Clinical and Radiologic Outcomes of Arthroscopic Glenoid Labrum Repair With the BioKnotless Suture Anchor
Background Although arthroscopic glenoid labrum repair using the BioKnotless anchor is common, the benefits and efficacy have not been fully evaluated. Hypothesis BioKnotless suture anchor is a clinically and radiologically suitable material for arthroscopic labral repair. Study Design Case series;...
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Veröffentlicht in: | The American journal of sports medicine 2009-12, Vol.37 (12), p.2340-2348 |
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description | Background Although arthroscopic glenoid labrum repair using the BioKnotless anchor is common, the benefits and efficacy have not been
fully evaluated.
Hypothesis BioKnotless suture anchor is a clinically and radiologically suitable material for arthroscopic labral repair.
Study Design Case series; Level of evidence, 4.
Methods Ninety-seven patients underwent arthroscopic glenoid labrum repair with BioKnotless anchor between July 2004 and December
2005. Thirty-seven patients had traumatic anterior instability and 60 patients had an isolated superior labrum, anterior-posterior
(SLAP) lesion. The mean age at surgery was 36.0 years (range, 15â66); the average follow-up was 34.1 months (range, 24â54).
Clinical outcomes were evaluated using range of motion and various functional evaluation scores including sports activity.
Pain and patient satisfaction were measured using a visual analog scale (VAS). Computed tomography arthrography was conducted
in 73 patients at least 1 year after surgery for radiologic evaluation.
Results In patients with instability, the Western Ontario Shoulder Instability index and Rowe score improved from 53.2 to 85.9 and
from 68.7 to 92.7, respectively. Return to normal recreation and sports were possible in 30 patients (81.1%); the mean satisfaction
VAS was 9.2. There was 1 postoperative dislocation, and the apprehension test was positive in 1 case. Postoperative range
of motion including external rotation was not different. In patients with a SLAP lesion, the American Shoulder and Elbow Surgeons
score and Constant score improved from 67.3 to 96.0 and 79.1 to 96.8, respectively. Pain VAS decreased from 6.0 to 0.4, and
the mean satisfaction VAS was 9.4. Return to normal recreation and sports were possible in 50 patients (83.3%). All labra
were found to have firmly healed to bony glenoid rim without anchor-related osteolysis in postoperative CT arthrography.
Conclusion Clinically and radiologically, the BioKnotless anchor appears to be an acceptable alternative for arthroscopic labrum repair,
and a suitable material allowing the avoidance of certain troublesome drawbacks of the conventional knot-tying suture anchor. |
doi_str_mv | 10.1177/0363546509346543 |
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fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_746273747</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0363546509346543</sage_id><sourcerecordid>733794639</sourcerecordid><originalsourceid>FETCH-LOGICAL-c457t-3a29b02bfb15831961fe1508264ec9ebd78d933562fc1ad04bb0676428fa192f3</originalsourceid><addsrcrecordid>eNqFkc2L1DAYxoMo7uzq3ZMEQTxVk7z5aI-zg67iwMKqeAxpmk4zpM2YtIj_vS1TdmEPekkOz-993o8HoVeUvKdUqQ8EJAguBalgfjk8QRsqBCsApHiKNotcLPoFusz5SAihSpbP0QWtlJLA6Qb5XfCDtyZgMzT4zjQ-hnjwFt9Oo429yzi2eJvGLsVs42kWboIbom_w3tRp6vGdOxmf8E8_dnjsHL728esQx-Byxt-mcUoObwfbxfQCPWtNyO7l-l-hH58-ft99Lva3N192231huVBjAYZVNWF1W1NRAq0kbR0VpGSSO1u5ulFlUwEIyVpLTUN4XROpJGdla2jFWrhC786-pxR_TS6PuvfZuhDM4OKUteKSKVBc_Z8EUBWXUM3km0fkMU5pmNfQjCoiiagWO3KG7HyrnFyrT8n3Jv3RlOglLv04rrnk9eo71b1rHgrWfGbg7QqYPIfUJjNYn-85xhiVkiy9izOXzcE9DPePxuvqnT90v31yOvcmhHkM0OaYQWnKNANO4C9yqbVL</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>217060597</pqid></control><display><type>article</type><title>Clinical and Radiologic Outcomes of Arthroscopic Glenoid Labrum Repair With the BioKnotless Suture Anchor</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Oh, Joo Han ; Lee, Ho Kyoo ; Kim, Jae Yoon ; Kim, Sae Hoon ; Gong, Hyun Sik</creator><creatorcontrib>Oh, Joo Han ; Lee, Ho Kyoo ; Kim, Jae Yoon ; Kim, Sae Hoon ; Gong, Hyun Sik</creatorcontrib><description>Background Although arthroscopic glenoid labrum repair using the BioKnotless anchor is common, the benefits and efficacy have not been
fully evaluated.
Hypothesis BioKnotless suture anchor is a clinically and radiologically suitable material for arthroscopic labral repair.
Study Design Case series; Level of evidence, 4.
Methods Ninety-seven patients underwent arthroscopic glenoid labrum repair with BioKnotless anchor between July 2004 and December
2005. Thirty-seven patients had traumatic anterior instability and 60 patients had an isolated superior labrum, anterior-posterior
(SLAP) lesion. The mean age at surgery was 36.0 years (range, 15â66); the average follow-up was 34.1 months (range, 24â54).
Clinical outcomes were evaluated using range of motion and various functional evaluation scores including sports activity.
Pain and patient satisfaction were measured using a visual analog scale (VAS). Computed tomography arthrography was conducted
in 73 patients at least 1 year after surgery for radiologic evaluation.
Results In patients with instability, the Western Ontario Shoulder Instability index and Rowe score improved from 53.2 to 85.9 and
from 68.7 to 92.7, respectively. Return to normal recreation and sports were possible in 30 patients (81.1%); the mean satisfaction
VAS was 9.2. There was 1 postoperative dislocation, and the apprehension test was positive in 1 case. Postoperative range
of motion including external rotation was not different. In patients with a SLAP lesion, the American Shoulder and Elbow Surgeons
score and Constant score improved from 67.3 to 96.0 and 79.1 to 96.8, respectively. Pain VAS decreased from 6.0 to 0.4, and
the mean satisfaction VAS was 9.4. Return to normal recreation and sports were possible in 50 patients (83.3%). All labra
were found to have firmly healed to bony glenoid rim without anchor-related osteolysis in postoperative CT arthrography.
Conclusion Clinically and radiologically, the BioKnotless anchor appears to be an acceptable alternative for arthroscopic labrum repair,
and a suitable material allowing the avoidance of certain troublesome drawbacks of the conventional knot-tying suture anchor.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/0363546509346543</identifier><identifier>PMID: 19776341</identifier><identifier>CODEN: AJSMDO</identifier><language>eng</language><publisher>Thousand Oaks, CA: American Orthopaedic Society for Sports Medicine</publisher><subject>Adolescent ; Adult ; Aged ; Arthroscopy ; Biological and medical sciences ; Clinical outcomes ; Diseases of the osteoarticular system ; Endoscopy ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Joint Instability ; Ligaments ; Male ; Medical sciences ; Middle Aged ; Outcome Assessment (Health Care) - methods ; Radiography ; Radiology ; Republic of Korea ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - injuries ; Shoulder Joint - surgery ; Surgical techniques ; Suture Anchors - standards ; Suture Techniques ; Young Adult</subject><ispartof>The American journal of sports medicine, 2009-12, Vol.37 (12), p.2340-2348</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright Sage Publications Ltd. Dec 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-3a29b02bfb15831961fe1508264ec9ebd78d933562fc1ad04bb0676428fa192f3</citedby><cites>FETCH-LOGICAL-c457t-3a29b02bfb15831961fe1508264ec9ebd78d933562fc1ad04bb0676428fa192f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0363546509346543$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0363546509346543$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22216607$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19776341$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oh, Joo Han</creatorcontrib><creatorcontrib>Lee, Ho Kyoo</creatorcontrib><creatorcontrib>Kim, Jae Yoon</creatorcontrib><creatorcontrib>Kim, Sae Hoon</creatorcontrib><creatorcontrib>Gong, Hyun Sik</creatorcontrib><title>Clinical and Radiologic Outcomes of Arthroscopic Glenoid Labrum Repair With the BioKnotless Suture Anchor</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background Although arthroscopic glenoid labrum repair using the BioKnotless anchor is common, the benefits and efficacy have not been
fully evaluated.
Hypothesis BioKnotless suture anchor is a clinically and radiologically suitable material for arthroscopic labral repair.
Study Design Case series; Level of evidence, 4.
Methods Ninety-seven patients underwent arthroscopic glenoid labrum repair with BioKnotless anchor between July 2004 and December
2005. Thirty-seven patients had traumatic anterior instability and 60 patients had an isolated superior labrum, anterior-posterior
(SLAP) lesion. The mean age at surgery was 36.0 years (range, 15â66); the average follow-up was 34.1 months (range, 24â54).
Clinical outcomes were evaluated using range of motion and various functional evaluation scores including sports activity.
Pain and patient satisfaction were measured using a visual analog scale (VAS). Computed tomography arthrography was conducted
in 73 patients at least 1 year after surgery for radiologic evaluation.
Results In patients with instability, the Western Ontario Shoulder Instability index and Rowe score improved from 53.2 to 85.9 and
from 68.7 to 92.7, respectively. Return to normal recreation and sports were possible in 30 patients (81.1%); the mean satisfaction
VAS was 9.2. There was 1 postoperative dislocation, and the apprehension test was positive in 1 case. Postoperative range
of motion including external rotation was not different. In patients with a SLAP lesion, the American Shoulder and Elbow Surgeons
score and Constant score improved from 67.3 to 96.0 and 79.1 to 96.8, respectively. Pain VAS decreased from 6.0 to 0.4, and
the mean satisfaction VAS was 9.4. Return to normal recreation and sports were possible in 50 patients (83.3%). All labra
were found to have firmly healed to bony glenoid rim without anchor-related osteolysis in postoperative CT arthrography.
Conclusion Clinically and radiologically, the BioKnotless anchor appears to be an acceptable alternative for arthroscopic labrum repair,
and a suitable material allowing the avoidance of certain troublesome drawbacks of the conventional knot-tying suture anchor.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Diseases of the osteoarticular system</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Joint Instability</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Republic of Korea</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - injuries</subject><subject>Shoulder Joint - surgery</subject><subject>Surgical techniques</subject><subject>Suture Anchors - standards</subject><subject>Suture Techniques</subject><subject>Young Adult</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2L1DAYxoMo7uzq3ZMEQTxVk7z5aI-zg67iwMKqeAxpmk4zpM2YtIj_vS1TdmEPekkOz-993o8HoVeUvKdUqQ8EJAguBalgfjk8QRsqBCsApHiKNotcLPoFusz5SAihSpbP0QWtlJLA6Qb5XfCDtyZgMzT4zjQ-hnjwFt9Oo429yzi2eJvGLsVs42kWboIbom_w3tRp6vGdOxmf8E8_dnjsHL728esQx-Byxt-mcUoObwfbxfQCPWtNyO7l-l-hH58-ft99Lva3N192231huVBjAYZVNWF1W1NRAq0kbR0VpGSSO1u5ulFlUwEIyVpLTUN4XROpJGdla2jFWrhC786-pxR_TS6PuvfZuhDM4OKUteKSKVBc_Z8EUBWXUM3km0fkMU5pmNfQjCoiiagWO3KG7HyrnFyrT8n3Jv3RlOglLv04rrnk9eo71b1rHgrWfGbg7QqYPIfUJjNYn-85xhiVkiy9izOXzcE9DPePxuvqnT90v31yOvcmhHkM0OaYQWnKNANO4C9yqbVL</recordid><startdate>20091201</startdate><enddate>20091201</enddate><creator>Oh, Joo Han</creator><creator>Lee, Ho Kyoo</creator><creator>Kim, Jae Yoon</creator><creator>Kim, Sae Hoon</creator><creator>Gong, Hyun Sik</creator><general>American Orthopaedic Society for Sports Medicine</general><general>SAGE Publications</general><general>Sage Publications</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20091201</creationdate><title>Clinical and Radiologic Outcomes of Arthroscopic Glenoid Labrum Repair With the BioKnotless Suture Anchor</title><author>Oh, Joo Han ; Lee, Ho Kyoo ; Kim, Jae Yoon ; Kim, Sae Hoon ; Gong, Hyun Sik</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-3a29b02bfb15831961fe1508264ec9ebd78d933562fc1ad04bb0676428fa192f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Diseases of the osteoarticular system</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Joint Instability</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Republic of Korea</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - injuries</topic><topic>Shoulder Joint - surgery</topic><topic>Surgical techniques</topic><topic>Suture Anchors - standards</topic><topic>Suture Techniques</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oh, Joo Han</creatorcontrib><creatorcontrib>Lee, Ho Kyoo</creatorcontrib><creatorcontrib>Kim, Jae Yoon</creatorcontrib><creatorcontrib>Kim, Sae Hoon</creatorcontrib><creatorcontrib>Gong, Hyun Sik</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oh, Joo Han</au><au>Lee, Ho Kyoo</au><au>Kim, Jae Yoon</au><au>Kim, Sae Hoon</au><au>Gong, Hyun Sik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and Radiologic Outcomes of Arthroscopic Glenoid Labrum Repair With the BioKnotless Suture Anchor</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2009-12-01</date><risdate>2009</risdate><volume>37</volume><issue>12</issue><spage>2340</spage><epage>2348</epage><pages>2340-2348</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><coden>AJSMDO</coden><abstract>Background Although arthroscopic glenoid labrum repair using the BioKnotless anchor is common, the benefits and efficacy have not been
fully evaluated.
Hypothesis BioKnotless suture anchor is a clinically and radiologically suitable material for arthroscopic labral repair.
Study Design Case series; Level of evidence, 4.
Methods Ninety-seven patients underwent arthroscopic glenoid labrum repair with BioKnotless anchor between July 2004 and December
2005. Thirty-seven patients had traumatic anterior instability and 60 patients had an isolated superior labrum, anterior-posterior
(SLAP) lesion. The mean age at surgery was 36.0 years (range, 15â66); the average follow-up was 34.1 months (range, 24â54).
Clinical outcomes were evaluated using range of motion and various functional evaluation scores including sports activity.
Pain and patient satisfaction were measured using a visual analog scale (VAS). Computed tomography arthrography was conducted
in 73 patients at least 1 year after surgery for radiologic evaluation.
Results In patients with instability, the Western Ontario Shoulder Instability index and Rowe score improved from 53.2 to 85.9 and
from 68.7 to 92.7, respectively. Return to normal recreation and sports were possible in 30 patients (81.1%); the mean satisfaction
VAS was 9.2. There was 1 postoperative dislocation, and the apprehension test was positive in 1 case. Postoperative range
of motion including external rotation was not different. In patients with a SLAP lesion, the American Shoulder and Elbow Surgeons
score and Constant score improved from 67.3 to 96.0 and 79.1 to 96.8, respectively. Pain VAS decreased from 6.0 to 0.4, and
the mean satisfaction VAS was 9.4. Return to normal recreation and sports were possible in 50 patients (83.3%). All labra
were found to have firmly healed to bony glenoid rim without anchor-related osteolysis in postoperative CT arthrography.
Conclusion Clinically and radiologically, the BioKnotless anchor appears to be an acceptable alternative for arthroscopic labrum repair,
and a suitable material allowing the avoidance of certain troublesome drawbacks of the conventional knot-tying suture anchor.</abstract><cop>Thousand Oaks, CA</cop><pub>American Orthopaedic Society for Sports Medicine</pub><pmid>19776341</pmid><doi>10.1177/0363546509346543</doi><tpages>9</tpages></addata></record> |
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subjects | Adolescent Adult Aged Arthroscopy Biological and medical sciences Clinical outcomes Diseases of the osteoarticular system Endoscopy Female Humans Investigative techniques, diagnostic techniques (general aspects) Joint Instability Ligaments Male Medical sciences Middle Aged Outcome Assessment (Health Care) - methods Radiography Radiology Republic of Korea Shoulder Joint - diagnostic imaging Shoulder Joint - injuries Shoulder Joint - surgery Surgical techniques Suture Anchors - standards Suture Techniques Young Adult |
title | Clinical and Radiologic Outcomes of Arthroscopic Glenoid Labrum Repair With the BioKnotless Suture Anchor |
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