Does the Anchor Eye Alignment Affect the Performance of the Rotator Cuff Repair? A Biomechanical Study

PURPOSE: To investigate the metal screw-in anchor failure mode and load to failure for 2 different eyelet alignments after anchor insertion in ovine humeri. METHODS: Sixteen ovine humeri were dissected, and a 5-mm metal anchor with 2 nonabsorbable polyblend polyethylene sutures was inserted into them in the proximal position of the greater tuberosity. The alignment of the anchors after insertion was adjusted to make 2 test groups, each with 8 specimens: In group 1, the anchor eyelets were malpositioned, whereas in group 2, the anchor eyelets were aligned according to the manufacturer's instructions. After insertion, cyclic tests from 10 N to 180 N were performed with a frequency of 1 Hz for 200 cycles; specimens were then loaded to failure to evaluate the maximum load of the system and observe the associated failure mode. RESULTS: The mean ultimate failure load in group 2 was not significantly different from that in group 1 (P = .472). CONCLUSIONS: For metallic screw-in suture anchors, the alignment of the eyelet does not change the failure mode and the load to failure after cyclic loading of the bone-anchor-suture system in ovine humeri. CLINICAL RELEVANCE: Our results indicate that on the basis of this anchor model, the position of the eyelet in the greater tuberosity does not interfere directly with the biomechanical performance of the system.