Purpose
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.
Methods
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.
Results
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.
Conclusions
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.
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Article info
Publication history
Published online: March 01, 2023
Accepted:
February 15,
2023
Received:
July 12,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
The authors report the following potential conflicts of interest or sources of funding: Partial funding for this project was received as a grant from Arthrex Inc., during the conduct of the study (grant number IIRR-01238), as well as institutional funding from Smith & Nephew, Siemens, and Ossur. P.J.M. reports royalties from Medbridge, stock options from VuMedi, and part ownership of ProofPoint Biologics. S.S.P. reports consulting fees from Johnson & Johnson. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
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© 2023 by the Arthroscopy Association of North America
