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

Video Transcription

Video Summary

The session addresses issues when surgical anchors fail to hold during procedures, focusing on etiology, prevention, and management. Key factors include bone quality—especially osteoporotic bone, anchor design, and insertion technique. Proper anchor choice and insertion angle, ideally perpendicular to the cortical surface, enhance fixation. If anchors fail, solutions include lateral fixation, buddy anchors, upsized or relocated anchors, or treating bone defects with cancellous allografts or tricalcium phosphate cement. Prevention involves identifying poor bone quality and selecting suitable anchors and techniques. If failure occurs, reinforcing, replacing, or improving the anchor environment is essential to ensure stability and successful outcomes.

Asset Caption

Dr. Jan Fronek

Keywords

surgical anchor failure

bone quality

anchor insertion technique

anchor fixation methods

bone defect treatment