{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:02:29Z","timestamp":1789844549351,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"vor","delay-in-days":88,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate whether the use of polyetheretherketone (PEEK) or biocomposite vented anchors has any impact on bony ingrowth inside the anchor or implant\u2010related osteolysis after implantation during remplissage for Hill\u2010Sachs defects (HSD) in patients with shoulder instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective cohort study with a minimum of 24 months follow\u2010up (mean follow\u2010up 3.11[SD\u2009=\u20090.67] years). Forty\u2010nine subjects (43 males and 6 females; mean age 27.6[SD:9.22] years) with HSD undergoing remplissage were evaluated with a CT performed at a mean of 14.7[4,4] months after surgery. The procedures were performed in two cohorts: in the first, 44 anchors (4.5\u2009mm Healicoil PEEK) were used in 26 subjects. In the second, 41 anchors (4.75\u2009mm Healicoil Regenesorb biocomposite) were used in 21 subjects. A computed tomography evaluation of the volume of the bone defects and the degree of bony ingrowth was made.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Preoperatively both cohorts were homogenous. The biocomposite anchors showed better bony ingrowth than the PEEK anchors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0014): full bony ingrowth in 18\/41(44%) in biocomposite versus 13\/44(30%) in PEEK; clear ossification with a thin lucent rim in 15\/41(37%) biocomposite versus 7\/44(30%) PEEK; discontinuous ossification in 6\/41(15%) biocomposite versus 7\/44(16%) PEEK; and no ossification in 2\/41(5%) biocomposite versus 17\/44(39%) PEEK. The biocomposite anchors showed smaller bone defects than the PEEK anchors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0217): no bone defect in 18\/41(44%) biocomposite versus 13\/44(30%) PEEK, partial bone defects in 20\/41(49%) biocomposite versus 17\/44(39%) PEEK; and bone defects larger than the insertion hole in 2\/41(5%) biocomposite versus 13\/44(30%) PEEK. One anchor in each group caused a bone defect larger than twice the size of the hole (2%). At the latest follow\u2010up no differences in clinical outcomes between the groups were found.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Biocomposite vented anchors for remplissage favours bony ingrowth and lower the incidence of osteolysis and defect formation when compared to PEEK anchors with similar clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70605","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T03:48:13Z","timestamp":1766980093000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The use of biocomposite vented anchors for arthroscopic remplissage allows for better bony ingrowth than peek vented anchors: A volumetric CT study of 85 anchors"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5985-3388","authenticated-orcid":false,"given":"Miguel Angel","family":"Ruiz Ib\u00e1n","sequence":"first","affiliation":[{"name":"Shoulder and Elbow Unit, Orthopaedic Surgery and Trauma Service Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"},{"name":"Departamento de Cirug\u00eda, Ciencias Sanitarias Y Medicosociales, \u00c1rea de Traumatolog\u00eda y Ortopedia Universidad de Alcal\u00e1 Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Vega","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Unit, Orthopaedic Surgery and Trauma Service Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Ruiz D\u00edaz","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Unit, Orthopaedic Surgery and Trauma Service Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"},{"name":"Departamento de Cirug\u00eda, Ciencias Sanitarias Y Medicosociales, \u00c1rea de Traumatolog\u00eda y Ortopedia Universidad de Alcal\u00e1 Alcal\u00e1 de Henares Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2166-8264","authenticated-orcid":false,"given":"Cristina","family":"Delgado","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Reconstructive Surgery UnitDepartment of Orthopaedic Surgery and Traumatology, Hospital Universitario Fundaci\u00f3n Jim\u00e9nez Diaz Avenida Reyes Catolicos 2 Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4063-9821","authenticated-orcid":false,"given":"Umile Giuseppe","family":"Longo","sequence":"additional","affiliation":[{"name":"Fondazione Policlinico Universitario Campus Bio\u2010Medico Roma Italy"},{"name":"Department of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery Universit\u00e0 Campus Bio\u2010Medico di Roma Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4543-3497","authenticated-orcid":false,"given":"Jorge","family":"Diaz Heredia","sequence":"additional","affiliation":[{"name":"Shoulder and Elbow Unit, Orthopaedic Surgery and Trauma Service Hospital Universitario Ram\u00f3n y Cajal Madrid Spain"},{"name":"Departamento de Cirug\u00eda, Ciencias Sanitarias Y Medicosociales, \u00c1rea de Traumatolog\u00eda y Ortopedia Universidad de Alcal\u00e1 Alcal\u00e1 de Henares Madrid 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