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

Abstract

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.