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
Hauptverfasser: Oh, Joo Han, Lee, Ho Kyoo, Kim, Jae Yoon, Kim, Sae Hoon, Gong, Hyun Sik
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container_end_page 2348
container_issue 12
container_start_page 2340
container_title The American journal of sports medicine
container_volume 37
creator Oh, Joo Han
Lee, Ho Kyoo
Kim, Jae Yoon
Kim, Sae Hoon
Gong, Hyun Sik
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, 15–66); the average follow-up was 34.1 months (range, 24–54). 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.
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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, 15–66); the average follow-up was 34.1 months (range, 24–54). 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. 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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, 15–66); the average follow-up was 34.1 months (range, 24–54). 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. 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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, 15–66); the average follow-up was 34.1 months (range, 24–54). 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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