A comparative study on use of two versus three double-loaded suture anchors in arthroscopic Bankart repair
Bülent Özdemir1, Sercan Akpınar1, Bekir Murat Çınar2
1Department of Orthopedics and Traumatology, Medline Hospital, Adana, Turkey
2Department of Orthopedics and Traumatology, Başkent University Adana Hospital, Adana, Turkey
Keywords: Anterior shoulder dislocation, Bankart repair, chronic shoulder instability, double-loaded anchor, shoulder arthroscopy
Objectives: This study aims to compare clinical results of repair using two versus three double-loaded suture anchors in arthroscopic Bankart repair.
Patients and methods: Between July 2012 and December 2017, a total of 40 patients (38 males, 2 females; mean age: 31.6±8.1; range: 17 to 47 years) who underwent Bankart arthroscopic surgery and were followed for minimum two years were retrospectively analyzed. Group 1 (n=17) underwent arthroscopic Bankart repair with two double-loaded suture anchors, while Group 2 (n=23) underwent repair with three double-loaded suture anchors. Clinical outcomes of the patients and recurrences were compared.
Results: At the final postoperative follow-up, a significant improvement was observed in the functional outcomes in all patients. No statistically significant difference was found (p>0.05) in the mean clinical scores of the Constant Shoulder Score between Group 1 (94.2±7.8) and Group 2 (95.4±4.1). There was no significant difference in the mean Rowe scores (Group 1: 95.6±4.6 vs. Group 2: 96.3±3.8, respectively) and external rotation loss (at neutral Group 1: 1.9o vs. Group 2: 2.2o, respectively). Three of our patients had recurrent dislocation during a major traumatic event (n=2 in Group 1 and n=1 in Group 2).
Conclusion: Our study results suggest that stability is not correlated with the use of either two versus three double-loaded suture anchors in arthroscopic Bankart repairs.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.