Purpose
To determine if the depth of anchor insertion affects the biomechanical performance
of a 1.5-mm all-suture anchor in glenoid bone.
Methods
A 1.5-mm all-suture anchor was tested in 8 matched pairs of human cadaver fresh-frozen
glenoids. Anchors were inserted at 6 different locations and tested at 3 different
depths: 21 mm (preset drilling depth), 17 mm, and 13 mm. Cyclic loading and destructive
testing was performed. Displacement after 100 and 200 cycles, along with ultimate
failure strength, was determined.
Results
After 100 and 200 cycles, anchors placed at 13 and 17 mm had undergone significantly
less displacement than those at 21 mm (P < .05). No difference was observed in ultimate load to failure between anchors placed
at 21 and 17 mm. However, the ultimate load to failure was significantly lower in
anchors placed at 13 mm (P < .05). There were 5 clinical failures in anchors placed at 21 mm, one at 17 mm,
and none at 13 mm.
Conclusions
The 1.5-mm all-suture anchor tested in this study has an optimal insertion depth of
17 mm, 4 mm shallower than the preset drill depth. At the optimal insertion depth
of 17 mm, it underwent significantly less displacement after cyclic loading without
a reduction in the ultimate load to failure.
Clinical Relevance
Given the results of this study, the optimal insertion depth for this 1.5-mm all-suture
anchor is 17 mm, 4 mm shallower than the preset drill depth.
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Article info
Publication history
Published online: February 15, 2018
Accepted:
November 8,
2017
Received:
February 27,
2017
Footnotes
See commentary on page 1391
The authors report the following potential conflicts of interest or sources of funding: D.F.D. is a paid consultant for Zimmer Biomet; receives research support from Smith & Nephew and Zimmer Biomet; receives payment for lectures including service on speakers bureaus from Zimmer Biomet; receives royalties from Zimmer Biomet. J.E.F. receives grants from Arthrex, DePuy, and Smith & Nephew. R.D.P. is on the editorial/governing board of the Journal of Orthopaedic Trauma by Wolters Kluwers Health–Lippincott Williams & Wilkins. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2017 by the Arthroscopy Association of North America
ScienceDirect
Access this article on ScienceDirectLinked Article
- Editorial Commentary: Shoulder Glenoid Suture Anchor Insertion Depth: The Tip of an IcebergArthroscopyVol. 34Issue 5
- PreviewThe term “translational research” means that the results of a bench-top analysis could quickly be applied, or translated, to the clinical setting. Nevertheless, cadaveric analysis is applicable primarily to the conditions tested. Care should be taken to consider that when it comes to investigation of shoulder glenoid suture anchor insertion, there are many variables and outcome measures to consider.
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