Related Experiment Video
Updated: Aug 8, 2025
06:36
A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
3.0K
Knotless All-Suture, Soft Anchor Bankart Repair Results in Excellent Patient-Reported Outcomes, High Patient
Stephanie S Pearce1, Marilee P Horan2, Dylan R Rakowski2
1Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
Summary
This study shows arthroscopic knotless all-suture Bankart repair provides excellent outcomes for anterior shoulder instability. Recurrent instability only occurred after major trauma, indicating a safe and effective procedure.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Anterior shoulder instability is a common condition often treated with Bankart repair.
- Arthroscopic techniques aim to minimize invasiveness and improve patient recovery.
- Knotless all-suture anchors offer a potentially simpler and more biological fixation method.
Purpose of the Study:
- To evaluate minimum 2-year outcomes after arthroscopic knotless all-suture soft anchor Bankart repair.
- Assess patient-reported outcomes and satisfaction in active individuals.
- Determine the rate of recurrent instability following this specific repair technique.
Main Methods:
- Retrospective case series of 31 patients undergoing arthroscopic knotless all-suture Bankart repair.
- Exclusion of patients with bony Bankart lesions or prior shoulder surgery.
- Collection of preoperative and postoperative outcome scores (SF-12 PCS, ASES, SANE, QuickDASH) and patient satisfaction.
Main Results:
- Significant improvements observed in ASES, SANE, QuickDASH, and SF-12 PCS scores at a mean of 2.6 years post-surgery (P < .001).
- High median patient satisfaction (10/10) and significant improvements in sports participation and function.
- Four cases (12.9%) of redislocation occurred, exclusively after major trauma, with two requiring Latarjet procedure.
Conclusions:
- Arthroscopic knotless all-suture Bankart repair yields excellent patient-reported outcomes and high satisfaction.
- The technique demonstrates acceptable recurrent instability rates in active patients.
- Redislocation is rare and primarily associated with significant post-operative trauma.
