Evidence map›Paper›PMID 33030611›Full record

Observational studyKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Arthroscopic remplissage with all-suture anchors causes cystic lesions in the humerus: a volumetric CT study of 55 anchors.

Miguel Angel Ruiz Ibán, Rosa Vega Rodriguez, Raquel Ruiz Díaz, Roque Pérez Expósito, Irene Zarcos Paredes, Jorge Diaz Heredia

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Miguel Angel Ruiz IbánHospital Universitario Ramón y Cajal, Cta Colmenar km 9,100, 28046, Madrid, Spain. drmri@hotmail.com.ORCID http://orcid.org/0000-0002-5985-3388
Rosa Vega RodriguezHospital Universitario Ramón y Cajal, Cta Colmenar km 9,100, 28046, Madrid, Spain.
Raquel Ruiz DíazHospital Universitario Ramón y Cajal, Cta Colmenar km 9,100, 28046, Madrid, Spain.
Roque Pérez ExpósitoHospital Universitario Ramón y Cajal, Cta Colmenar km 9,100, 28046, Madrid, Spain.
Irene Zarcos ParedesHospital Universitario Ramón y Cajal, Cta Colmenar km 9,100, 28046, Madrid, Spain.
Jorge Diaz HerediaHospital Universitario Ramón y Cajal, Cta Colmenar km 9,100, 28046, Madrid, Spain.
Hospital Universitario Ramón y Cajal · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate with computed tomography (CT) the incidence of implant-related osteolysis after implantation of two types of all-suture anchors during remplissage for the management of Hill-Sachs lesions in shoulder instability.

methodsSingle-cohort, observational study with a minimum of 12 months follow-up. Twenty-five participants (19 males and 6 females; mean age 37.4 years [SD: 11.6]) with Hill-Sachs lesions requiring remplissage were evaluated with a CT performed a mean of 14.1 [3.74] months after surgery. Fifty-five all-suture anchors (19 2.3 mm Iconix and 36 1.7 mm Suturefix) were used. The volume of the bone defects was measured in the CT. Every anchor was classified into one of four groups: (1) no bone defect. (2) Partial bone defect (bone defects smaller than the drill used for anchor placement). (3) Tunnel enlargement (bone defect larger than the drill volume but smaller than twice that volume). (4) Cystic lesion (bone defect larger twice the drill volume).

resultsNo bone defect was identified in only two anchors (3.6%, 95% CI 0.4-12.5%). A partial bone defect was found in eight anchors (14.5%, 95% CI 6.5-26.7%). In 35 anchors (63.6%, 95% CI 49.6-76.2%), there was enlargement of the bone defect that was smaller than 200% the size of the drill used. Ten anchors caused bone defects larger than twice the size of the drill used (18.2%, 95% CI 9.1-30.9%). The defect size was a mean of 89 mm

conclusionWhen using all-suture anchors in arthroscopic remplissage during instability surgery, relevant bone osteolytic defects are common at 1-year-follow-up. Cystic defects larger than twice the volume of the resected bone during implantation develop in one in six anchors and significant tunnel widening will develop in another three out of five anchors. This bone loss effectively increases the size and depth of the Hill-Sachs lesions but does not seem to affect short-term clinical outcomes. LEVEL OF EVIDENCE: Level IV.

Indexed as

AdultArthroscopyBankart LesionsCohort StudiesCone-Beam Computed TomographyFemaleFracture Fixation, InternalHumansHumerusIncidenceJoint InstabilityMaleMiddle AgedOsteolysisShoulder DislocationShoulder JointAll-suture anchorsArthroscopyHumeral cystOsteolysisRemplissageShoulderShoulder arthroscopyShoulder instability

Identifiers

PMID33030611
OpenAlexW3091837001

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.