{"id":789,"date":"2024-02-15T16:48:33","date_gmt":"2024-02-15T16:48:33","guid":{"rendered":"https:\/\/inovedisusdev.wpenginepowered.com\/?page_id=789"},"modified":"2025-11-14T20:45:15","modified_gmt":"2025-11-14T20:45:15","slug":"suture-anchor-challenges","status":"publish","type":"page","link":"https:\/\/inovedis.com\/index.php\/suture-anchor-challenges\/","title":{"rendered":"Suture Anchor Challenges"},"content":{"rendered":"\n[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;#00729a 0%|rgba(0, 114, 154, 0.78) 39%|rgba(0,114,154,0) 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_image=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/Challenges2BKGD.jpg&#8221; custom_padding=&#8221;25px||25px||false|false&#8221; background_last_edited=&#8221;on|phone&#8221; background_size_phone=&#8221;cover&#8221; background_position_tablet=&#8221;top_right&#8221; background_position_phone=&#8221;top_right&#8221; background_horizontal_offset_tablet=&#8221;20%&#8221; background_horizontal_offset_phone=&#8221;11%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row custom_padding_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;|30%|||false|false&#8221; custom_padding_tablet=&#8221;|18%|||false|false&#8221; custom_padding_phone=&#8221;|0%|||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; header_font=&#8221;||||||||&#8221; header_text_color=&#8221;#000000&#8243; header_letter_spacing=&#8221;1px&#8221; global_colors_info=&#8221;{}&#8221;]<h1 style=\"font-size: 65px; line-height: 1.1em;\">Challenges of RCR Using Suture Anchors<\/h1>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFFFFF&#8221; custom_padding=&#8221;25px||25px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;||||||||&#8221; header_letter_spacing=&#8221;1px&#8221; header_2_text_color=&#8221;#000000&#8243; header_3_font=&#8221;|600|||||||&#8221; header_3_text_color=&#8221;#00729A&#8221; custom_margin=&#8221;||5px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<h2 id=\"outcomes\" style=\"font-size: 45px; line-height: 1.2em;\"><span style=\"color: #acaeb0;\">Patient Outcomes<\/span><\/h2>\n<h2>Current gold standard used for decades without significant improvement in patient outcomes<\/h2>\n<p>The original gold standard for rotator cuff repair (RCR) was an open repair using suture-bone tunnels to compress the cuff to head of the humerus which demonstrated good biomechanical properties resulting in reliable healing results.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,2_3&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/04\/SutureAnchorSurgery-0424.jpg&#8221; alt=&#8221;Suture Anchor&#8221; title_text=&#8221;SutureAnchorSurgery-0424&#8243; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<p>Over the last decades, shoulder arthroscopy with the use of suture anchors has replaced previous techniques providing for faster recovery and better cosmetic results. As arthroscopy grew, suture anchors became the gold standard for tissue to bone fixation with the use of multiple anchors being widely accepted.<span><sup style=\"font-size: 60%;\">1<\/sup><\/span><\/p>\n<p>The transition of many RCR\u2019s from using transosseous tunnels to using suture anchors has shifted the weak link of the repair from the bone to the tendon with the common mode of failure seen now occurring at the suture-tendon interface.<span><sup style=\"font-size: 60%;\">2<\/sup><\/span><\/p>\n<p>Throughout the years, various materials and techniques have been tried, but none have proved to be better than the others in terms of functional outcomes. As of today, there are still no guidelines indicating what to use and it is left to the surgeon to decide on surgical technique.<span><sup style=\"font-size: 60%;\">3<\/sup><\/span><\/p>\n<p>Learn about <a href=\"\/index.php\/sinefix-shoulder-surgery\/\"><strong>腦瞳憫<\/strong><\/a> for rotator cuff repair.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;184deg&#8221; background_color_gradient_stops=&#8221;rgba(172,174,176,0.15) 0%|rgba(172,174,176,0.34) 100%&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; custom_padding=&#8221;25px||25px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;||||||||&#8221; header_letter_spacing=&#8221;1px&#8221; header_2_text_color=&#8221;#000000&#8243; header_3_font=&#8221;|600|||||||&#8221; header_3_text_color=&#8221;#00729A&#8221; custom_margin=&#8221;||5px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<h2 id=\"anchors\" style=\"font-size: 45px; line-height: 1.2em;\"><span style=\"color: #acaeb0;\">Suture Anchors<\/span><\/h2>\n<h2>Use of suture anchors in arthroscopic RCR involves complex surgical technique<\/h2>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;5px||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||15px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<p>Multiple instruments, manual dexterity, and experience in suture management and knot tying are required for successful arthroscopic RCR. In addition, the use of multiple anchors increases <strong>complexity, surgical time and implant costs<\/strong>.<\/p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/腦瞳憫-Icon-Group.png&#8221; alt=&#8221;Complexity, Timely, Costly&#8221; title_text=&#8221;腦瞳憫-Icon-Group&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;100%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<h4>Common challenges:<span><sup style=\"font-size: 60%;\">1<\/sup><\/span><\/h4>\n<ul>\n<li>Knot impingement with prolonged postoperative pain<\/li>\n<li>Suture-tension cut-through of tendon<\/li>\n<li>Anchor pull-out<\/li>\n<li>Cyst formation around anchors<\/li>\n<li>High financial costs<\/li>\n<li>Potential source of infection<\/li>\n<\/ul>\n<p>Learn about <a href=\"\/index.php\/sinefix-shoulder-surgery\/\"><strong>腦瞳憫<\/strong><\/a> for rotator cuff repair.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(255,255,255,0)&#8221; background_enable_image=&#8221;off&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; custom_padding=&#8221;25px||25px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;||||||||&#8221; header_letter_spacing=&#8221;1px&#8221; header_2_text_color=&#8221;#000000&#8243; header_3_font=&#8221;|600|||||||&#8221; header_3_text_color=&#8221;#00729A&#8221; custom_margin=&#8221;||5px||false|false&#8221; custom_padding=&#8221;||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<h2 id=\"retear\" style=\"font-size: 45px; line-height: 1.2em;\"><span style=\"color: #acaeb0;\">Retear Rates<\/span><\/h2>\n<h2>Postoperative rotator cuff retear after rotator cuff repair is still a major problem<\/h2>\n<p>Recent comparative studies show no difference in retear rate when looking at different fixation techniques.<span><sup style=\"font-size: 60%;\">5<\/sup><\/span> Despite the advantages brought by the evolution of surgical techniques, the debate is still open regarding which surgical procedure and technique implies a lower retear rate after surgery.<span><sup style=\"font-size: 60%;\">4<\/sup><\/span><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;3_5,2_5&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||10px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<h4>Surgical technique and retear rate:<\/h4>\nAlthough single-row repair has produced favorable clinical outcomes, the retear rate is high.<span><sup style=\"font-size: 60%;\">5<\/sup><\/span> The double-row repair technique was developed to help decrease the retear rate with the goals of:\n<ul>\n\t<li>Increasing fixation strength<\/li>\n\t<li>Decreasing gap formation under cyclic loading<\/li>\n\t<li>Improving the restoration of the anatomic footprint of the humeral head<\/li>\n<\/ul>\nAlthough numerous systematic reviews and meta-analyses have shown lower postoperative retear rate after double-row repair, knot-tying of the medial row of suture anchors can strangulate the tendon and impair vascular inflow, resulting in a type 2 retear.<span><sup style=\"font-size: 60%;\">5<\/sup><\/span> The use of double-row and suture-bridge techniques have been reported to increase the risk of medial cuff failure<span><sup style=\"font-size: 60%;\">6<\/sup><\/span>\n\nLearn about <strong><a href=\"\/index.php\/sinefix-shoulder-surgery\/\">腦瞳憫<\/a><\/strong> for rotator cuff repair.[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<h4>Many things can affect retear rate such as: <span><sup style=\"font-size: 60%;\">4<\/sup><\/span><\/h4>\n<ul>\n<li>Patients\u2019 age <\/li>\n<li>Preoperative tear size<\/li>\n<li>Diabetes<\/li>\n<li>Smoking<\/li>\n<li>Preoperative fatty infiltration and muscle atrophy<\/li>\n<li>Surgical procedure (e.g., arthroscopic, open, mini-open repairs)<\/li>\n<li>Fixation techniques (e.g., single-row, double-row, suture bridge, transosseous repairs)<\/li>\n<\/ul>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(172,174,176,0.34)&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;15px||15px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;5px||40px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; header_3_text_color=&#8221;#00729A&#8221; header_3_line_height=&#8221;1.5em&#8221; custom_padding=&#8221;6%||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<h3>Retear rates at different follow-up time points corresponding to diagnostic imaging assessments:<span><sup style=\"font-size: 60%;\">4<\/sup><\/span><\/h3>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][torq_carousel use_nav=&#8221;off&#8221; use_pagi=&#8221;on&#8221; slide_count=&#8221;1&#8243; pagi_bg=&#8221;#FFFFFF&#8221; slide_count_tablet=&#8221;1&#8243; slide_count_phone=&#8221;2&#8243; slide_count_last_edited=&#8221;on|phone&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; width=&#8221;50%&#8221; module_alignment=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;][torq_carousel_child photo=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/腦瞳憫-15-3M.png&#8221; photo_alt=&#8221;15% at 3 Month Follow Up&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/torq_carousel_child][torq_carousel_child photo=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/腦瞳憫-21-3-6M.png&#8221; photo_alt=&#8221;21% at 3-6 Month Follow Up&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/torq_carousel_child][torq_carousel_child photo=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/腦瞳憫-16-6-12M.png&#8221; photo_alt=&#8221;16% at 6-12 Month Follow Up&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/torq_carousel_child][torq_carousel_child photo=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/腦瞳憫-21-12-24M.png&#8221; photo_alt=&#8221;21% at 12-24 Month Follow Up&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/torq_carousel_child][torq_carousel_child photo=&#8221;https:\/\/inovedis.com\/wp-content\/uploads\/2024\/02\/腦瞳憫-16-24M.png&#8221; photo_alt=&#8221;16% at 24 Month Follow Up&#8221; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/torq_carousel_child][\/torq_carousel][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;15px||15px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;5px||5px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.24.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#ACAEB0&#8243; text_font_size=&#8221;10px&#8221; text_line_height=&#8221;1.4em&#8221; global_colors_info=&#8221;{}&#8221;]<p>REFERENCES:<\/p>\n<p>1. Binder et al. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9791879\/\" target=\"_blank\" rel=\"noopener\">Arthroscopic Anchorless Transosseous Rotator Cuff Repair Produces Equivalent Clinical Outcomes and Imaging Results as a Standard Suture Bridge Technique with Anchors<\/a>. Arthroscopy, Sports Medicine, and Rehabilitation, Vol 4, No 6 (December), 2022: pp e2025-e2034.<\/p>\n<p>2. Neeley et al. A <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8527263\/\" target=\"_blank\" rel=\"noopener\">Weaving Rip-Stop Technique Leads to a Significantly Increased Load to Failure and Reduction in Suture-Tendon Cut-Through in a Biomechanical Model of Rotator Cuff Repair<\/a>. Arthroscopy, Sports Medicine, and Rehabilitation, Vol 3, No 5 (October), 2021: pp e1263-e1272.<\/p>\n<p>3. De Giorgi et al. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10771355\/pdf\/590_2023_Article_3657.pdf\" target=\"_blank\" rel=\"noopener\">Single\u2011row versus transosseous technique in the arthroscopic treatment of rotator cuff tears: a meta\u2011analysis<\/a>. European Journal of Orthopaedic Surgery &amp; Traumatology. August 2023.<\/p>\n<p>4. Longo et al. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8408924\/\" target=\"_blank\" rel=\"noopener\">Retear rates after rotator cuff surgery: a systematic review and meta-analysis<\/a>. BMC Musculoskeletal Disorders (2021) 22:749.<\/p>\n<p>5. Prasathaporn et al. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9703510\/\" target=\"_blank\" rel=\"noopener\">Types of Retears After Knot-tying and Knotless Suture Bridge Rotator Cuff Repair A Systematic Review and Meta-analysis<\/a>. Orthop J Sports Med. 2022 Nov 25;10(11):23259671221135604.<\/p>\n<p>6. Bedeir et al. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30229445\/\" target=\"_blank\" rel=\"noopener\">Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair: a systematic review<\/a>. Eur J Orthop Surg Traumatol. 2019 Feb;29(2):373-382.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"<p>Challenges of RCR Using Suture AnchorsPatient Outcomes Current gold standard used for decades without significant improvement in patient outcomes The original gold standard for rotator cuff repair (RCR) was an open repair using suture-bone tunnels to compress the cuff to head of the humerus which demonstrated good biomechanical properties resulting in reliable healing results.Over the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" _builder_version=\"4.23.4\" _module_preset=\"default\" use_background_color_gradient=\"on\" background_color_gradient_direction=\"90deg\" background_color_gradient_stops=\"#00729a 0%|rgba(0, 114, 154, 0.78) 39%|rgba(0,114,154,0) 100%\" background_color_gradient_overlays_image=\"on\" background_image=\"https:\/\/inovedis.com\/wp-content\/uploads\/2024\/01\/Swimmer2BKGD.jpg\" custom_padding=\"25px||25px||false|false\" background_last_edited=\"on|phone\" background_size_phone=\"cover\" background_position_tablet=\"top_right\" background_position_phone=\"top_right\" background_horizontal_offset_tablet=\"20%\" background_horizontal_offset_phone=\"11%\" global_colors_info=\"{}\"][et_pb_row custom_padding_last_edited=\"on|phone\" _builder_version=\"4.23.4\" _module_preset=\"default\" custom_padding=\"|35%|||false|false\" custom_padding_tablet=\"|18%|||false|false\" custom_padding_phone=\"|0%|||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.24.0\" _module_preset=\"default\" text_font=\"|300|||||||\" text_text_color=\"#FFFFFF\" header_font=\"||||||||\" header_text_color=\"#000000\" header_letter_spacing=\"1px\" hover_enabled=\"0\" global_colors_info=\"{}\" sticky_enabled=\"0\"]<h1 style=\"font-size: 65px; line-height: 1.1em;\">Our Mission<\/h1>\n<p style=\"font-size: 18px; line-height: 1.5em;\"><span style=\"color: #ffffff;\">As a progressive-driven company, 腦瞳憫 is dedicated to offering innovative solutions that contribute both to optimized patient care as well as minimizing the complexity of surgical interventions.<\/br>\n腦瞳憫 develops cutting-edge implants that take tendon healing to a higher level by focusing on biological healing instead of pure mechanical fixation.<\/span><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.23.4\" _module_preset=\"default\" background_color=\"RGBA(255,255,255,0)\" use_background_color_gradient=\"on\" background_color_gradient_direction=\"159deg\" background_color_gradient_stops=\"#363739 0%|#000000 100%\" background_image=\"https:\/\/inovedis.com\/wp-content\/uploads\/2024\/01\/腦瞳憫-BKDG-DotsD.png\" background_size=\"contain\" background_position=\"top_left\" custom_padding=\"25px||25px||false|false\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.23.4\" _module_preset=\"default\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.24.0\" _module_preset=\"default\" header_font=\"||||||||\" header_text_color=\"#000000\" header_letter_spacing=\"1px\" global_colors_info=\"{}\"]<h2 style=\"font-size: 45px; line-height: 1.2em;\"><span style=\"color: #acaeb0;\">Leadership<\/span><\/h2>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\"1_3,2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"1_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_image src=\"https:\/\/inovedis.com\/wp-content\/uploads\/2024\/01\/腦瞳憫-LukasF.png\" alt=\"Lukas Fl\u00f6ss, Founder and CEO\" title_text=\"腦瞳憫-LukasFloess\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][\/et_pb_column][et_pb_column type=\"2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][torq_team short_bio=\"As Co-founder and Chief Executive Officer of 腦瞳憫, Lukas brings over 15 years of experience as an  entrepreneur and effective business leader to the organization. Prior to establishing 腦瞳憫 in 2019, Lukas founded and was the Managing Director of Prokon LP Engineering, where he built a successful metal processing and contract manufacturing company providing innovative machining technology for various industries. As an entrepreneur, he is always looking for interesting and creative business ideas with a focus on technology and providing high-quality products to fulfill unmet needs in the market.  \" content_padding=\"0px|20px|20px|0px|false|false\" social_icon_color=\"#ACAEB0\" links_bg=\"#363739\" content_bg_color=\"RGBA(255,255,255,0)\" _builder_version=\"4.23.4\" _module_preset=\"default\" name_text_color=\"#00729A\" job_title_font=\"|600|||||||\" job_title_text_color=\"#363739\" short_bio_text_color=\"#FFFFFF\" background_color=\"RGBA(255,255,255,0)\" custom_margin=\"||15px||false|false\" custom_padding=\"0px||0px||false|false\" border_color_all_item=\"#ACAEB0\" global_colors_info=\"{}\"][\/torq_team][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\"1_3,2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"1_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_image src=\"https:\/\/inovedis.com\/wp-content\/uploads\/2024\/01\/腦瞳憫-TeamPhotos-StefanTest.png\" alt=\"Stefan Welte, MD, Founder and CEO\" title_text=\"腦瞳憫-TeamPhotos-StefanTest\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][\/et_pb_column][et_pb_column type=\"2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][torq_team short_bio=\"Dr. Med. Stefan Welte is a leading board-certified orthopedic surgeon with a focus on sports medicine, joint replacement, and traumatology and is Chief Physician of Orthopedics at ACURA Clinics Albstadt. With over 20 years experience in the operating room as a trauma and orthopedic surgeon, Dr. Med. Welte understands the limits of shoulder surgery and looks for ways to optimize tendon fixation for rotator cuff tears and improve outcomes for doctors and patients.\" content_padding=\"0px|20px|20px|0px|false|false\" social_icon_color=\"#ACAEB0\" links_bg=\"#363739\" content_bg_color=\"RGBA(255,255,255,0)\" _builder_version=\"4.24.0\" _module_preset=\"default\" name_text_color=\"#00729A\" job_title_font=\"|600|||||||\" job_title_text_color=\"#363739\" short_bio_text_color=\"#FFFFFF\" background_color=\"RGBA(255,255,255,0)\" custom_margin=\"||15px||false|false\" custom_padding=\"0px||0px||false|false\" border_color_all_item=\"#ACAEB0\" global_colors_info=\"{}\"][\/torq_team][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\"1_3,2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"1_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_image src=\"https:\/\/inovedis.com\/wp-content\/uploads\/2024\/01\/腦瞳憫-TeamPhotos-FrankTest.png\" alt=\"Frank Gutsche, Corporate Counsel\" title_text=\"腦瞳憫-TeamPhotos-FrankTest\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][\/et_pb_column][et_pb_column type=\"2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][torq_team short_bio=\"Frank acts as corporate counsel for 腦瞳憫 and is a partner at the Luther Law Firm in Stuttgart, Germany where he has been advising on real estate, corporate transactions, and corporate law over 30 years. A large number of his clients are foreign investors who invest in real estate and shareholdings in Germany or who start or expand their business activities in Germany through start-ups or acquisitions. Frank received his Juris Doctor degree from the University of T\u00fcbingen and teaches at the W\u00fcrttemberg Academy of Administration in Stuttgart. \" content_padding=\"0px|20px|20px|0px|false|false\" social_icon_color=\"#ACAEB0\" links_bg=\"#363739\" content_bg_color=\"RGBA(255,255,255,0)\" _builder_version=\"4.23.4\" _module_preset=\"default\" name_text_color=\"#00729A\" job_title_font=\"|600|||||||\" job_title_text_color=\"#363739\" short_bio_text_color=\"#FFFFFF\" background_color=\"RGBA(255,255,255,0)\" custom_margin=\"||15px||false|false\" custom_padding=\"0px||0px||false|false\" border_color_all_item=\"#ACAEB0\" global_colors_info=\"{}\"][\/torq_team][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\"1_3,2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_column type=\"1_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_image src=\"https:\/\/inovedis.com\/wp-content\/uploads\/2024\/01\/腦瞳憫-TeamPhotos-TomTest.png\" alt=\"Tom Anstead, Head of U.S. Operations\" title_text=\"腦瞳憫-TeamPhotos-TomTest\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][\/et_pb_image][\/et_pb_column][et_pb_column type=\"2_3\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][torq_team short_bio=\"Tom Anstead has served as Head of US Operations for 腦瞳憫 since 2024 and brings over 20 years of diverse experience and knowledge in medical device marketing and sales. Prior to joining 腦瞳憫, Tom worked in product management for Anika Therapeutics, Arthrex, and DePuy Synthes and has expertise in shoulder, knee, foot and ankle, and spine products. Early in his career, Tom served as a naval officer on the aircraft carrier USS Independence in Yokosuka, Japan. Tom is a graduate of Villanova University and received an MBA from the University of Michigan and MFA from Boston University. \" content_padding=\"0px|20px|20px|0px|false|false\" social_icon_color=\"#ACAEB0\" links_bg=\"#363739\" content_bg_color=\"RGBA(255,255,255,0)\" _builder_version=\"4.23.4\" _module_preset=\"default\" name_text_color=\"#00729A\" job_title_font=\"|600|||||||\" job_title_text_color=\"#363739\" short_bio_text_color=\"#FFFFFF\" background_color=\"RGBA(255,255,255,0)\" custom_margin=\"||15px||false|false\" custom_padding=\"0px||0px||false|false\" border_color_all_item=\"#ACAEB0\" global_colors_info=\"{}\"][\/torq_team][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.23.4\" _module_preset=\"default\" background_color=\"#FFFFFF\" custom_padding=\"25px||25px||false|false\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.23.4\" _module_preset=\"default\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.23.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.24.0\" _module_preset=\"default\" header_font=\"||||||||\" header_letter_spacing=\"1px\" custom_margin=\"||5px||false|false\" custom_padding=\"||0px||false|false\" global_colors_info=\"{}\"]<h2 style=\"font-size: 45px; line-height: 1.2em;\"><span style=\"color: #acaeb0;\">Scientific Advisors<\/span><\/h2>[\/et_pb_text][torq_team member_name=\"Philip Kasten, MD, PhD\" short_bio=\"Prof. Dr. Kasten is a leading specialist in shoulder orthopedics and trauma surgery based in Tuebingen, Germany. He has additional qualifications in Special Orthopedic Surgery, Sports Medicine, Orthopedic Rheumatology, Pediatric Orthopedics, Manual Therapy, and Physical Medicine. His training and education were completed at BG Trauma Clinic T\u00fcbingen, Hannover Medical School, Heidelberg University Hospital, and Dresden University Hospital. In addition, Prof. Dr. Kasten was the sports orthopedic director of the Olympic training Center, Chemnitz-Dresden from 2008-2014.\" content_padding=\"0px|20px|20px|0px|false|false\" social_icon_color=\"#FFFFFF\" links_bg=\"#00729A\" _builder_version=\"4.23.4\" _module_preset=\"default\" name_text_color=\"#00729A\" job_title_font=\"|600|||||||\" job_title_text_color=\"#363739\" short_bio_font_size=\"13px\" background_color=\"#FFFFFF\" custom_margin=\"||15px||false|false\" custom_padding=\"0px||0px||false|false\" border_color_all_item=\"#ACAEB0\" global_colors_info=\"{}\"][\/torq_team][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"class_list":["post-789","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Suture Anchors Pose Surgical Challenge - 腦瞳憫<\/title>\n<meta name=\"description\" content=\"Innovative surgical approach addresses surgical challenges of current rotator cuff repairs (RCR) using suture anchors\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/inovedis.com\/index.php\/suture-anchor-challenges\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suture Anchors Pose Surgical Challenge - 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