Abstract
The purpose of this study was to compare the clinical results of knotless and knot-tying suture anchors in arthroscopic Bankart repair of collision athletes. Thirty-eight athletes underwent arthroscopic Bankart repairs. The mean age of the patients at the time of surgery was 23 years. Bio-Knot-tying anchors were used in 18 patients, and Bio-Knotless suture anchors were used in 20 patients. Preoperative and postoperative evaluations were performed by Rowe scores. At the end of 40 months follow-up, both the knot-tying and the knotless suture anchor groups had similar postoperative results. There were no differences between Knot-Tying and Knotless repair about late disengagement and re-dislocation in this patient group. Knotless repair provided secure and low-profile repair without introducing complexities to the procedure of arthroscopic knot tying one.
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References
Abrams JS (2003) Innovations in arthroscopic surgery of the shoulder (advances in arthroscopic shoulder stabilization). Arthroscopy 19:106–108. doi:10.1016/j.arthro.2003.09.034
Antonogiannakis E, Yiannakopoulos CK, Karliaftis K, Karabalis C (2002) Late disengagement of a knotless anchor: case report. Arthroscopy 18:40. doi:10.1053/jars.2002.30008
Bacilla P, Field LD, Savoie FH 3rd (1997) Arthroscopic Bankart repair in a high demand patient population. Arthroscopy 13(1):51–60. doi:10.1016/S0749-8063(97)90209-7
Cho NS, Hwang JC, Rhee YG (2006) Arthroscopic stabilization in anterior shoulder instability: collision athletes versus noncollision athletes. Arthroscopy 22(9):947–953. doi:10.1016/j.arthro.2006.05.015
Cho NS, Lubis AM, Ha JH, Rhee YG (2006) Clinical results of arthroscopic Bankart repair with knot-tying and knotless suture anchors. Arthroscopy 22(12):1276–1282. doi:10.1016/j.arthro.2006.07.005
Hayashida K, Yoneda M, Mizuno N, Fukushima S, Nakagawa S (2006) Arthroscopic Bankart repair with knotless suture anchor for traumatic anterior shoulder instability: results of short-term follow-up. Arthroscopy 22(6):620–626. doi:10.1016/j.arthro.2006.03.006
Garofalo R, Mocci A, Moretti B, Callari E, Di Giacomo G et al (2005) Arthroscopic treatment of anterior shoulder instability using knotless suture anchors. Arthroscopy 21(11):1283–1289. doi:10.1016/j.arthro.2005.08.033
Ide J, Maeda S, Takagi K (2004) Arthroscopic Bankart repair using suture anchors in athletes: patient selection and postoperative sports activity. Am J Sports Med 32:1899–1905. doi:10.1177/0363546504265264
Kim SH, Ha KI, Cho YB, Ryu BD, Oh I (2003) Arthroscopic anterior stabilization of the shoulder. J Bone Joint Surg Am 85:1511–1518. doi:10.1302/0301-620X.85B2.13289
Magnusson L, Ejerhed L, Rostgard-Christensen L, Sernert N, Eriksson R, Karlsson J et al (2006) A prospective, randomized, clinical and radiographic study after arthroscopic Bankart reconstruction using 2 different types of absorbable tacks. Arthroscopy 22(2):143–151. doi:10.1016/j.arthro.2005.12.016
Mazzocca AD, Brown FM Jr, Carreira DS, Hayden J, Romeo AA (2005) Arthroscopic anterior shoulder stabilization of collision and contact athletes. Am J Sports Med 33(1):52–60. doi:10.1177/0363546504268037
Rhee YG, Ha JH, Cho NS (2006) Anterior shoulder stabilization in collision athletes: arthroscopic versus open Bankart repair. Am J Sports Med 34(6):979–985. doi:10.1177/0363546505283267
Thal R (2001) Knotless suture anchor: Arthroscopic Bankart repair without tying knots. Clin Orthop Relat Res 390:42–51. doi:10.1097/00003086-200109000-00007
Thal R, Nofziger M, Bridges M, Kim JJ (2007) Arthroscopic Bankart repair using Knotless or BioKnotless suture anchors: 2- to 7-year results. Arthroscopy 23(4):367–375. doi:10.1016/j.arthro.2006.11.024
Thal R (2001) A knotless suture anchor. Design, function, and biomechanical testing. Am J Sports Med 29:646–649
Uhorchak JM, Arciero RA, Huggard D, Taylor DC (2000) Recurrent shoulder instability after open reconstruction in athletes involved in collision and contact sports. Am J Sports Med 28:794–799
Wang C, Ghalambor N, Zarins B, Warner JJ (2005) Arthroscopic versus open Bankart repair: analysis of patient subjective outcome and cost. Arthroscopy 21:1219–1222. doi:10.1016/j.arthro.2005.07.004
Weiss KS, Savoie FH (2002) Recent advances in arthroscopic repair of traumatic anterior glenohumeral instability. Clin Orthop Relat Res 400:117–122. doi:10.1097/00003086-200207000-00015
Yoneda M, Hayashida K, Wakitani S, Nakagawa S, Fukushima S (1999) Bankart procedure augmented by coracoid transfer for contact athletes with traumatic anterior shoulder instability. Am J Sports Med 27:21–26
Zumstein M, Jacob HA, Schneeberger AG (2004) In vitro comparison of standard and knotless metal suture anchors. Arthroscopy 20:517–520. doi:10.1016/j.arthro.2004.03.007
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Kocaoglu, B., Guven, O., Nalbantoglu, U. et al. No difference between knotless sutures and suture anchors in arthroscopic repair of Bankart lesions in collision athletes. Knee Surg Sports Traumatol Arthrosc 17, 844–849 (2009). https://doi.org/10.1007/s00167-009-0811-3
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DOI: https://doi.org/10.1007/s00167-009-0811-3