Technical Considerations for Arthroscopic Rotator Cuff Repair in Elderly Patients with Osteoporosis
10.4055/jkoa.2024.59.2.77
- Author:
Joon-Ryul LIM
1
;
Yong-Min CHUN
Author Information
1. Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
- Publication Type:Symposium
- From:The Journal of the Korean Orthopaedic Association
2024;59(2):77-82
- CountryRepublic of Korea
- Language:English
-
Abstract:
The number of elderly patients with rotator cuff tears requiring surgical consideration is increasing. Achieving stable fixation between the bone-suture anchor is a critical biomechanical factor for successful arthroscopic rotator cuff repair outcomes. On the other hand, suture anchor pull-out during arthroscopic rotator cuff repair has been reported in up to approximately 5.4% of cases, particularly in cases involving osteoporosis. Various studies have been conducted to overcome the pull-out issue. This article comprehensively reviews the current technical considerations for obtaining stable fixation between bone and suture anchors and considerable surgical techniques for pull-out or loosening suture anchors during arthroscopic rotator cuff repair in patients with osteoporosis. This literature review is expected to assist in achieving consistently stable surgical outcomes, even in osteoporotic patients.
