Knotless All-Suture, Soft Anchor Bankart Repair Results in Excellent Patient-Reported Outcomes, High Patient Satisfaction, and Acceptable Recurrent Instability Rates at Minimum 2-Year Follow-Up

Pearce, Stephanie S.; Horan, Marilee P.; Rakowski, Dylan R.; Hanson, Jared A.; Woolson, Thomas E.; Millett, Peter J.

doi:10.1016/j.arthro.2023.02.021

Cited by 4 publications

(3 citation statements)

References 16 publications

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“… 17 Finally, the findings of current clinical studies evaluating patient outcomes after all-suture anchor labral repair are promising. 12 , 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Two-Portal Arthroscopic Knotless All-Suture Anchor Posterior Labral Repair

Khaleel,

Oladeji,

Smith

et al. 2024

Arthroscopy Techniques

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“… 17 Finally, the findings of current clinical studies evaluating patient outcomes after all-suture anchor labral repair are promising. 12 , 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

Two-Portal Arthroscopic Knotless All-Suture Anchor Posterior Labral Repair

Khaleel,

Oladeji,

Smith

et al. 2024

Arthroscopy Techniques

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“…Given the rapid developments in arthroscopic surgical techniques, such surgery has become the mainstream treatment for both bony Bankart injury and recurrent shoulder dislocation with satisfactory results [14,15,17]. Many surgical techniques for the treatment of bony Bankart lesions have been reported, but no gold standard is universally accepted [5,13,23]. Anatomic reduction of a glenoid bone defect and stable fixation are important to ensure long-term postoperative stability of a bony fragment.…”

Section: Introductionmentioning

confidence: 99%

Modified double‐pulley fixation provides better reduction of bone fragments and union compared to single‐point fixation in bony Bankart lesions

Qu,

Fu,

Shen

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe purpose of this study was to compare clinical scores and imaging outcomes of bony Bankart lesions that underwent single‐point and modified double‐pulley fixation after at least 2 years of follow‐up.MethodsPatients who underwent surgery to treat bony Bankart injuries were included and divided into groups A and B. A total of 69 patients were included (32 in group A and 37 in group B). Patients in group A underwent arthroscopic modified double‐pulley fixation and patients in group B underwent arthroscopic single‐point fixation. Three‐dimensional computed tomography (3D‐CT) was used to assess glenoid reduction one day after surgery. Postoperative bony union was assessed using 3D‐CT and multiplanar reconstruction images 6 months after surgery. Constant–Murley, Rowe rating system, visual analogue scale and University of California at Los Angeles and American Shoulder and Elbow Surgeons scores were recorded before and after surgery.ResultsIn terms of imaging measurements, there was no significant group difference in the preoperative size of the glenoid defect, the size of the bony fragment or the expected postoperative size of the glenoid defect. The sizes of the actual postoperative glenoid defects differed significantly between the groups (p = 0.027), as did the absolute difference between the expected and actual glenoid defect sizes (p < 0.001). At 6 months postoperatively, 50.0% of group A patients and 24.3% of group B patients exhibited complete bony union (p = 0.027); the rates of partial union were 37.5% and 56.8%, respectively. At the final follow‐up, all clinical scores were significantly better than the preoperative scores (all p < 0.05), with no significant group differences (not significant).ConclusionsThe use of the modified double‐pulley technique with two anchors to treat bony Bankart injuries provides a better reduction of bone fragments than single‐point fixation with two anchors and was associated with a higher rate of early bone union.Level of EvidenceLevel III.

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“…HAGL, although frequently overlooked, emerges as a significant pathology that can be the underlying cause of failed Bankart repair. 9 , 10 , 11 , 12 , 13 , 14 The inferior glenohumeral ligament (IGHL) serves as the primary restraint for the glenohumeral joint in the abduction and external rotation positions, with injury to the anterior band of IGHL identified in 93% of HAGL cases. 13 , 14 While clinical diagnosis is seldom supported by imaging revealing various soft tissue and bone defects, underdiagnosis prevails due to concomitant injuries.…”

mentioning

confidence: 99%

Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position

Wiwatboworn,

Limskul,

Tanpowpong

et al. 2024

Arthroscopy Techniques

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Knotless All-Suture, Soft Anchor Bankart Repair Results in Excellent Patient-Reported Outcomes, High Patient Satisfaction, and Acceptable Recurrent Instability Rates at Minimum 2-Year Follow-Up

Cited by 4 publications

References 16 publications

Two-Portal Arthroscopic Knotless All-Suture Anchor Posterior Labral Repair

Two-Portal Arthroscopic Knotless All-Suture Anchor Posterior Labral Repair

Modified double‐pulley fixation provides better reduction of bone fragments and union compared to single‐point fixation in bony Bankart lesions

Arthroscopic Humeral Avulsion of the Glenohumeral Ligament (HAGL) Repair Utilized Accessory Posterior Portal in the Beach-Chair Position

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