Technical Note|Articles in Press

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


      The purpose of this study was to evaluate minimum 2-year outcomes after arthroscopic knotless all-suture soft anchor Bankart repair in patients with anterior shoulder instability.


      This was a retrospective case series of patients who underwent Bankart repair using soft, all-suture, knotless anchors (FiberTak anchors) from 10/2017 to 06/2019. Exclusion criteria were concomitant bony Bankart lesion, shoulder pathology other than that involving the superior labrum or long head biceps tendon, or previous shoulder surgery. Scores collected preoperatively and postoperatively included SF-12 PCS, ASES, SANE, QuickDASH, and patient satisfaction with various sports participation questions. Surgical failure was defined as revision instability surgery or redislocation requiring reduction.


      A total of 31 active patients, 8 females and 23 males, with a mean age of 29 (range: 16-55) years were included. At a mean of 2.6 years (range: 2.0-4.0), patient-reported outcomes significantly improved over preoperative levels. ASES score improved from 69.9 to 93.3 (P < .001), SANE improved from 56.3 to 93.8 (P < .001), QuickDASH improved from 32.1 to 6.3 (P < .001) and SF-12 PCS improved from 45.6 to 55.7 (P < .001). Median patient postoperative satisfaction was 10/10 (range: 4-10). Patients reported a significant improvement sports participation (P < .001), pain with competition (P = .001), ability to compete in sports (P < .001), painless use of arm for overhead activities (P = .001), and shoulder function during recreational sporting activity (P < .001). Postoperative shoulder redislocations were reported in 4 cases (12.9%)—all after major trauma—with 2 patients progressing to Latarjet (6.45%) at 2 and 3 years postoperatively. There were no cases of postoperative instability without major trauma.


      Knotless all-suture, soft anchor Bankart repair resulted in excellent patient-reported outcomes, high patient satisfaction, and acceptable recurrent instability rates, in this series of active patients. Redislocation after arthroscopic Bankart repair with a soft, all-suture anchor only occurred after return to competitive sports with new high-level trauma.

      Study Design

      Level IV, retrospective cohort study.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Arthroscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Rashid M.S.
        • Arner J.W.
        • Millett P.J.
        • Sugaya H.
        • Emery R.
        The Bankart repair: Past, present, and future.
        J Shoulder Elbow Surg. 2020; 29: e491-e498
        • Athwal G.S.
        • Shridharani S.M.
        • O'Driscoll S.W.
        Osteolysis and arthropathy of the shoulder after use of bioabsorbable knotless suture anchors. A report of four cases.
        J Bone Joint Surg Am. 2006; 88: 1840-1845
        • Dhawan A.
        • Ghodadra N.
        • Karas V.
        • Salata M.J.
        • Cole B.J.
        Complications of bioabsorbable suture anchors in the shoulder.
        Am J Sports Med. 2012; 40: 1424-1430
        • Kaar T.K.
        • Schenck Jr., R.C.
        • Wirth M.A.
        • Rockwood Jr., C.A.
        Complications of metallic suture anchors in shoulder surgery: A report of 8 cases.
        Arthroscopy. 2001; 17: 31-37
        • Ntalos D.
        • Huber G.
        • Sellenschloh K.
        • et al.
        Biomechanical analysis of conventional anchor revision after all-suture anchor pullout: a human cadaveric shoulder model.
        J Shoulder Elbow Surg. 2019; 28: 2433-2437
        • Erickson J.
        • Chiarappa F.
        • Haskel J.
        • et al.
        Biomechanical comparison of a first- and a second-generation all-soft suture glenoid anchor.
        Orthop J Sports Med. 2017; 52325967117717010
        • Fritsch B.A.
        • Arciero R.A.
        • Taylor D.C.
        Glenoid rim fracture after anchor repair: A report of 4 cases.
        Am J Sports Med. 2010; 38: 1682-1686
        • Lacheta L.
        • Brady A.
        • Rosenberg S.I.
        • et al.
        Biomechanical evaluation of knotless and knotted all-suture anchor repair constructs in 4 Bankart repair configurations.
        Arthroscopy. 2020; 36: 1523-1532
        • Gerber C.
        • Nyffeler R.W.
        Classification of glenohumeral joint instability.
        Clin Orthop Relat Res. 2002; 400: 65-76
        • Lacheta L.
        • Dekker T.J.
        • Anderson N.
        • Goldenberg B.
        • Millett P.J.
        Arthroscopic knotless, tensionable all-suture anchor Bankart repair.
        Arthrosc Tech. 2019; 8: e647-e653
        • Shaha J.S.
        • Cook J.B.
        • Song D.J.
        • et al.
        Redefining "critical" bone loss in shoulder instability: Functional outcomes worsen with "subcritical" bone loss.
        Am J Sports Med. 2015; 43: 1719-1725
        • Murphy A.I.
        • Hurley E.T.
        • Hurley D.J.
        • Pauzenberger L.
        • Mullett H.
        Long-term outcomes of the arthroscopic Bankart repair: a systematic review of studies at 10-year follow-up.
        J Shoulder Elbow Surg. 2019; 28: 2084-2089
        • DeFroda S.
        • Bokshan S.
        • Stern E.
        • Sullivan K.
        • Owens B.D.
        Arthroscopic Bankart repair for the management of anterior shoulder instability: Indications and outcomes.
        Curr Rev Musculoskelet Med. 2017; 10: 442-451
        • Pantekidis I.
        • Malahias M.A.
        • Kokkineli S.
        • Brilakis E.
        • Antonogiannakis E.
        Comparison between all-suture and biocomposite anchors in the arthroscopic treatment of traumatic anterior shoulder instability: A retrospective cohort study.
        J Orthop. 2021; 24: 264-270
        • Dekker T.J.
        • Goldenberg B.
        • Lacheta L.
        • Horan M.P.
        • Millett P.J.
        Anterior shoulder instability in the professional athlete: Return to competition, time to return, and career length.
        Orthop J Sports Med. 2020; 82325967120959728
        • Feng S.
        • Song Y.
        • Li H.
        • Chen J.
        • Chen J.
        • Chen S.
        Outcomes for arthroscopic repair of combined Bankart/SLAP lesions in the treatment of anterior shoulder instability: A systematic review and meta-analysis.
        Orthop J Sports Med. 2019; 72325967119877804