Gupta PK, Khanna V, Agrawal N, Gupta P. Minimum 10-year follow-up outcomes of arthroscopic Bankart’s repair with metallic anchors: Reliable results with low redislocation rates. World J Methodol 2024; 14(2): 90280 [PMID: 38983666 DOI: 10.5662/wjm.v14.i2.90280]
Corresponding Author of This Article
Vishesh Khanna, DNB, MBBS, MCh, Doctor, Department of Trauma and Orthopdaedics, Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Hospital, Arrowe Park Road, Birkenhead, Wirral CH49 5PE, Wirral CH49 5PE, United Kingdom. visheshkhanna85@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Prateek Kumar Gupta, Department of Sports Medicine, Sir Ganga Ram Hospital, New Delhi 110060, India
Vishesh Khanna, Department of Trauma and Orthopdaedics, Wirral University Teaching Hospital NHS Foundation Trust, Wirral CH49 5PE, United Kingdom
Nikunj Agrawal, Sports Medicine, Sir Ganga Ram Hospital, Sir Ganga Ram Hospital Marg, Rajinder Nagar, New Delhi 110060, India
Pratyaksh Gupta, Department of Orthopaedics, Sir Ganga Ram Hospital, New Delhi 110060, India
Author contributions: Gupta P, Khanna V, Agrawal N, and Gupta P contributed equally to this work; Gupta P, Khanna V, Agrawal N, and Gupta P designed the research; Gupta P and Agrawal N performed the research; Khanna V and Gupta P performed the analyses and wrote the manuscript; All authors have read and approved the final manuscript.
Institutional review board statement: An institutional board review was not warranted for the paper as strict confidentiality was maintained in this retrospective analysis.
Informed consent statement: No IRB approval or informed consents were deemed necessary for this paper as it involved retrospective review of data. Strict confidentiality measures were in place throughout the study, and no patients were identified on any clinical or radiological data.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: All patient data was anonymized and protected throughout the research.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Vishesh Khanna, DNB, MBBS, MCh, Doctor, Department of Trauma and Orthopdaedics, Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Hospital, Arrowe Park Road, Birkenhead, Wirral CH49 5PE, Wirral CH49 5PE, United Kingdom. visheshkhanna85@gmail.com
Received: November 29, 2023 Peer-review started: November 29, 2023 First decision: December 23, 2023 Revised: January 25, 2024 Accepted: March 14, 2024 Article in press: March 14, 2024 Published online: June 20, 2024 Processing time: 198 Days and 8.7 Hours
Abstract
BACKGROUND
With stiff competition from alternative albeit more expensive counterparts, it has become important to establish the applicability of metallic anchors for shoulder instability in the modern era. This can be accomplished, in part, by analysing long-term outcomes.
AIM
To analyse minimum 10-year outcomes from 30 patients following arthroscopic anterior stabilisation using metallic anchors.
METHODS
Prospectively collected data from arthroscopic Bankart repairs performed using metal anchors during 2007P-2010 were retrospectively analysed in this single-surgeon study. Comprehensive data collection included historical and clinical findings, dislocation details, operative specifics, and follow-up radiological and clinical findings including shoulder scores. The primary outcomes were patient-reported scores (Constant, American Shoulder and Elbow Surgeons [ASES], and Rowe scores) and pain and instability on a visual analogue scale (VAS).
RESULTS
A 3% recurrence rate of dislocation was noted at the final follow-up. Total constant scores at 10 years postoperatively measured between 76 and 100 (mean 89) were significantly better than preoperative scores (mean 62.7). Congruous improvements were also noted in the Rowe and ASES scores and VAS at the 10-year review.
CONCLUSION
Reliable long-term outcomes with metallic anchors in surgery for shoulder instability can be expected. Our results provide additional evidence of their continued, cost-effective presence in the modern scenario.
Core Tip: This paper describes reliable long-term outcomes with metallic anchors in arthroscopic shoulder stabilisation procedures. In an era where newer bioabsorbable alternatives are increasingly become more prevalent in shoulder surgery, it is important not to undermine the established role of metallic anchors. The present study contributes to the literature with evidence of successful long-term outcomes of at least 10 years in managing shoulder instability with metallic suture anchors.
