Editorial Commentary: Will New Technology Improve Outcomes or Are All-Suture Rotator Cuff Surgery Anchors Like a New Set of Golf Clubs? Not a Question for the Biomechanics Lab

Failure of rotator cuff repairs may be attributed to biological, mechanical, or rehabilitative reasons. New all-suture anchors have several theoretical benefits that make them potentially attractive for use in rotator cuff repair. As their mechanical strength results from the anchor deploying as a button or molly bolt against the inner cortical bone, it stands to reason that decortication performed for the purposes of improved repair biology may be particularly detrimental to the initial time-zero biomechanics of all-suture anchors. It is unclear whether the statistically significant all-suture biomechanics seen with and without decortication translate clinically.