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The American Journal of Sports Medicine 34:136-144 (2006)
© 2006 American Orthopaedic Society for Sports Medicine

Basic Science Update

Suture Anchors and Tacks for Shoulder Surgery, Part II

The Prevention and Treatment of Complications

Hyung Bin Park, MD, Ekavit Keyurapan, MD, Harpreet S. Gill, MD, Harpal S. Selhi, MD and Edward G. McFarland, MD*

From the Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland

* Address correspondence to Edward G. McFarland, MD, c/o Elaine P. Henze, Medical Editor, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, #A672, Baltimore, MD 21224-2780 (e-mail: ehenze1{at}jhmi.edu).

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.

Key Words: shoulder • anchors • complications • synovitis • infection






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Copyright © 2006 by the American Orthopaedic Society for Sports Medicine.