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Gupta PK, Khanna V, Agrawal N, Gupta P. Minimum 10-year follow-up outcomes of arthroscopic Bankart's repair with metallic anchors: Reliable results with low redislocation rates. World J Methodol 2024; 14:90280. [PMID: 38983666 PMCID: PMC11229879 DOI: 10.5662/wjm.v14.i2.90280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 01/25/2024] [Accepted: 03/14/2024] [Indexed: 06/13/2024] Open
Abstract
BACKGROUND With stiff competition from alternative albeit more expensive counterparts, it has become important to establish the applicability of metallic anchors for shoulder instability in the modern era. This can be accomplished, in part, by analysing long-term outcomes. AIM To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic anchors. METHODS Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this single-surgeon study. Comprehensive data collection included historical and clinical findings, dislocation details, operative specifics, and follow-up radiological and clinical findings including shoulder scores. The primary outcomes were patient-reported scores (Constant, American Shoulder and Elbow Surgeons [ASES], and Rowe scores) and pain and instability on a visual analogue scale (VAS). RESULTS A 3% recurrence rate of dislocation was noted at the final follow-up. Total constant scores at 10 years postoperatively measured between 76 and 100 (mean 89) were significantly better than preoperative scores (mean 62.7). Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year review. CONCLUSION Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be expected. Our results provide additional evidence of their continued, cost-effective presence in the modern scenario.
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Affiliation(s)
- Prateek Kumar Gupta
- Department of Sports Medicine, Sir Ganga Ram Hospital, New Delhi 110060, India
| | - Vishesh Khanna
- Department of Trauma and Orthopdaedics, Wirral University Teaching Hospital NHS Foundation Trust, Wirral CH49 5PE, United Kingdom
| | - Nikunj Agrawal
- Sports Medicine, Sir Ganga Ram Hospital, Sir Ganga Ram Hospital Marg, Rajinder Nagar, New Delhi 110060, India
| | - Pratyaksh Gupta
- Department of Orthopaedics, Sir Ganga Ram Hospital, New Delhi 110060, India
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Jain V, Gupta H, Mehta N, Joshi D, Kataria H. Retrospective Comparative Analysis of Clinical and Functional Outcome After Arthroscopic Bankart Repair using All-Suture Anchor and Metal Anchor. Malays Orthop J 2024; 18:11-18. [PMID: 38638665 PMCID: PMC11023345 DOI: 10.5704/moj.2403.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Accepted: 05/19/2023] [Indexed: 04/20/2024] Open
Abstract
Introduction Both knotted all suture anchors and metal anchors are used for arthroscopic Bankart repair. We retrospectively evaluated and compared clinical and functional outcomes after arthroscopic Bankart repair using the knotted all-suture anchors and knotted metal anchors. Materials and methods In a retrospective cohort analysis, patients who underwent arthroscopic Bankart repair without any concomitant additional lesion repair using either all-suture anchors or metal anchors, between January 2015 and May 2018 were identified. Their pre- and post-operative functional and clinical outcomes were compared using Rowe and WOSI scores. The recurrence rate in the two groups was also compared. Results A total of 41 patients in all suture anchors group and 47 in the metal anchors group were identified as per inclusion and exclusion criteria. The demographic profile of both groups was comparable. There was no significant difference in clinical and functional outcome between the two suture anchor groups as per Rowe (pre-operative 40.13+6.51 vs 38.09+6.24 and post-operative 2 years 93.28+7.09 vs 92.55+9.2) and WOSI (pre-operative 943.05+216.64 vs 977.55+165.46 and post-operative 2 years 278.21+227.56 vs 270.94+186.25) scores. There was a significant improvement in both the groups between preoperative and post-operative ROWE and WOSI scores at 6 months and 2 years follow-up as compared to pre-operative scores (p<0.001). Re-dislocation rates were also comparable (4.8% vs 6.3%). Conclusion All-suture anchors showed comparable clinical and functional results as the metal anchors for arthroscopic Bankart repair at two-year follow-up.
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Affiliation(s)
- V Jain
- Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - H Gupta
- Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - N Mehta
- Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - D Joshi
- Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
| | - H Kataria
- Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, India
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Öçgüder DA, Sarikaya B, Eren S, Bozkurt İ. A Safe Technique to Ensure Not to Unload a Suture Anchor: Suture Dyeing. Arthrosc Tech 2023; 12:e545-e547. [PMID: 37138691 PMCID: PMC10150128 DOI: 10.1016/j.eats.2022.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 12/08/2022] [Indexed: 05/05/2023] Open
Abstract
Suture anchors are frequently used in shoulder arthroscopy. After suture anchors are inserted into bone, the suture transfer between portals should be performed carefully. Sometimes, as a result of the transfer of the wrong suture limb, the suture anchor may be unloaded. The suture dyeing technique provides secure suture retrieval between portals.
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Affiliation(s)
| | - Baran Sarikaya
- Address correspondence to Baran Sarikaya, M.D., Üniversiteler Mahallesi 1604, Cadde No. 9, Çankaya, Ankara, Turkey.
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Di Gennaro S, Lecce D, Tarantino A, De Cupis M, Bassetti E, Scarnera P, Ciminello E, Calvisi V. Arthroscopic repair of rotator cuff injury with bioabsorbable suture anchor vs. all-suture anchor: a non-inferiority study. BMC Musculoskelet Disord 2022; 23:1098. [PMID: 36522744 PMCID: PMC9753362 DOI: 10.1186/s12891-022-06061-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2021] [Accepted: 12/06/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Compare all-suture anchors to traditional anchors through clinical and radiological evaluation at pre-established end-points. MATERIALS AND METHODS We performed a two-arms non-inferiority study on all-suture anchor (2.3 iconix™, Stryker) device with respect to traditional anchor (5.5 healix Advance™ BR, Depuy/Mitek) device under unpaired samples with size equal to 30 patients per group, all suffering from supraspinatus tendon rupture. We administrated DASH (Disabilities of the Arm, Shoulder and Hand); constant; and SST (Simple Shoulder Test) questionnaires in pre-operative, 3 ± 1 months post-intervention and 8 ± 1 months post-intervention. Questionnaires scores were the primary outcome. We also evaluated RMI at 3 and at 8 months after surgery to assess the presence of oedema or any loosening of the implant. RESULTS All-suture anchor approach has been proven to have non-inferior performances with respect to traditional anchor approach, according to questionnaires scores at the 3-month endpoint. We observed 26 patients with oedema by MRI (18 in control group, 6 in experimental group). In the 8-month endpoint we found persistent edema in 12 patients (all treated with healix), 2 had mobilitazions (healix), 10 had partial retears (8 healix, 2 iconix) and 1 implant failure (healix). CONCLUSIONS All suture devices have clinical and functional results comparable to traditional devices, while they tend to give fewer complications in terms of bone edema, loosening and retear rate. The effectiveness of all-suture devices should be further investigated in rotator cuff suture arthroscopic revision surgery, given the advantages they offer.
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Affiliation(s)
| | | | - Alessio Tarantino
- UNIVAQ MeSVA: Università Degli Studi Dell’Aquila Dipartimento Di Medicina Clinica Sanita Pubblica Scienze Della Vita E Dell’Ambiente, Via Mattia Battistini, 44, 00167 Rome, RM Italy
| | - Mauro De Cupis
- grid.413186.9Department of Orthopaedics and Traumatology, C.T.O. Hospital, Rome, Italy
| | - Erica Bassetti
- grid.7841.aDepartment of Radiological, Oncological and Pathological Sciences, La Sapienza” University of Rome, Rome, Italy
| | - Pierpaolo Scarnera
- UNIVAQ MeSVA: Università Degli Studi Dell’Aquila Dipartimento Di Medicina Clinica Sanita Pubblica Scienze Della Vita E Dell’Ambiente, Via Mattia Battistini, 44, 00167 Rome, RM Italy
| | - Enrico Ciminello
- grid.416651.10000 0000 9120 6856Italian Implantable Prostheses Registry, Scientific Secretary of the Presidency, Italian National Institute of Health, Rome, Italy ,grid.7841.aDepartment of Statistical Science, La Sapienza” University of Rome, Rome, Italy
| | - Vittorio Calvisi
- UNIVAQ MeSVA: Università Degli Studi Dell’Aquila Dipartimento Di Medicina Clinica Sanita Pubblica Scienze Della Vita E Dell’Ambiente, Via Mattia Battistini, 44, 00167 Rome, RM Italy
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Anzai A, Utino A, Tosello G, Katayama H, Spir IAZ, Nery MM, Anhesini M, Spir PRN, Otani P, Bernardo WM. Use of absorbable versus nonabsorbable anchors in the treatment of glenohumeral instability. Rev Assoc Med Bras (1992) 2022; 68:982-986. [PMID: 36134823 PMCID: PMC9574994 DOI: 10.1590/1806-9282.2022d688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 05/31/2022] [Indexed: 11/22/2022] Open
Affiliation(s)
- Adriano Anzai
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Armelin Utino
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Giuliano Tosello
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Haroldo Katayama
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Ighor A Z Spir
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Mary Martins Nery
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Mauricio Anhesini
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Patricia R N Spir
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
| | - Pericles Otani
- Unimed, Center for Evidence-Based Medicine - Presidente Prudente (SP), Brazil
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The history of suture anchors in orthopaedic surgery. Clin Biomech (Bristol, Avon) 2019; 61:70-78. [PMID: 30502638 DOI: 10.1016/j.clinbiomech.2018.11.008] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Revised: 11/12/2018] [Accepted: 11/20/2018] [Indexed: 02/07/2023]
Abstract
The suture anchor allows secure fixation of soft tissue to bone and has become an invaluable tool for the orthopaedic surgeon. The original suture anchor was developed over 3 decades ago when a suture was bonded to a headless screw. Since then anchors have undergone a wide variety of design modifications to increase strength and allow for new applications based on biomechanical and clinical evidence. The suture anchor chain consists of the anchor to bone fixation, anchor suture interface, suture itself and suture to soft tissue interface. The early suture anchors failed most commonly from anchor pull out or breakage, with the strongest early design being a bone-screw-suture complex. Early concerns of metalwork complications saw the introduction of biodegradable suture anchors, originally lactic acid polymers and then osteoconductive bio-composites. Improvements in anchor design saw the suture become the main link of failure until the advent of novel suture materials made of ultrahigh molecular weight polyethylene. A form failure of suture at the anchor eyelet via cut-out led to redesign of the anchor suture interface with novel eyelet designs. Further innovations in the anchor suture interface have seen the advent of knotless anchors, especially useful in arthroscopic surgery. The newest products are all-suture anchors which show impressive strength whilst reducing the iatrogenic damage caused by insertion. The further biomechanical development of suture anchors is likely to produce new designs that continue to increase strength whilst managing size requirements for tailored clinical applications.
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Martel ÉM, Rodrigues A, dos Santos Neto FJ, Dahmer C, Ranzzi A, Dubiela RS. Evaluation of postoperative results from videoarthroscopic treatment for recurrent shoulder dislocation using metal anchors. Rev Bras Ortop 2016; 51:45-52. [PMID: 26962500 PMCID: PMC4767834 DOI: 10.1016/j.rboe.2015.03.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2015] [Accepted: 03/31/2015] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To clinically and radiologically evaluate the results from videoarthroscopic treatment using metal anchors in patients with recurrent shoulder dislocation and its complications. METHODS This was a retrospective study on 47 patients (47 shoulders) operated by the shoulder group of the orthopedic hospital between February 2010 and February 2012. A questionnaire, interview and physical and radiographic examinations were used, with the classification of Samilson and Pietro. The mean postoperative follow-up was 33 months (range 12-47 months). The statistical analysis consisted of using Fisher's exact test through the IBM SPSS 22 statistical software. The significance level used was 5%. RESULTS Recurrence was observed in nine cases. The patients were, on average, 26.5 years old at the first episode, and 19.1% were aged 20 years or under. Among these, 55.6% presented recurrence. In relation to age at the time of the surgical procedure, the average age was 27 years, and 12.8% were aged 20 years or under. Nineteen patients presented prominent anchors and, of these, 21% manifested arthrosis. CONCLUSION There was a statistically identified correlation between the recurrence rate and age less than or equal to 20 years at the times of first dislocation and the surgical procedure. Further studies should be conducted in order to compare the use of absorbable anchors, which despite higher cost, may provide lower risk of developing glenohumeral arthrosis in some cases.
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Martel ÉM, Rodrigues A, Neto FJDS, Dahmer C, Ranzzi A, Dubiela RS. Avaliação de resultados pós‐operatórios do tratamento videoartroscópico para luxação recidivante de ombro com o uso de âncoras metálicas. Rev Bras Ortop 2016. [DOI: 10.1016/j.rbo.2015.03.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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