Recurrent Instability After Arthroscopic Bankart Reconstruction, a Systematic Review of Surgical Technical Factors

Brown, Landon; Rothermel, Shane D.; Joshi, Rajat; Dhawan, Aman

doi:10.1016/j.arthro.2017.06.038

Cited by 21 publications

(23 citation statements)

References 54 publications

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“…For example, when a retear occurs, revision surgery is sometimes challenging because the previous anchors are difficult to remove with limited room for new anchor insertion. In addition, the cost of multiple anchors is high, and anchor dislodgement and bone osteolysis of glenoid bone (6,20). In this present study on both all-soft suture anchor and conventional metal anchor with arthroscopic labral repair in traumatic anterior shoulder instability, there were no reported intraoperative, perioperative, or postoperative complications, such as persistent shoulder pain, infection, wound problems, recurrence, stiffness, neurological damage, arthritic changes and anchor pull-out.…”

Section: Discussionmentioning

confidence: 54%

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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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Section: Discussionmentioning

confidence: 54%

“…Although arthroscopic surgery suture anchors continue to evolve, the complications of bankart repair have not been completely solved (6,(20)(21)(22)(23). Metal suture anchor fixation is frequently used although it causes complications such as arthritis, pull-out, and osteolysis (10,11,14).…”

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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“…This exceeds the reported recurrence of instability in prior systematic reviews (6.6%-15.0%). 4,27,28,48 Although a true comparison among studies is limited by heterogeneity, this seems to suggest that the presence of a Hill-Sachs defect should reduce a surgeon's threshold to employ a bone block procedure. Although humeral lesions are seldom considered in operative management, a medium-sized defect classified by Rowe et al 52 (.1.47 cm 3 ) paired with a 2-mm glenoid defect (\10%) requires significantly less translational force to cause instability.…”

Section: Discussionmentioning

confidence: 99%

Management of Recurrent Anterior Shoulder Instability With Bipolar Bone Loss: A Systematic Review to Assess Critical Bone Loss Amounts

et al. 2018

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“…[1][2][3] Surgical training and research historically have focused on these factors, especially modifiable surgical technical factors that can improve our patient's objective surgical outcomes. 4 There is a growing body of literature that demonstrates, however, that despite factoring in demographic predictors, clinical factors, and surgical technique, there is still significant variability in patient outcomes after orthopaedic surgery. Much of this variability we are coming to understand is due to psychosocial factors, to include patient expectations.…”

Section: See Related Article On Page 3250mentioning

confidence: 99%

Editorial Commentary: Surgeons Should Not “Underpromise” to “Overdeliver”: High Preoperative Patient Expectations Correlate With Improved Orthopaedic Surgical Outcomes

Dhawan¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Despite our understanding of patient-specific, anatomic, and surgical factors that can influence surgical outcomes, there remains a significant amount of variability in patient satisfaction and outcome after any orthopaedic surgical procedure. This variability is in large part due to psychosocial factors. There is a growing volume of literature demonstrating the importance of psychosocial factors to include anxiety, depression, attitudinal factors, expectations, patientperceived control, self-efficacy, knowledge, and expectations. Many of these factors are modifiable, and it is critical that we as providers understand the depth and breadth of these psychosocial factors, and their influence, on our patient's surgical outcomes. Surgeons should not "underpromise" to "overdeliver," because high preoperative patient expectations have a positive predictive value for improved orthopaedic surgical outcomes.

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Recurrent Instability After Arthroscopic Bankart Reconstruction, a Systematic Review of Surgical Technical Factors

Cited by 21 publications

References 54 publications

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

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

Management of Recurrent Anterior Shoulder Instability With Bipolar Bone Loss: A Systematic Review to Assess Critical Bone Loss Amounts

Editorial Commentary: Surgeons Should Not “Underpromise” to “Overdeliver”: High Preoperative Patient Expectations Correlate With Improved Orthopaedic Surgical Outcomes

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