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European Journal of Orthopaedic Surgery & Traumatology

Published in:

24-01-2024 | Original Article

Pain scores and functional outcomes of patients with shoulder labral repair using all-suture anchors versus conventional anchors

Authors: David A. Freeman, Kevin A. Hao, Keegan M. Hones, Bankole O. Olowofela, Ryan Parrish, Derek Damrow, Joseph J. King, Kevin W. Farmer, Marissa Pazik, Roach P. Roach

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2024

Abstract

Hypothesis/purpose

The purpose of this study was to compare PROMs in patients undergoing anterior glenoid labral repair using all-suture versus conventional anchors. We hypothesized PROMs would be similar between groups.

Methods

We performed a retrospective review of the Arthrex Global Surgical Outcomes System (SOS) database, querying patients who underwent arthroscopic glenoid labral repair between 01/01/2015 and 12/31/2020. Patients aged 18–100, who had isolated glenoid labrum repair with at least 12-month follow-up were included. The visual analog pain scale (VAS), Western Ontario Shoulder Instability Index, Veteran’s RAND 12-items health survey, single assessment numeric evaluation and the American Shoulder and Elbow Surgeons score (ASES) were compared preoperatively, 3 months, 6 months, 1 year and 2 years postoperatively in patients who received all-suture anchors versus conventional anchors in the setting of anterior glenoid labrum repair. Our primary aim was comparison of PROMs between patients receiving all-suture versus conventional suture anchors. Secondarily, a sub-analysis was performed comparing outcomes based on anchor utilization for patients with noted anterior instability.

Results

We evaluated 566 patients, 54 patients receiving all-suture anchors and 512 patients receiving conventional anchors. At two-year follow-up there was no significant difference between the two groups in PROMs. In a sub-analysis of isolated anterior labrum repair, there was an improvement in ASES (P = 0.034) and VAS (P = 0.039) with the all-suture anchor at two-year follow-up.

Conclusions

All-suture anchors provide similar or superior pain and functional outcome scores up to 2 years postoperatively compared to conventional anchors.

Clinical relevance

As all-suture anchors gain popularity among surgeons, this is the largest scale study to date validating their use in the setting of glenoid labrum repair.

Institutional Review Board (IRB): IRB202102550.

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Title: Pain scores and functional outcomes of patients with shoulder labral repair using all-suture anchors versus conventional anchors
Authors: David A. Freeman
Kevin A. Hao
Keegan M. Hones
Bankole O. Olowofela
Ryan Parrish
Derek Damrow
Joseph J. King
Kevin W. Farmer
Marissa Pazik
Roach P. Roach
Publication date: 24-01-2024
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2024
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-023-03820-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pain scores and functional outcomes of patients with shoulder labral repair using all-suture anchors versus conventional anchors

Abstract

Hypothesis/purpose

Methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Hypothesis/purpose

Methods

Results

Conclusions

Clinical relevance

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