Clinical and radiological outcome after arthroscopic rotator cuff repair using PEEK-CF anchors

Orthop Traumatol Surg Res. 2024 Feb;110(1):103714. doi: 10.1016/j.otsr.2023.103714. Epub 2023 Oct 20.

Abstract

Purpose: The goal of this study was to evaluate the clinical and radiological outcome after arthroscopic rotator cuff repair using new carbonfiber reinforced polyetheretherketone (CF-PEEK) suture anchors.

Methods: One hundred (n=100) patients with rotator cuff tears were enrolled at seven French hospitals between July 2019 and June 2020. Pain levels, Constant score and Subjective Shoulder Value (SSV) were taken preoperatively and 6months postoperatively. Ultrasonography (US) was performed at 6months postoperatively to evaluate tendon healing using the Sugaya classification. Statistical analysis was done with the Student t-test with 95% confidence intervals.

Results: One hundred patients of the 100 patients were followed at 6months. The mean SSV and Constant score improved from 40.1% preoperatively to 78% at 6months (p<0.0001) and from 43 points preoperatively to 65 points at 6months (p<0.0001), respectively. The mean level of pain, as measured with the visual analogue scale, decreased from 5.9 to 1.6 (p<0.001). There were no postoperative complications that resulted in revision surgery.

Conclusion: The study showed good results at 6months follow-up using carbonfiber reinforced PEEK anchors with improved Constant and SSV scores as well as a high ultrasonographic tendon healing rate, making PEEK-CF anchors safe to use, comparable to commonly used anchors.

Level of evidence: IV.

Keywords: Carbonfiber reinforced PEEK; PEEK anchors; Rotator cuff; Rotator cuff tear; Ultrasonography.

MeSH terms

  • Arthroscopy / methods
  • Benzophenones*
  • Humans
  • Ketones
  • Magnetic Resonance Imaging
  • Pain
  • Polyethylene Glycols
  • Polymers
  • Rotator Cuff Injuries* / diagnostic imaging
  • Rotator Cuff Injuries* / surgery
  • Rotator Cuff* / diagnostic imaging
  • Rotator Cuff* / surgery
  • Suture Anchors
  • Treatment Outcome

Substances

  • polyetheretherketone
  • Polymers
  • Polyethylene Glycols
  • Ketones
  • Benzophenones