ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Comparable clinical outcomes using knotless and knot-tying anchors for arthroscopic capsulolabral repair in recurrent anterior glenohumeral instability at mean 5-year follow-up.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Knotless versus knotted arthroscopic Bankart repairs for anterior shoulder instability: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2025Pooled it
- Evidence-Based Risk Factors for Failure of Arthroscopic Labral Repair.Current reviews in musculoskeletal medicine · 2026Review
- Rabbit model study of Achilles tendon rupture: biomechanical and histological comparison between h-loop knotless double-row and Krackow repair.Journal of orthopaedic surgery and research · 2026Article
- Similar Redislocation Rates Between Knot-Tying and Knotless Suture Anchor for Arthroscopic Bankart Repair: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2025Article
- All-Suture Anchor vs. Knotless Suture Anchor for the Treatment of Anterior Shoulder Instability-A Prospective Cohort Study.Journal of clinical medicine · 2024Article
- Shoulder Stabilization Technique Using the Medial Glenohumeral Ligament in Patients With the Buford Complex.Arthroscopy techniques · 2024Article
- Batter's Shoulder: All-Knotless Posterior Labral Repair With Retensionable Anchors for Treatment of Batter's Shoulder.Arthroscopy techniques · 2024Article
- Clinical Results of Knot-tying Versus Knotless Suture Anchors in Arthroscopic Anteroinferior Labral Repair.Cureus · 2023Article
- Fixation devices for anterior shoulder instability.Journal of experimental orthopaedics · 2023Article
- The Longitude-Latitude-Loop Used for Complex Bankart Lesion Repair: An All-Arthroscopic Technique.Arthroscopy techniques · 2023Article
- Single Knotless Suture Anchor Repair of Anterior Talofibular Ligament Following Distal Fibula Nonunion Excision.Arthroscopy techniques · 2022Article
- Arthroscopic Labral Repair Using Knotless Suture Anchors in the Setting of a 270° Labral Tear of the Shoulder.Arthroscopy techniques · 2021Article
- Knot-Tying versus Knotless Suture Anchors for Arthroscopic Bankart Repair: A Comparative Study.Yonsei medical journal · 2021Article
- Evolving concepts and consensus in challenging shoulder problems: a European perspective.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Excellent Functional Outcomes and Low Complication Rates Following Knotless Arthroscopic Bankart Repair: A Systematic Review of Clinical and Biomechanical Studies.Arthroscopy, sports medicine, and rehabilitation · 2021Review
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare rates of recurrent instability, revision surgery and functional outcomes following arthroscopic anterior capsulolabral repair for recurrent anterior instability using knot-tying versus knotless suture anchor techniques.
methodsPatients who had undergone arthroscopic anterior labrum and capsular repair for recurrent anterior glenohumeral instability using knotless anchors were identified. Those with minimum 2-year follow-up were matched (1:2) to knot-tying anchor repair patients. Rates of failure and recurrent instability were compared, as well as Visual Analog Scale (VAS), Single Assessment Numeric Evaluation (SANE), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), University of California Los Angeles (UCLA) and Rowe scores.
resultsOne hundred and two patients (89 males, 13 females) with a mean age of 24.3 ± 9.6 were included. Repair was performed with knotless anchors in 34 and knot-tying anchors in 68 shoulders. At mean follow-up of 4.8 ± 2.5 years, re-dislocation rates between groups were not significantly different (knotless anchor: 9% versus knot-tying group: 15%, n.s.), but the knot-tying group showed a higher re-subluxation rate (p = 0.039). 12 (18%) revisions were performed in the knot-tying group at a mean 2.9 years after surgery and 1 (3%) revision in the knotless anchors group at 1.4 years (n.s.). There was no difference in mean VAS with use (1.3 ± 1.9 versus 0.8 ± 1.5, n.s.), SANE scores (91.8 ± 12.7 versus 92.0 ± 11.0, n.s.), QuickDASH scores (4.1 ± 5.5 versus 3.0 ± 6.5, n.s.), UCLA Shoulder Score (32.5 ± 3.6 versus 33.2 ± 3.1, n.s.), or Rowe scores (90.5 ± 18.5 versus 92.2 ± 16.6, n.s.) between knotless and knot-tying groups, respectively. VAS at rest was higher in the knotless group (0.7 ± 1.5 vs 0.1 ± 0.4, p = 0.021).
conclusionsKnotless anchors demonstrated similar rates of re-dislocation and revision surgery, and lower rates of recurrent subluxation, compared to knot-tying anchors. Patients achieved good-to-excellent functional outcomes. This supports the efficacy of knotless anchors as an alternative to knot-tying anchors for arthroscopic anterior labral repair of recurrent anterior shoulder dislocation. LEVEL OF EVIDENCE: III.
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