Outpatient Surgery Magazine - Subscribers

2018 Salary Survey - Outpatient Surgery Magazine - January 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 91 of 124

have been a great improvement in surgical visualization. 2 Knotless suture anchors One of the more exciting things about arthroscopy today is that we're doing large surgeries in a minimally invasive manner. This is possible because of the advances in imaging systems, but also because of technological advances in the implants we're using to per- form these surgeries. One example of these advances is knotless suture anchors. Suture anchors are small, commonly polymer or metallic devices that are attached to sutures and inserted directly into the bone. They are com- monly used for fixing tendons and ligaments to bone. When a surgeon has to manually tie knots to secure the anchors, it can slow down the overall surgery process and add operating room time if the knot is tied incorrectly. This can be an issue for busy hospitals or ASCs. For example, consider a large arthroscopic rotator cuff repair. If you're using 4 suture anchors to create a solid repair, you're talking about several extra minutes per anchor — which can really add up when you're doing multiple cases in a day. That's why many busy, high-volume facilities can benefit from knotless anchor technology. The latest knotless anchors perform similarly to knotted anchors, but can be placed more quickly and efficiently. Another promising development is the advancements we've seen in bioabsorbable suture anchor implants. These non-metal materials, which eventually dissolve inside the patient, help surgeons because they don't obscure post-operative imaging in the same way metal implants do. Another benefit: Not having metal in the surgical field makes it easier to perform revision surgeries. 9 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 9

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