How often does “Bone Cheese-Cutting” occur during Rotator Cuff surgery?

External Suture Anchors have sutures on the outside of the anchor exposing sutures that cut bone (Bone Cheese-Cutting). This can be apparently seen during surgery but what happens after the surgery when sutures experience micro-motion from the human body?

Internal Suture Anchors have sutures inside the anchor and protect bone from being cut by sutures.

The PHANTOM-LP is the first and only knotless 100% PEEK anchor that is an Internal Suture Anchor. Biomechanics research as shown in the video demonstrate how the PHANTOM-LP can protect bone from Bone Cheese-Cutting even after 1,000 load cycles.

Why expose bone to Cheese-Cutting when it can be avoided? Comments are welcome. It’s how we learn and hone our craft.