Bankart arthroscopic procedure: comparative study on use of double or single-thread anchors after a 2-year follow-up

Godinho, Glaydson Gomes; Freitas, José Márcio Alves; França, Flávio de Oliveira; Santos, Flávio Márcio de Lago e; Aragão, Alan Arruda; Barros, Marcos Knoll

doi:10.1016/j.rboe.2014.12.006

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Revista Brasileira de Ortopedia

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Original Articles • Rev. bras. ortop. 50 (1) • Jan-Feb 2015 • https://doi.org/10.1016/j.rboe.2014.12.006 copy

Bankart arthroscopic procedure: comparative study on use of double or single-thread anchors after a 2-year follow-up ^☆ ☆ Work developed in the Shoulder Group of the Orthopedic Hospital and at the Lifecenter Hospital, Belo Horizonte, MG, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

To compare the use of anchors with double and single-thread loading in the single-row Bankart arthroscopic procedure.

METHODS:

252 patients (258 shoulders) underwent Bankart arthroscopic surgery with evaluation after a minimum follow-up of 2 years. They underwent repairs either using anchors with single loading of a high-resistance non-absorbable braided thread (206 shoulders; group AS) or using double loading of thread with the same characteristics (52 shoulders; group AD). The patients were evaluated using the UCLA and Carter-Rowe scales. The patients' return to sports activity and recurrences were also compared.

RESULTS:

There was no significant difference between the groups regarding the surgical failure rate (group AS 5.8%; group AD 7.7%; p = 0.62). Group AS presented a better mean Carter-Rowe score (group AS 94.4; group AD 88.6; p < 0.05) and greater return to the same sports level (group AS 79.1; group AD 72.1; p < 0.05).

CONCLUSION:

Use of anchors with double thread loading did not show any clinical advantage for arthroscopic repair of traumatic anterior shoulder instability, in relation to use of single-thread anchors, over a 2-year follow-up.

Joint instability; Shoulder dislocation/epidemiology; Shoulder dislocation/surgery

Characteristics	Single group (n = 206)	Double group (n = 52)
Mean age at first episode	23.1 ± 8.2	22.3 ± 7.8
Mean age at time of surgery	33.4 ± 10.6	27.6 ± 7.9
Sex (male/female)	181/46	25/04
Dominant side	121 (58.7%)	26 (50%)
SLAP lesion	69 (33.5%)	11 (23.9%)
Mean number of anchors	3.7	3.11

Group	Total number of recurrences	Total number of patients	Recurrence rate (%)
Double	4	52	7.69%^a
Single	12	206	5.83%^a

Result	Single group	Double group	Significance
Poor/fair	8.3%	10.7%	p = 0.917
Good/excellent	91.7%	89.3%	p = 0.917
Mean	94.4	88.6	p = 0.034

	Single group	Double group	p
Same level	121 (79.1%)	31 (72.1%)	0.215
Lower level	10 (6.5%)	5 (11.6%)	0.278
Did not return	22 (14.4%)	7 (16.3%)	0.516

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] * Corresponding author. E-mail: ggodinho@terra.com.br (G.G. Godinho).

Brazil

Brazil

Bankart arthroscopic procedure: comparative study on use of double or single-thread anchors after a 2-year follow-up ☆ ☆ Work developed in the Shoulder Group of the Orthopedic Hospital and at the Lifecenter Hospital, Belo Horizonte, MG, Brazil.

OBJECTIVE:

METHODS:

RESULTS:

CONCLUSION:

Bankart arthroscopic procedure: comparative study on use of double or single-thread anchors after a 2-year follow-up ^☆ ☆ Work developed in the Shoulder Group of the Orthopedic Hospital and at the Lifecenter Hospital, Belo Horizonte, MG, Brazil.