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- Title
Pain scores and functional outcomes of patients with shoulder labral repair using all-suture anchors versus conventional anchors.
- Authors
Freeman, David A.; Hao, Kevin A.; Hones, Keegan M.; Olowofela, Bankole O.; Parrish, Ryan; Damrow, Derek; King, Joseph J.; Farmer, Kevin W.; Pazik, Marissa; Roach, Roach P.
- 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.
- Subjects
UNITED States; SHOULDER physiology; SHOULDER joint surgery; ELBOW physiology; PAIN measurement; TENODESIS; POSTOPERATIVE care; FUNCTIONAL assessment; QUESTIONNAIRES; ARTHROSCOPY; TREATMENT effectiveness; RETROSPECTIVE studies; SURGEONS; DESCRIPTIVE statistics; LONGITUDINAL method; PAIN; SHOULDER injuries; COMPARATIVE studies; SUTURES; JOINT instability; PSYCHOSOCIAL factors
- Publication
European Journal of Orthopaedic Surgery & Traumatology, 2024, Vol 34, Issue 3, p1509
- ISSN
1633-8065
- Publication type
Article
- DOI
10.1007/s00590-023-03820-7