{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:27:27Z","timestamp":1789475247411,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare rates of recurrent instability, revision surgery and functional outcomes following arthroscopic anterior capsulolabral repair for recurrent anterior instability using knot\u2010tying versus knotless suture anchor techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who had undergone arthroscopic anterior labrum and capsular repair for recurrent anterior glenohumeral instability using knotless anchors were identified. Those with minimum 2\u2010year follow\u2010up were matched (1:2) to knot\u2010tying anchor repair patients. Rates of failure and recurrent instability were compared, as well as Visual Analog Scale (VAS), Single Assessment Numeric Evaluation (SANE), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), University of California Los Angeles (UCLA) and Rowe scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and two patients (89\u00a0males, 13 females) with a mean age of 24.3\u2009\u00b1\u20099.6 were included. Repair was performed with knotless anchors in 34 and knot\u2010tying anchors in 68 shoulders. At mean follow\u2010up of 4.8\u2009\u00b1\u20092.5 years, re\u2010dislocation rates between groups were not significantly different (knotless anchor: 9% versus knot\u2010tying group: 15%, n.s.), but the knot\u2010tying group showed a higher re\u2010subluxation rate (<jats:italic>p<\/jats:italic>\u2009=\u20090.039). 12 (18%) revisions were performed in the knot\u2010tying group at a mean 2.9 years after surgery and 1 (3%) revision in the knotless anchors group at 1.4 years (n.s.). There was no difference in mean VAS with use (1.3\u2009\u00b1\u20091.9 versus 0.8\u2009\u00b1\u20091.5, n.s.), SANE scores (91.8\u2009\u00b1\u200912.7 versus 92.0\u2009\u00b1\u200911.0, n.s.), QuickDASH scores (4.1\u2009\u00b1\u20095.5 versus 3.0\u2009\u00b1\u20096.5, n.s.), UCLA Shoulder Score (32.5\u2009\u00b1\u20093.6 versus 33.2\u2009\u00b1\u20093.1, n.s.), or Rowe scores (90.5\u2009\u00b1\u200918.5 versus 92.2\u2009\u00b1\u200916.6, n.s.) between knotless and knot\u2010tying groups, respectively. VAS at rest was higher in the knotless group (0.7\u2009\u00b1\u20091.5 vs 0.1\u2009\u00b1\u20090.4, <jats:italic>p<\/jats:italic>\u2009=\u20090.021).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Knotless anchors demonstrated similar rates of re\u2010dislocation and revision surgery, and lower rates of recurrent subluxation, compared to knot\u2010tying anchors. Patients achieved good\u2010to\u2010excellent functional outcomes. This supports the efficacy of knotless anchors as an alternative to knot\u2010tying anchors for arthroscopic anterior labral repair of recurrent anterior shoulder dislocation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06057-7","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T14:02:37Z","timestamp":1590588157000},"page":"2077-2084","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Comparable clinical outcomes using knotless and knot\u2010tying anchors for arthroscopic capsulolabral repair in recurrent anterior glenohumeral instability at mean 5\u2010year follow\u2010up"],"prefix":"10.1002","volume":"29","author":[{"given":"Isabella T.","family":"Wu","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal S.","family":"Desai","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin R.","family":"Mangold","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L.","family":"Camp","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"Barlow","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquin","family":"Sanchez\u2010Sotelo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane L.","family":"Dahm","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3248-8007","authenticated-orcid":false,"given":"Aaron J.","family":"Krych","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery Mayo Clinic 200 First St. SW 55905 Rochester MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,18]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198103000-00002"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2309499017718952"},{"key":"e_1_2_8_4_2","first-page":"1038","article-title":"Development of the QuickDASH: comparison of three item\u2010reduction approaches","volume":"87","author":"Beaton DE","year":"2005","journal-title":"J Bone Jt Surg Am"},{"key":"e_1_2_8_5_2","first-page":"2081","article-title":"Recurrent instability after arthroscopic Bankart reconstruction: a systematic review of surgical technical factors","volume":"33","author":"Brown 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of failure of knotted and knotless suture anchors in an arthroscopic Bankart repair model with the capsulolabral tissues intact","volume":"40","author":"Ranawat AS","year":"2011","journal-title":"Am J Orthop (Belle Mead 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January 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 May 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"I.T.W., V.S.D, D.R.M., and C.L.C. have no disclosures. J.D.B. is a paid consultant for Stryker. J.S. is a paid consultant for Wright Medical Technology and Exactech; editorial board member for Journal of Orthopaedics and Traumatology, Journal of Shoulder and Elbow Arthroplasty, and Journal of Shoulder and Elbow Surgery; board or committee member of American Shoulder and Elbow Surgeons and Acumed; receives publishing royalties, financial or material support from Journal of Shoulder and Elbow Surgery, Elsevier, and Oxford University Press; IP royalties from Stryker; and is a paid presenter for Acumed, Styker, and Wright Medical Technology. D.L.D. is a board or committee member of American Orthopaedic Society for Sports Medicine and NBA\/GE Strategic Advisory Board; receives research support from Arthrex, Inc; and spouse owns stock or stock options and receives royalties from Tenex Health, Inc and Sonex Health, LLC. A.J.K. is a paid consultant for Arthrex, JRF Ortho, and Vericel; board or committee member of International Cartilage Repair Society, International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine, Minnesota Orthopedic Society, and Musculoskeletal Transplantation Foundation; editorial or governing board member of American Journal of Sports Medicine; and receives research support from Aesculap\/B.Braun, Arthrex, Arthritis Foundation, Ceterix, and Histogenics.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No external or internal funding was used for this investigation.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}},{"value":"The study was approved by the Institutional Review Board.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}