,
Department of Orthopaedic and Trauma Surgery, University of Pisa , PIsa , Italy
Department of Orthopaedic and Trauma Surgery, Azienda Ospedaliero Universitaria Pisana , Pisa , Italy
Section of Orthopaedics and Traumatology, Department of Medicine, Surgery and Neurosciences, University of Siena , Siena , Italy
Section of Orthopaedics and Traumatology, Azienda Ospedaliera Universitaria Senese , Siena , Italy
Department of Orthopaedic and Trauma Surgery, University of Pisa , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, Azienda Ospedaliero Universitaria Pisana , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, University of Pisa , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, Azienda Ospedaliero Universitaria Pisana , Pisa , Italy
Department of Radiology, University of Pisa , Pisa , Italy
Department of Radiology, Azienda Ospedaliero Universitaria Pisana , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, University of Pisa , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, Azienda Ospedaliero Universitaria Pisana , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, Azienda Ospedaliero Universitaria Pisana , Pisa , Italy
Department of Orthopaedic and Trauma Surgery, University of Pisa , Pisa , Italy
Section of Orthopaedics and Traumatology, Department of Medicine, Surgery and Neurosciences, University of Siena , Siena , Italy
Section of Orthopaedics and Traumatology, Azienda Ospedaliera Universitaria Senese , Siena , Italy
Aim
To evaluate radiological and clinical outcomes of a case series of patients affected by glenohumeral instability (Bankart lesion) or superior labrum tear from anterior to posterior (SLAP) lesions treated by arthroscopic repair using all-suture anchors.
Methods
Patients were operated by a single surgeon at a single Institution. Exclusion criteria were chondral lesions of the glenoid,
rotator cuff lesions, previous surgery at the index shoulder, or a bony Bankart lesion. Position and numbers of anchors used depended on the dimension and type of lesion. The DASH (Disability of the Arm, Shoulder and Hand) and Constant scores were used for subjective and clinical evaluation at follow-ups (FUs); also, at 1-year FU, MRI scan was obtained to evaluate bone reaction to the implanted devices.
Results
Fifty-four patients were included. A mean of 2.7 devices per patient (145 in total) were implanted. Mean FU was 30 (range 12 – 48) months. No patient reported recurrent instability, nor hardware-related complications were registered. MRI analyses showed that 119 (82%) implants did not alter surrounding bone (grade 0), 26 (18%) implants were surrounded by bone oedema (grade 1), while no bone tunnel enlargement nor a bone cyst (grade 2 or 3, respectively) were registered.
Conclusion
This study confirmed the efficacy and safety of a specific all-suture anchor system in the arthroscopic repair of the glenoid labrum for glenohumeral instability or a SLAP lesion. In the short- and mid-term period, these devices were associated with good clinical and radiological outcomes without clinical failures or reaction at bone-device interface.
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