{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:43:04Z","timestamp":1793958184175,"version":"4.8.0"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T00:00:00Z","timestamp":1650240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the clinical outcome of arthroscopic capsulolabral repair for traumatic anterior shoulder instability with PEEK knotless and knotted biodegradable suture anchors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Arthroscopic stabilization was performed in 78 patients with recurrent traumatic anterior shoulder instability. They were divided into 2\u00a0groups of 39 patients each, according to suture anchors used: knotless PEEK anchors in group 1, and biodegradable anchors in group 2. Exclusion criteria were: instability without dislocation, posterior or multidirectional instability, glenoid bone loss\u2009&gt;\u200920%, off\u2010track lesions, concomitant rotator cuff tears and previous surgery. The primary outcome was the Disabilities of the Arm, Shoulder and Hand (DASH) self\u2010administered questionnaire. Secondary outcomes were: Work\u2010DASH, Sport\u2010DASH, Rowe score, recurrent instability and subsequent surgery. The following independent variables were considered: age, gender, dominance, generalized ligamentous hyperlaxity, duration of symptoms, age at first dislocation, number of dislocations, type of work, type of sport, sports activity level, capsule\u2010labral injury pattern, SLAP lesion and number of anchors. Differences between groups for numerical variables were analyzed by use of the Student\u2019s\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test or Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      \u2010test. Fisher\u2019s exact test was used for analysis of categorical variables. Significance was set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven patients (9%) were lost at follow\u2010up, 5 from group 1 and 2 from group 2. Follow\u2010up ranged from 36 to 60\u00a0months (median: 44; IQR: 13). Comparison between groups did not show significant differences for each independent variable considered. No differences could be found either for DASH (n.s.) or Rowe (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009n.s.) scores between the two groups. Overall recurrence rate was 7%. Three re\u2010dislocations were reported in group 1 and two in group 2 (n.s.). Only one patient in each group underwent re\u2010operation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study showed no significant differences in clinical outcomes after arthroscopic treatment of traumatic anterior shoulder instability using PEEK knotless or biodegradable knotted anchors at mid\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>I.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-022-06969-6","type":"journal-article","created":{"date-parts":[[2022,4,18]],"date-time":"2022-04-18T06:12:50Z","timestamp":1650262370000},"page":"3835-3841","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Knotless PEEK and double\u2010loaded biodegradable suture anchors ensure comparable clinical outcomes in the arthroscopic treatment of traumatic anterior shoulder instability: a prospective randomized study"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7399-8762","authenticated-orcid":false,"given":"Maristella F.","family":"Saccomanno","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy"},{"name":"<!--<label>2<\/label>--> Department of Bone and Joint Surgery Spedali Civili Brescia Italy"},{"name":"<!--<label>4<\/label>--> Ortopedia e Traumatologia 2, Spedali Civili Largo Spedali Civili 1 25123 Brescia BS Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Cerciello","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopaedics Fondazione Policlinico Universitario Agostino Gemelli Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Adriani","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Motta","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almerico","family":"Megaro","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Bone and Joint Surgery Spedali Civili Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Galli","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Bone and Joint Surgery Spedali Civili Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Scaini","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Milano","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia Brescia Italy"},{"name":"<!--<label>2<\/label>--> Department of Bone and Joint Surgery Spedali Civili Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.08.011"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.51B3.444"},{"key":"e_1_2_9_4_2","first-page":"279","article-title":"Patient\u2010reported outcomes of knotted and knotless glenohumeral labral repairs are equivalent","volume":"46","author":"Bents EJ","year":"2017","journal-title":"Am J Orthop Belle Mead NJ"},{"key":"e_1_2_9_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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November 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 March 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 April 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 July 2022","order":4,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":5,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"\u201cMissing Open Access funding information has been added in the Funding Note.\u201d.","order":6,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Giuseppe Milano is Arthrex consultant. The other authors declared no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The protocol and informed consent process were approved by the institutional review board and by the local ethic committee (prot no. 763A1411, Catholic University, Rome).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Yes.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}