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A comparative study on use of two versus three double-loaded suture anchors in arthroscopic Bankart repair
Bülent Özdemir1, Sercan Akpınar, Bekir Murat Çınar
1Department of Orthopedics and Traumatology, Medline Hospital, 01170 Çukurova, Adana, Turkey. bulent0116@hotmail.com.
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: 1.9° vs. Group 2: 2.2°, 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.
