Comparison of Clinical Outcomes and Computed Tomography Analysis for Tunnel Diameter After Arthroscopic Bankart Repair With the All-Suture Anchor and the Biodegradable Suture Anchor

Lee, Sanghyeon; Park, In; Hyun, Hwan Sub; Kim, Sang Woo; Shin, Sang-Jin

doi:10.1016/j.arthro.2018.12.011

Cited by 36 publications

(59 citation statements)

References 33 publications

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“…In the single prior case series specifically devoted to arthroscopic glenoid labral repair with double-loaded anchors for the treatment of glenohumeral instability, Kim et al 11 examined 45 patients with a minimum of 2 years' follow-up and reported a mean final ASES score of 96.9, which is similar to the result reported in our study. Similarly, mean final ASES scores of 87, 1 92, 12 89, 13 and 88-90 20 and mean final SST scores of 11 4 , 18 , 22 and 11-12 19 have been reported previously with arthroscopic labral repair. Mean final VAS pain scores of 0.3, 3 1, 4 2, 19 and 0-1 26 have been reported previously with arthroscopic labral repair.…”

Section: Discussionsupporting

confidence: 78%

Double-loaded suture anchors in the treatment of anteroinferior glenohumeral instability

Chalmers¹,

Hillyard²,

Kawakami³

et al. 2020

JSES International

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Hypothesis The purpose of this study was to determine the clinical outcomes of arthroscopic labral repair for anteroinferior glenohumeral instability with the use of double-loaded suture anchors. Methods This study evaluated a series of consecutive patients treated after the senior author changed from single- to double-loaded suture anchors for the treatment of anteroinferior glenohumeral instability with a minimum follow-up period of 2 years. We collected the following outcomes at final follow-up: visual analog scale pain score, Simple Shoulder Test score, American Shoulder and Elbow Surgeons score, and instability recurrence data. Results A total of 41 consecutive patients underwent arthroscopic labral repair with double-loaded anchors, of whom 30 (71%) were able to be contacted at a minimum of 2 years postoperatively. These patients included 4 contact or collision athletes (13%). The patients had an average of 12 ± 13 prior dislocations over an average period of 56 ± 57 months preoperatively. Mean glenoid bone loss measured 16% ± 10%, and 67% (18 of 27 patients) had glenoid bone loss ≥ 13.5%. Intraoperatively, 3.2 ± 0.4 anchors were used. No posterior repairs or remplissage procedures were performed. At an average of 6.7 ± 2.7 years' follow-up, the visual analog scale pain score was 0.8 ± 1.4; Simple Shoulder Test score, 11 ± 2; and American Shoulder and Elbow Surgeons score, 90 ± 14. Patients with bone loss < 13.5% had a 0% redislocation rate and 11% subluxation rate, whereas those with bone loss ≥ 13.5% had a 6% reoperation rate, 22% redislocation rate, and 22% subluxation rate. Conclusion Arthroscopic labral repair with double-loaded anchors provides satisfactory clinical results at early to mid-term outcome assessment when glenoid bone loss is <13.5%.

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Section: Discussionsupporting

confidence: 78%

Double-loaded suture anchors in the treatment of anteroinferior glenohumeral instability

Chalmers¹,

Hillyard²,

Kawakami³

et al. 2020

JSES International

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“…Over the past three decades, suture anchors (variations in size and suture types, metal or plastic polymer) have been widely used to treat soft tissue pathologies and other musculoskeletal disorders, such as repair of bankart lesions, biceps tenodesis, acromioclavicular joint dislocation reconstruction, deltoid repair and capsulolabral repair (8). However, despite good to excellent outcomes in most studies, there are no gold standard guidelines described for suture anchors use in arthroscopic labral repair (9,(16)(17)(18)(19). In our experience, the present study demonstrated that arthroscopic labral repair of anterior shoulder instability with this all-soft suture anchors was associated with good clinical and functional outcomes, similar to the conventional suture metal anchor.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical and Functional Results After Arthroscopic Bankart Repair With The Conventional Metal Anchor and The All-Soft Suture Anchor

Arıcan¹,

Turhan²

2019

Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Aim: To compare the clinical results after arthroscopic bankart repair with all-soft suture anchor and conventional metal anchor in physically active patients with traumatic anterior shoulder instability. Material and Methods: A total of 32 patients who met eligibility criteria were included between 2016 and 2017 years, for arthroscopic bankart repair in a single orthopedic department. The patients were examined into 2 groups as 17 underwent repair with 1.8 mm all-suture anchor with 2 (5 metric) Hi-Fi® sutures (Y-knot® flex, Conmed, USA) (group 1), and 15 underwent repair with conventional titanium 3.5 mm Suture Anchors with two preloaded ultrabraid sutures (TWINFIX, Smith & Nephew) (group 2). Clinical and functional outcomes were assessed pretreatment, and final follow-up using the American shoulder and Elbow surgeons (ASES) score and the ROWE score. Results: The mean ASES score increased significantly in group 1 from 35.62±8.46 to 88.86±6.23 (p=0.0001) and had increased significantly in group 2 from 41.15±14.51 to 91.15±7.54 (p=0.0001). The mean ROWE score had increased significantly in group 1 from 48.82±11.25 to 85.00±10.00 (p=0.0001) and had significantly increased in group 2 from 45.67±9.61 to 87.67±10.15 (p=0.0001). There was no significant difference between the mean ASES scores of group 1 and group 2 (p=0.192, p=0.353), and also no significant difference between the mean ROWE scores of group 1 and group 2 (p=0.404, p=0.461) at pretreatment and final follow-up respectively. Conclusion: Arthroscopic bankart repair with an all-soft suture anchor demonstrated comparable clinical and functional results as the conventional metal suture anchor at short term follow-up.

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“…Given the concerns regarding all-suture anchors causing the formation of wider cavities around the anchors due to micromotion, 3,7 Ro et al 5 showed that the rate and size of the cysts caused by all-suture anchors were not significantly different from those of biocomposite and PEEK anchors. Lee et al 7 reported that the increment in tunnel diameter with all-suture anchors was significantly greater than that with biodegradable suture anchors at the 1-year computed tomography follow-up after arthroscopic Bankart repair. Regardless of the increased tunnel diameter, clinical outcomes of arthroscopic Bankart repair with all-suture anchors were satisfactory and the functional outcomes and postoperative stability were comparable to those of conventional biodegradable anchors at least 2 years after surgery.…”

mentioning

confidence: 99%

“…Regardless of the increased tunnel diameter, clinical outcomes of arthroscopic Bankart repair with all-suture anchors were satisfactory and the functional outcomes and postoperative stability were comparable to those of conventional biodegradable anchors at least 2 years after surgery. 7 Therefore, from the perspectives of clinical outcome and rate of cyst occurrence, I think that it is safe to say that allsuture anchors are no more baleful than other anchors. The findings of Ro et al 5 are similar to those of other studies in that perianchor cysts do not negatively affect clinical outcomes.…”

mentioning

confidence: 99%

Editorial Commentary: Perianchor Cysts—We Need More Worries After Rotator Cuff Repair Like We Need Holes in the Head

Jang

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Comparison of Clinical Outcomes and Computed Tomography Analysis for Tunnel Diameter After Arthroscopic Bankart Repair With the All-Suture Anchor and the Biodegradable Suture Anchor

Cited by 36 publications

References 33 publications

Double-loaded suture anchors in the treatment of anteroinferior glenohumeral instability

Double-loaded suture anchors in the treatment of anteroinferior glenohumeral instability

Comparison of Clinical and Functional Results After Arthroscopic Bankart Repair With The Conventional Metal Anchor and The All-Soft Suture Anchor

Editorial Commentary: Perianchor Cysts—We Need More Worries After Rotator Cuff Repair Like We Need Holes in the Head

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