title: Suture anchors and tacks for shoulder surgery, part 1: biology and biomechanics.
abstract: The development and successful clinical application of suture anchors and tacks have revolutionized the surgeon's ability to secure soft tissues to bone via open or arthroscopic surgical techniques. When used carefully and with proper technique, these devices provide viable options for the repair and reconstruction of many intra-articular and extra-articular abnormalities in the shoulder, including rotator cuff tears, shoulder instability, and biceps lesions that require labrum repair or biceps tendon tenodesis. Like many technologies, however, the successful application of these devices requires an understanding of the biology and biomechanics that affect their use in the shoulder as well as knowledge of the factors that can affect subsequent clinical outcomes, including complications.
authors.affiliation: Division of Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA. ehenze1@jhmi.edu
authors.forename: Edward G
authors.initials: EG
authors.lastname: McFarland
authors.forename: Hyung Bin
authors.initials: HB
authors.lastname: Park
authors.forename: Ekavit
authors.initials: E
authors.lastname: Keyurapan
authors.forename: Harpreet S
authors.initials: HS
authors.lastname: Gill
authors.forename: Harpal S
authors.initials: HS
authors.lastname: Selhi
mesh_terms: D020341:Absorbable Implants; D000818:Animals; D001696:Biomechanical Phenomena; D006801:Humans; D012785:Shoulder Joint / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013537:Sutures; D014945:Wound Healing / Q000502:physiology*