, for single tendon supraspinatus tendon tears, similar results are obtained with either the mini-open repair or the allarthroscopic repair. 2,3,7,8,12,13,15,16,18,20,21 The mini-open surgical repair technique has the option of various repair methods from bone tunnels to implantable suture anchors, while the all-arthroscopic surgical technique requires the use of implantable suture anchor devices 14 for the rotator cuff repair. The use of additional operative time, equipment, disposable instruments, and implantable suture anchor devices may result in the all-arthroscopic rotator cuff repair costing more than the mini-open surgical technique.…”

The Comparative Stability of Screw Versus Plate Versus Screw and Plate Coronoid Fixation

“…[23][24][25][26][27] Because joints are moved repetitively during daily activities, cyclic loading best represents the type of load to which coronoid fixation will be subjected after surgery. 26 Cyclic loading has long been recognized as a leading source of failure in orthopedic repairs for both soft tissue repairs and bony constructs for fracture fixation.…”

“…28 A stepwise, incremental cyclic loading protocol is the best way to simulate postoperative stresses, as it most accurately represents the increasing loads to which fixation constructs will be subjected after surgery. 23,24,[27][28][29] In the early postoperative period, the forces applied to the repair are probably low, with pain, stiffness, or restrictions limiting the use of the operated area. As the morbidity of the surgical intervention recedes, however, one can expect greater use and demands being placed on the repaired structure, resulting in greater forces at the repair site, although early healing can partially share the applied loads.…”

“…These advantages make stepwise, incremental, cyclic loading a superior testing protocol for determining the security of biomechanical constructs. 23,24,28 Another advantage of a stepwise, incremental, cyclic loading protocol over standard cyclic loading is that the latter protocol is difficult to complete within a reasonable time frame. Following a set number of repetitions of stepwise, incremental, cyclic loading, previous authors have then subjected the specimens that survived the final cyclic loading to a single load to failure.…”