All-suture anchors versus metal suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: A comparison of mid-term outcomes

Abstract

Objectives This study aims to compare metal suture anchors and all-suture anchors clinically and radiologically in arthroscopic Bankart repair. Patients and methods In this retrospective study, 67 patients (61 males, 6 females; mean age 26.0±5.8; range, 18 to 43 years) who underwent arthroscopic Bankart repair between April 2009 and October 2016 were divided into two groups depending on the type of the suture anchor used in different periods. Group A comprised 32 patients with arthroscopic Bankart repair performed with metal suture anchors, and Group B comprised 35 patients with arthroscopic Bankart repair performed with all-suture anchors. The patients were clinically evaluated using Rowe scores, Constant scores, redislocation rates, and positive apprehension test rates. Radiographic evaluation was performed using the Samilson-Prieto classification to observe the development of glenohumeral osteoarthritis. Results The mean follow-up period was 41.1±10.4 (range, 30 to 60) months in Group A, and 39.6±9.4 (range, 28 to 60) months in Group B, with no significant difference between the two groups (p=0.559). No significant difference was observed between Group A and Group B in terms of mean Rowe score (89.2±13.8 [range, 40 to 100] vs. 88.7±16.9 [range, 25 to 100]; p=0.895) or Constant score (87.2±8.9 [range, 48 to 96] vs. 86.9±9.0 [range, 46 to 96]; p=0.878), which were the clinical outcomes at the final follow-up examination. Postoperative redislocation rates (3.1% vs. 2.9%, p=1.0) and positive apprehension test rates (6.3% vs. 8.6%, p=1.0) were found to be similar in both groups. According to the Samilson-Prieto classification, there was no evidence of glenohumeral osteoarthritis in any of the patients in either group. Conclusion Satisfactory outcomes were obtained with the use of all-suture anchors in arthroscopic Bankart repair for traumatic anterior shoulder instability. All-suture anchors and metal suture anchors, have similar outcomes in the mid-term and all-suture anchors are a reliable and effective option for arthroscopic Bankart repair.

Arthroscopic Posterior Capsulolabral Repair With Suture-First Versus Anchor-First Technique in Patients With Posterior Shoulder Instability (Type B2): Clinical Midterm Follow-up

“…This phenomenon is described in the same manner for ER when examining patients after anterior shoulder stabilization. 11 , 29 , 45 The reduced shoulder rotation underlines once more that it is important not to tighten the capsule too much and find the right balance between avoiding instability and allowing the patient a free range of motion. 21 Nevertheless, measuring error should be taken into account, as in clinical practice it is barely possible to reliably measure a range of motion of <10°.…”

“… 7 – 9 , 23 , 24 , 39 Various anchor systems are available for shoulder instability repair. 2 , 18 , 30 , 40 , 45 …”

“…[7][8][9]23,24,39 Various anchor systems are available for shoulder instability repair. 2,18,30,40,45 The aim of this study was to evaluate the clinical outcomes after arthroscopic posterior capsulolabral repair in patients with B2 dynamic structural PSI at midterm followup. 32 Specifically, we aimed to determine whether there was a difference in clinical outcome scores between patients treated with a suture-first technique (PushLock anchor; Arthrex) compared with an anchor-first technique (Fiber-Tak all-suture anchor; Arthrex).…”

Use of absorbable versus nonabsorbable anchors in the treatment of glenohumeral instability

“…A retrospective study, Uluyardımcı 2021 8 , comparing JuggerKnot® anchors, Biomet Inc., Warsaw, IN, USA, with metallic anchors, concluded that satisfactory results were obtained with the use of full suture anchors in the arthroscopic Bankart repair for traumatic anterior shoulder instability. “ The total suture anchors and the metallic suture anchors have similar results in the medium term and the total suture anchors are a reliable and effective option for the arthroscopic Bankart repair.…”

Editorial Commentary: All-Suture Anchors Are Evidence-Based and Biomechanically Sound but Require Additional Clinical Outcomes Evaluation

“…There are still doubts raised by reported cyst formations and potential secondary anchor failure. 18,19 Corresponding clinical outcomes studies are rare, 18,[20][21][22][23][24][25] and there is a lack of evidence for the clinical advantages of ASA compared to established implants.…”