Joshi Amit, Basukala Bibek, Sharma Rajiv, Singh Nagmani, Bista Rohit, Pradhan Ishor
AKB Center for Arthroscopy, Sports Injuries and Regenerative Medicine, B&B Hospital, Gwarko, Lalitpur, Nepal.
Arthrosc Tech. 2023 Jul 10;12(8):e1311-e1318. doi: 10.1016/j.eats.2023.03.025. eCollection 2023 Aug.
All-suture anchors (ASA) are newer anchors that anchor soft tissues to the bone. It has several biomechanical and clinical advantages; however, the high cost of this anchor limits its use in low socioeconomic countries. The cost of the anchor dramatically increases the cost of surgery; hence, acceptance of surgery is also affected if patients have to pay their expenditure from their pocket. We have designed a simple, cost-effective method of making an ASA, which can be made instantly and used during surgery; hence, the name "make-and-use anchor." To make this anchor, few high-strength sutures are required. Over the suture, a sleeve of suture was created using an Ethibond. This sleeve will create a "ball" after deployment under the cortical bone, which provides anchorage to the sutures serving as an anchor. This anchor can be deployed both in the pull-in and push-in methods. This technical note aims to share the technique of making this cost-effective anchor, which is made instantly using locally available suture materials and can be used in various surgeries requiring anchors.
全缝合锚钉（ASA）是将软组织固定于骨的新型锚钉。它具有若干生物力学和临床优势；然而，这种锚钉的高成本限制了其在社会经济水平较低国家的使用。锚钉成本大幅增加了手术费用；因此，如果患者需自掏腰包支付费用，手术的接受度也会受到影响。我们设计了一种制作ASA的简单、经济有效的方法，它可以即时制作并在手术中使用；因此，名为“即制即用锚钉”。制作这种锚钉，只需几根高强度缝线。在缝线上，用Ethibond缝线制作一个套管。该套管在皮质骨下方展开后会形成一个“球”，为充当锚钉的缝线提供锚固作用。这种锚钉可以通过拉入法和推入法进行展开。本技术说明旨在分享制作这种经济有效锚钉的技术，它使用当地可得的缝合材料即时制作，可用于各种需要锚钉的手术。
