Arthroscopic glenoid labral lesion repair using all-suture anchor for traumatic anterior shoulder instability: short-term results

• Published in: Journal of shoulder and elbow surgery 2019-10, Vol.28 (10), p.1991-1997
• Main Authors: Gül, Orkun, Okutan, Ahmet Emin, Ayas, Muhammet Salih
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; all-suture anchor; arthroscopic; Arthroscopy - instrumentation; Arthroscopy - methods; Bankart; Female; Glenoid Cavity; Humans; instability; Joint Dislocations - etiology; Joint Instability - etiology; Joint Instability - physiopathology; Joint Instability - surgery; Male; Postoperative Period; Recurrence; Retrospective Studies; Shoulder; Shoulder Dislocation - complications; Shoulder Dislocation - physiopathology; Shoulder Dislocation - surgery; Shoulder Joint - physiopathology; Shoulder Joint - surgery; SLAP; Suture Anchors; Time Factors; Treatment Outcome; Young Adult
• ISSN: 1058-2746; 1532-6500
• DOI: 10.1016/j.jse.2019.03.003

This study presents the preliminary clinical results of arthroscopic glenoid labral lesion repair using all-suture anchors in the treatment of recurrent traumatic anterior shoulder instability. Seventy patients who underwent arthroscopic shoulder stabilization for traumatic anterior shoulder instability were evaluated in this single center–based retrospective study. Patients with a glenoid defect greater than 20%, off-track engaging Hills-Sachs lesion, multidirectional instability, and generalized ligamentous laxity were excluded. The 62 included patients treated with arthroscopic glenoid labral lesion repair using all-suture anchors were evaluated. The Rowe and Constant scores were used to assess the results. We evaluated 62 patients with a mean age of 26.7 ± 12 years. The mean Rowe and Constant scores were 35 ± 7.2 and 65 ± 6.3, respectively, preoperatively and increased to 93.6 ± 5.3 and 92 ± 4.3, respectively, postoperatively at the mean follow-up of 28.8 months (range, 24-48 months) (P < .001). The redislocation rate was 8.1%. Of the patients, 91.9% had good to excellent clinical scores. Younger age and contact sports were associated with a higher risk of recurrent dislocation (P = .012 and P = .041, respectively). The postoperative functional results were not significantly correlated with the findings concerning the number of dislocations, time until surgery, degree of anterior translation, and number of anchors. The use of all-suture anchors for arthroscopic glenoid labral lesion repair for the treatment of recurrent traumatic anterior shoulder instability yields satisfactory clinical results and is a safe and effective option.