All-Suture Anchors Demonstrate Equivalent Recurrent Instability Rates and Patient-reported Outcomes After...

The purpose of this study is to systematically review and analyze the clinical outcomes of all suture anchors (ASA) compared to conventional suture anchors (CSA) in patients undergoing arthroscopic Bankart repair (ABR) for anterior shoulder instability. A systematic review following PRISMA guidelines was performed from inception through March 2024. Studies reporting clinical outcomes of patients who underwent ABR with ASA for anterior shoulder instability were included. The meta-analysis on each outcome measure is presented in forest plots detailing the mean difference for continuous variables or odds ratio for dichotomous variables. 13 articles assessing 878 patients were included, with 497 and 381 utilizing ASA and CSA, respectively. There were no significant differences between the ASA and CSA groups across recurrent instability, redislocation, or patient-reported outcome scores. At 2-year follow-up, ASA demonstrates equivalent recurrent instability rates, reoperation rates, and patient-reported outcomes in patients undergoing ABR for anterior instability.