J Korean Orthop Assoc.  2024 Apr;59(2):77-82. 10.4055/jkoa.2024.59.2.77 .

Technical Considerations for Arthroscopic Rotator Cuff Repair in Elderly Patients with Osteoporosis

• Lim JR
• Chun YM

• KMID: 2555506
• DOI: http://doi.org/10.4055/jkoa.2024.59.2.77

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.

Keyword

rotator cuff; osteoporosis; suture anchor