Perianchor Radiolucency after Knotless Anchor Repair for Shoulder Instability

Park, Jin‐Young; Lhee, Sang-Hoon; Park, Hong-Keun; Jeon, Soung Hoo; Oh, Jung Hwan

doi:10.1177/0363546508324312

Cited by 15 publications

(14 citation statements)

References 32 publications

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“…Approximately half the studies were retrospective in nature and had greater than 5% loss to follow-up. The mean cumulative MINORS score was 19 of 24 (16)(17)(18)(19)(20)(21) for comparative studies and 11.2 of 16 (8-13) for case series. Data pooling and quantitative meta-analysis were not possible due to the low level of evidence and heterogeneity across studies.…”

Section: Methodologic Quality Assessment and Risk Of Biasmentioning

confidence: 98%

“…All 10 clinical studies, [8][9][10][11][12][13][14][15][16][17] involving 192 knot-tying and 430 knotless repairs, reported rates of recurrent instability and reoperation. Forest plots summarizing consistently reported outcomes from individual studies with corresponding effect sizes are presented in Fig 2 and Rates of redislocation ranged from 2.2% to 14.7% and 1.5% to 23.8% for knot-tying and knotless repair, respectively.…”

Section: Recurrent Instability and Reoperationmentioning

confidence: 99%

“…No statistically significant difference between knot-tying and knotless groups was found. 10,11 Rowe Shoulder Score Nine studies, 8,9,[11][12][13][14][15][16][17] involving 147 knot-tying and 388 knotless repairs, reported either a significant improvement from preoperative to postoperative or excellent postoperative Rowe shoulder scores. The mean Rowe score ranged from 41 to 45 preoperatively and 92 to 93 postoperatively in the knot-tying group and from 31 to 61.6 preoperatively and 80 to 95.9 postoperatively in the knotless group.…”

Section: Constant-murley Scorementioning

confidence: 99%

“…Four studies, 8,14,16,17 involving 68 knot-tying and 180 knotless repairs, reported return-to-sport percentages ranging from 80% to 94% among both repair techniques. The type of sport involved included both noncontact sports such as tennis and swimming, as well as contact sports such as soccer and American football.…”

Section: Return To Sportmentioning

confidence: 99%

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Excellent Functional Outcomes and Low Complication Rates Following Knotless Arthroscopic Bankart Repair: A Systematic Review of Clinical and Biomechanical Studies

Xin

Sheth

Abouali

2021

Arthroscopy, Sports Medicine, and Rehabilitation

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To provide a comprehensive review of the current clinical and biomechanical evidence for the use of knotless suture anchors during arthroscopic Bankart repair. Methods: A comprehensive search of 5 electronic databases from inception to July 2020 was performed for clinical and biomechanical studies in English evaluating outcomes following arthroscopic Bankart repair using knotless suture anchors. Two independent reviewers assessed articles for inclusion. Risk of bias was assessed using the Methodological Index for Non-Randomized Studies (MINORs) criteria. Clinical outcomes of interest and key findings from biomechanical studies were summarized. Results: Ten clinical studies (430 knotless repairs), including 4 cohort studies directly comparing knotless (N ¼ 117) to knot-tying repairs (N ¼ 192), were deemed eligible. Four biomechanical studies were also identified. Heterogeneity and the lack of randomized studies precluded data pooling and quantitative meta-analysis. Rates of redislocation ranged from 2.2% to 14.7% and 1.5% to 23.8% for knottying and knotless repair, respectively. Both knot-tying and knotless repair demonstrated excellent postoperative functional outcome, as assessed by visual analog scale, Constant-Murley, Rowe, and QuickDASH scores, with 80% to 94% of patients returning to sports participation. Biomechanical studies showed similar stiffness and load to failure between knottying and knotless repairs, with the most common mode of failure being retear at the sutureesoft tissue interface. Conclusions: Current level II to IV clinical and biomechanical evidence supports knotless arthroscopic Bankart repair as an effective procedure with excellent functional outcomes and low rates of complication and reoperation. Level of Evidence: Level IV, systematic review of level II to IV studies.A rthroscopic Bankart repair using suture anchors is a widely accepted method of restoring labral anatomy, with results similar to that of open stabilization. 1,2 The benefits of arthroscopic surgery include faster return to activity, smaller surgical scars, improved range of motion, and shorter hospital stay. 3

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Section: Methodologic Quality Assessment and Risk Of Biasmentioning

confidence: 98%

Section: Recurrent Instability and Reoperationmentioning

confidence: 99%

Section: Constant-murley Scorementioning

confidence: 99%

Section: Return To Sportmentioning

confidence: 99%

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Excellent Functional Outcomes and Low Complication Rates Following Knotless Arthroscopic Bankart Repair: A Systematic Review of Clinical and Biomechanical Studies

Xin

Sheth

Abouali

2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“…[1,2,4] However, a suture anchor is not free of complications because a suture anchor acts as an implant. After shoulder surgery, suture anchor complications include pull-out, [5,6] arthritis, [5] and osteolysis. [7] However, complications of suture anchors used in ankle surgery are rare.…”

Section: Introductionmentioning

confidence: 99%

A chronic sinus tract infection developing after suture anchoring of the ankle

et al. 2018

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Rationale:Suture anchors are increasingly used to fix soft tissue to bone. Favorable outcomes of the modified Brostrom operation (MBO) using suture anchors have been reported. However, to the best of our knowledge, few complications of suture anchors used in ankle surgery have been described. Here, we present a rare case of successful treatment of a chronic sinus tract infection developing after the MBO using a suture anchor.Patient concerns:A healthy 18-year-old high school student presented with a chronic ulcerative wound in his right ankle 1 year after anterior talofibular and calcaneofibular ligament repair using a suture anchor at a local clinic. Clinical examination revealed a 1.5 × 2-cm-sized ulcerative wound, accompanied by a red-black discharge, on the anterior border of the right lateral malleolus. The wound could be approximated to the joint capsule level using a forceps.Diagnosis:A simple standing anteroposterior radiograph of the right ankle revealed mild, lateral soft-tissue swelling. Magnetic resonance imaging showed that a sinus tract running from the wound to the talar body crossed the anterior joint capsule, and bone marrow edema surrounding the talus.Interventions:We removed the sinus tract and the infected suture anchor. We rendered the wound zigzag-shaped and then performed simple suturing and applied a short leg cast.Outcomes:The wound healed completely by 4 weeks after surgery. The patient reported no complication or recurrence of infection at the 1-year follow-up.Lessons:To obtain wound healing, the chronic sinus tract must be removed. If the suture anchor is the cause of infection, it should be removed.

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Comparison between metal and biodegradable suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: a prospective randomized study

Milano

Grasso

Santagada

et al. 2010

Knee Surg Sports Traumatol Arthrosc

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Perianchor Radiolucency after Knotless Anchor Repair for Shoulder Instability

Abstract: After Bankart repair using knotless suture anchor, the ominous sign might be an important warning sign for possible forthcoming complications including redislocation, anchor arthropathy, and residual instability.

Cited by 15 publications

References 32 publications

Excellent Functional Outcomes and Low Complication Rates Following Knotless Arthroscopic Bankart Repair: A Systematic Review of Clinical and Biomechanical Studies

Excellent Functional Outcomes and Low Complication Rates Following Knotless Arthroscopic Bankart Repair: A Systematic Review of Clinical and Biomechanical Studies

A chronic sinus tract infection developing after suture anchoring of the ankle

Comparison between metal and biodegradable suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: a prospective randomized study

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