A new technique of arthroscopic fixation using double anchors for SLAP lesions

Ok, Ji-Hoon; Kim, Yang-Soo; Kim, Jung-Man; Yoon, Kisyck

doi:10.1007/s00167-011-1707-6

Cited by 8 publications

(15 citation statements)

References 26 publications

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“…No significant difference in the anchor number was appreciated when The presence or absence of postoperative complications was reported in 214 patients ( Table 3). No complications were reported in patients treated using knotless anchors (0%; 0/55), 28,40 while a complication was recorded in 12% (21/179) of patients treated using knotted anchors (P ¼ .008). 5,14,24,27,29,33 Complications in patients treated using knotted anchors included postoperative stiffness (n ¼ 7), 14,33 suture anchor failure requiring revision surgery (n ¼ 7), 24,27,29 persistent pain with overhead activity (n ¼ 4), 5 osteolysis (n ¼ 2), 29 and revision requiring rotator interval closure (n ¼ 1).…”

Section: Resultsmentioning

confidence: 97%

“…The dominant arm underwent repair in 80% (107/133) of patients, while arm dominance was not reported in 5 studies. 16,24,27,28,29 Additionally, 76% (179/234) of patients were treated using a knotted suture anchor, 5,14,24,27,29,33,35,40 while 24% Full-text articles assessed for eligibility (n = 38)…”

Section: Resultsmentioning

confidence: 99%

“…(55/234) of patients were treated using a knotless suture anchor 16,28,40 ( Table 2). The median number of anchors used per patient was 1.4 (range, 1.0-2.7).…”

Section: Resultsmentioning

confidence: 99%

“…14,29 No significant difference in complications was appreciated based on the utilization of a trans-rotator cuff portal (8%; 4/51) 27,40 versus a rotator interval portal (18%; 6/34) (P ¼ .19). 14,29 Return to full activity after surgery was reported in 53% (57/107) of patients treated using knotted anchors, 5,14,24,27,29,40 while the number of athletes returning to full activity following knotless repair was only explicitly reported in a single study, occurring in 45% (9/20) of patients 16,28,40 (Table 3). The mean time to return to full activity was 7.7 ± 3.2 months (range, 3.0-11.7 months).…”

Section: Resultsmentioning

confidence: 99%

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Complications and Return to Activity After Arthroscopic Repair of Isolated Type II SLAP Lesions: A Systematic Review Comparing Knotted Versus Knotless Suture Anchors

Knapik

Kolaczko

Gillespie

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Superior labral anterior to posterior (SLAP) tears are one of the most common injuries to the shoulder, with the type II variant representing the most frequently encountered subtype. Purpose: To systematically review the literature to better understand outcomes after arthroscopic repair of isolated type II SLAP lesions using knotted versus knotless anchors based on implant number, implant location, patient position, and portal position. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review investigating all studies in the literature between January 2000 and June 2019 reporting on patients undergoing arthroscopic repair for isolated type II SLAP lesions using knotted versus knotless suture anchors was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using the PubMed, BIOSIS Previews, SPORTDiscus, PEDro, and Embase databases. Results: A total of 234 patients undergoing isolated arthroscopic repair of type II SLAP lesions using suture anchors were identified, with 76% (179/234) treated using knotted anchors versus 24% (55/234) treated using knotless anchors. Complications were reported in 12% of patients treated using knotted anchors versus no patients treated using knotless anchors ( P = .008). The incidence of complications for knotted anchor repair was not significantly affected by patient position ( P = .22) or portal position ( P = .19). Using multiple regression analysis, we found no significant association with the incidence of complications when analyzing for anchor design ( R 2 = 0.02; P = .06) or anchor position ( R 2 = 0.02; P = .92). No significant difference in return-to-activity timing was appreciated based on anchor type ( P = .28), patient position ( P = .98), or portal position ( P = .97) in patients treated using knotted anchors. Conclusion: Patients treated using knotted anchors were significantly more likely to experience a postoperative complication compared with patients treated using knotless anchors after arthroscopic repair of isolated type II SLAP lesions. Despite the increased incidence of a postoperative complication after knotted anchor fixation compared with knotless anchor fixation, multiple regression analysis showed that anchor design and anchor position were not significantly predictive of the incidence of complications. Given the increasing popularity of knotless anchor fixation, further study on the long-term outcomes after knotless repair for isolated type II SLAP lesions is warranted.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

“…(55/234) of patients were treated using a knotless suture anchor 16,28,40 ( Table 2). The median number of anchors used per patient was 1.4 (range, 1.0-2.7).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Complications and Return to Activity After Arthroscopic Repair of Isolated Type II SLAP Lesions: A Systematic Review Comparing Knotted Versus Knotless Suture Anchors

Knapik

Kolaczko

Gillespie

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…However, few studies mention the anatomical outcome after the repair [10][11][12]. For the preoperative diagnosis of SLAP lesions, there are some suggested radiologic diagnostic criteria in the MR [16,18].…”

Section: Introductionmentioning

confidence: 99%