The Mitek bone anchor: application to the hand, wrist and elbow

Mitek (Norwood, MA) bone anchors were used to attach soft tissue to the bones of the hand, wrist, and elbow in 66 procedures (166 anchors). The technical difficulties, initial fixation, long-term stability, and postoperative complications were retrospectively reviewed. The technique was easy to learn and to use. Intraoperatively, secure fixation of soft tissue to bone was accomplished in every case, and follow-up x-ray films showed that 65 of the implants remained securely anchored in bone. The far cortex was penetrated six times, resulting in two complications. The Mitek bone anchor is an excellent technique for achieving soft-tissue fixation in the hand and upper extremity, but penetration of the far cortex should be avoided.