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
ARTICLE HIGHLIGHTS
Research background
Arthroscopic shoulder surgery is considered the gold standard for anterior and posterior shoulder stability. Among several options of repairing the avulsed labrum, metallic and bio-absorbable anchors are chief competitors. While the latter are considered relatively newer concepts, metallic anchors have stood the test of time. Notwithstanding this, there is a tendency to undermine the role of metallic anchors in the current scenario. This, in part, can be due to the lack of long-term outcomes following stabilisation surgery.
Research motivation
There is no clear evidence of the inferiority of long-term outcomes of metallic anchors vis-a-vis bioabsorbable anchors in shoulder surgery. This gap in literature was the driving force behind the present paper attempting to highlight long-term outcomes of shoulder stabilisation surgeries performed arthroscopically with metallic anchors.
Research objectives
We reported minimum 10-year outcomes off arthroscopic Bankart repair with metal anchors among 30 patients.
Research methods
A thorough evaluation of minimum 10-year results comprising clinical findings, patient-reported scores and radiological reviews was performed in this single-surgeon study.
Research results
Excellent overall outcomes were reported in most patients with only a 3% re-dislocation rate. All of these surgeries were performed using metallic anchors for shoulder stabilisation.
Research conclusions
The findings of this paper provide additional evidence of the role of metallic anchors and their ability to provide reliable outcomes in the long run.
Research perspectives
Further research with even longer follow-up periods, and perhaps a comparative analysis with bio-absorbable counterparts, may be useful for determining the cost-effectiveness of implants in an increasingly cost-conscious global health economy.
