{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:17:37Z","timestamp":1777709857068,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T00:00:00Z","timestamp":1602115200000},"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 evaluate with computed tomography (CT) the incidence of implant\u2010related osteolysis after implantation of two types of all\u2010suture anchors during remplissage for the management of Hill\u2010Sachs lesions in shoulder instability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010cohort, observational study with a minimum of 12\u00a0months follow\u2010up. Twenty\u2010five participants (19\u00a0males and 6 females; mean age 37.4 years [SD: 11.6]) with Hill\u2010Sachs lesions requiring remplissage were evaluated with a CT performed a mean of 14.1 [3.74] months after surgery. Fifty\u2010five all\u2010suture anchors (19 2.3\u00a0mm Iconix and 36 1.7\u00a0mm Suturefix) were used. The volume of the bone defects was measured in the CT. Every anchor was classified into one of four groups: (1) no bone defect. (2) Partial bone defect (bone defects smaller than the drill used for anchor placement). (3) Tunnel enlargement (bone defect larger than the drill volume but smaller than twice that volume). (4) Cystic lesion (bone defect larger twice the drill volume).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No bone defect was identified in only two anchors (3.6%, 95% CI 0.4\u201312.5%). A partial bone defect was found in eight anchors (14.5%, 95% CI 6.5\u201326.7%). In 35 anchors (63.6%, 95% CI 49.6\u201376.2%), there was enlargement of the bone defect that was smaller than 200% the size of the drill used. Ten anchors caused bone defects larger than twice the size of the drill used (18.2%, 95% CI 9.1\u201330.9%). The defect size was a mean of 89\u00a0mm<jats:sup>3<\/jats:sup> (SD: 49\u00a0mm<jats:sup>3<\/jats:sup>, minimum 0\u00a0mm<jats:sup>3<\/jats:sup>, maximum 230\u00a0mm<jats:sup>3<\/jats:sup>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When using all\u2010suture anchors in arthroscopic remplissage during instability surgery, relevant bone osteolytic defects are common at 1\u2010year\u2010follow\u2010up. Cystic defects larger than twice the volume of the resected bone during implantation develop in one in six anchors and significant tunnel widening will develop in another three out of five anchors. This bone loss effectively increases the size and depth of the Hill\u2010Sachs lesions but does not seem to affect short\u2010term clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06314-9","type":"journal-article","created":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T06:03:06Z","timestamp":1602136986000},"page":"2342-2347","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Arthroscopic remplissage with all\u2010suture anchors causes cystic lesions in the humerus: a volumetric CT study of 55 anchors"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5985-3388","authenticated-orcid":false,"given":"Miguel Angel","family":"Ruiz Ib\u00e1n","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"Vega Rodriguez","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Ruiz D\u00edaz","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roque","family":"P\u00e9rez Exp\u00f3sito","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"Zarcos Paredes","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Diaz Heredia","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Hospital Universitario Ram\u00f3n y Cajal Cta Colmenar km 9,100 28046 Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,8]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.117"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.09.031"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00101"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00817"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.17715"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.06.038"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010919"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511417573"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.10.004"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749\u2010799x\u20106\u201029"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515608484"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513517538"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.101B12.BJJ\u20102019\u20100462.R2"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.06.011"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.12.011"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.06.010"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010013\u20102403\u20105"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00314"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010017\u20102772\u20101"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.03.015"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.032"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005471\u2010w"},{"issue":"2","key":"e_1_2_8_24_2","first-page":"5","article-title":"The remplissage technique for large humeral defects. 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