Advantages of Knotless Anchors

• Elimination of knot impingement
• Reduced surgical time and complexity
• Even suture tensioning across fixation points
• Simplified revision surgery
• Decreased tissue irritation and knot abrasion

Advantages of Knotted Anchors

• Greater tactile feedback and manual control
• Ideal for multi-layer tissue repair
• Strong compression for secure fixation
• Familiar handling for traditional techniques

Clinical Comparison Summary

Conclusion: The Auxein Vision

Auxein’s expansive AUXILOCK^® portfolio offers surgeons the flexibility to choose — or combine — knotted and knotless systems for each case’s unique requirements. Through meticulous design using Titanium, PEEK CF, PEEK OPTIMA and All Suture Anchors Auxein continues to lead the evolution of soft-tissue fixation. The result: fixation that’s not just mechanical, but biomechanically intelligent.

Key References

• Liu S, Ma L. (2025). Arthroscopic suture-bridge repair using knotless anchors. J Orthop Surg Res.
• Barber FA et al. (2023). Anchor performance and fixation comparison. J Shoulder Elbow Surg.
• Kim YJ et al. (2022). Knotless versus knotted fixation systems. Arthroscopy.
• Kummer F et al. (2019). Biomechanics of rotator cuff anchor systems. AJSM.
• Burkhart SS et al. (2021). Knotted vs knotless outcomes in shoulder repair. Arthroscopy Journal.