Technical University of Munich; University of Connecticut.
University of Connecticut.
Arthroscopy. 2020 Jun;36(6):1533-1534. doi: 10.1016/j.arthro.2020.03.020.
The development of all-suture anchors has revolutionized the field of orthopaedic surgery. Biomechanically, these anchors have similar or better strength when compared with conventional solid anchors. All-suture anchors allow the suture to be placed in cortical bone tunnels, with a smaller diameter, thus limiting potential iatrogenic damage. To avoid the inconsistencies of knot tying and eliminate knot stacks, knotless all-suture anchors have been increasingly used in arthroscopic surgery. This may reduce the potential risk of knot abrasion, which can lead to soft-tissue or cartilage damage. Depending on the intraoperative situation and surgeon preference, surgeons must decide whether knotted or knotless anchor systems are indicated.
全缝线锚钉的发展彻底改变了骨科领域。从生物力学角度来看，与传统的实心锚钉相比，这些锚钉具有相似或更好的强度。全缝线锚钉允许缝线置于皮质骨隧道中，直径更小，从而限制了潜在的医源性损伤。为了避免结打结的不一致性并消除结堆，无结全缝线锚钉在关节镜手术中越来越多地被使用。这可以降低结磨损的潜在风险，从而避免软组织或软骨损伤。根据术中情况和外科医生的偏好，外科医生必须决定是否需要使用带结或无结的锚钉系统。
