Arthroscopic Bankart repair: modified transglenoid sutures versus suture anchors more than 5 years: a retrospective study

Abstract

Introduction Arthroscopic Bankart repair is a common procedure for treatment of recurrent traumatic anterior shoulder dislocation all over the world. Different studies compared the outcome of transglenoid sutures after different modifications with the outcome of suture anchors and they found no significant difference between the two procedures. Objective The aim of this study was to compare the long-term results of the modified transglenoid sutures through two holes and the use of suture anchors . Patients and methods Seventy patients were included in this study (42 for the transglenoid group and 28 for the second group). The mean follow-up period for the first (transglenoid) group was 7.19 years (range 5–11) and for the second (anchor) group 6.93 years (range 5–12). Results There is a significant difference in both groups between the preoperative and postoperative Rowe scores (P=0.000), while there is insignificance when comparing the two groups. Six patients (14.3%) in the transglenoid group suffered from recurrence of instability (two dislocations and four subluxations). Two of them needed second operation (open Laterjet procedure). In the anchor group, four (14.2%) patients suffered recurrence of symptoms of instability (two dislocations and two subluxations). Two of them required second operation. One patient of the first group suffered infection related to the sutures and the knot that required removal of the suture material. Conclusion Modified transglenoid suture technique is quietly equal to the repair with suture anchors for treatment of recurrent traumatic anterior shoulder instability.