{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:43:41Z","timestamp":1773607421103,"version":"3.50.1"},"reference-count":27,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T00:00:00Z","timestamp":1488412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to compare single and double anterior portal techniques in the arthroscopic treatment of traumatic anterior shoulder instability.\nMethods\nA total of 91 cases who underwent arthroscopic Bankart repair for anterior shoulder instability were reviewed. The patients were divided into 2 groups as Group 1 (47 male and 2 female; mean age: 25.8 \u00b1 6.8) for arthroscopic single anterior portal approach and Group 2 (41 male and 1 female; mean age: 25.4 \u00b1 6.6) for the classical anterior double portal approach. The groups were compared for clinical scores, range of motion, analgesia requirement, complications, duration of surgery, cost and learning curve according to a short questionnaire completed by the relevant healthcare professionals.\nResults\nNo statistically significant difference was found between the 2 groups in terms of pre-operative and post-operative Constant and Rowe Shoulder Scores, range of motion and complications (p &gt; 0.05). In Group 2 patients, the requirement for post-operative analgesics was significantly higher (p &lt; 0.001), whereas the duration of surgery was statistically significantly shorter in Group 1 (p &lt; 0.001). In the assessment of the questionnaire, it was seen that a single portal anterior approach was preferred at a higher ratio (p = 0.035). The cost analysis revealed that the cost was 5.7% less for patients with a single portal.\nConclusion\nIn the arthroscopic treatment of traumatic anterior shoulder instability accompanied by a Bankart lesion, the anterior single portal technique is as successful in terms of clinical results as the conventional double portal approach. The single portal technique has advantages such as less postoperative pain, a shorter surgical learning curve and lower costs.\nLevel of Evidence\nLevel III, Therapeutic study.\nER -\n\nKeywords\n\n\n\tArthroscopy\n\tBankart\n\tShoulder\n\tSingle portal<\/jats:p>","DOI":"10.1016\/j.aott.2017.03.002","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T19:16:06Z","timestamp":1499195766000},"page":"298-302","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?"],"prefix":"10.5152","volume":"51","author":[{"given":"Hakan","family":"\u00c7\u0130\u00c7EK","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00dcmit","family":"TUHAN\u0130O\u011eLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"Ula\u015f O\u011eUR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u0131rat","family":"SEYFETT\u0130NO\u011eLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"\u00c7\u0130LO\u011eLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahsin","family":"BEYZADEO\u011eLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"10.1016\/j.aott.2017.03.002_bib1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.ocl.2008.06.001","article-title":"Anterior glenohumeral joint dislocations","volume":"39","author":"Dodson","year":"2008","journal-title":"Orthop Clin North Am"},{"key":"10.1016\/j.aott.2017.03.002_bib2","doi-asserted-by":"crossref","first-page":"1677","DOI":"10.2106\/00004623-199611000-00006","article-title":"Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study","volume":"78","author":"Hovelius","year":"1996","journal-title":"J\u00a0Bone Jt Surg Am"},{"key":"10.1016\/j.aott.2017.03.002_bib3","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1177\/036354659702500306","article-title":"Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations","volume":"25","author":"Taylor","year":"1997","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.aott.2017.03.002_bib4","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1016\/S0749-8063(05)80402-5","article-title":"Intraarticular pathology in acute, first-time anterior shoulder dislocation:an arthroscopic study","volume":"9","author":"Norlin","year":"1993","journal-title":"Arthroscopy"},{"key":"10.1016\/j.aott.2017.03.002_bib5","doi-asserted-by":"crossref","first-page":"897","DOI":"10.2106\/JBJS.J.00416","article-title":"Immobilization in external rotation after primary shoulder dislocation did not reduce the risk of recurrence: a randomized controlled trial","volume":"93","author":"Liavaag","year":"2011","journal-title":"J\u00a0Bone Jt Surg Am"},{"issue":"1","key":"10.1016\/j.aott.2017.03.002_bib6","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.arthro.2004.04.037","article-title":"New secure relay technique for arthroscopic Bankart repair without making an additional working portal","volume":"21","author":"Matsui","year":"2005","journal-title":"Arthroscopy"},{"issue":"1","key":"10.1016\/j.aott.2017.03.002_bib7","first-page":"6","article-title":"Arthroscopic stabilization of anterior shoulder instability using a single anterior portal","volume":"49","author":"Armangil","year":"2015","journal-title":"Acta Orthop Traumatol Turc"},{"key":"10.1016\/j.aott.2017.03.002_bib8","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/03635465980260030501","article-title":"Arthroscopic transglenoid stabilization versus open anchor suturing in traumatic anterior instability of the shoulder","volume":"26","author":"Steinbeck","year":"1998","journal-title":"Am J Sports Med"},{"issue":"Suppl 1","key":"10.1016\/j.aott.2017.03.002_bib9","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.arthro.2003.10.005","article-title":"Controversies in arthroscopic shoulder surgery: arthroscopic versus open Bankart repair, thermal treatment of capsular tissue, acromioplasties-are they necessary?","volume":"19","author":"Angelo","year":"2003","journal-title":"Arthroscopy"},{"key":"10.1016\/j.aott.2017.03.002_bib10","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1177\/03635465000280042801","article-title":"Arthroscopic management of glenohumeral instability","volume":"28","author":"Nelson","year":"2000","journal-title":"Am J Sports Med"},{"key":"10.1016\/j.aott.2017.03.002_bib11","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.arthro.2004.03.001","article-title":"Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study","volume":"20","author":"Fabbriciani","year":"2004","journal-title":"Arthroscopy"},{"key":"10.1016\/j.aott.2017.03.002_bib12","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/S0749-8063(05)80308-1","article-title":"Arthroscopic versus open Bankart procedures: a comparison of early morbidity and complications","volume":"9","author":"Green","year":"1993","journal-title":"Arthroscopy"},{"key":"10.1016\/j.aott.2017.03.002_bib13","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s001670050133","article-title":"Recurrent post-traumatic anterior shoulder dislocation-open versus arthroscopic repair","volume":"7","author":"Jorgensen","year":"1999","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"10.1016\/j.aott.2017.03.002_bib14","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.2106\/00004623-200008000-00007","article-title":"Comparison of arthroscopic and open anterior shoulder stabilization. A two to six-year follow-up study","volume":"82","author":"Cole","year":"2000","journal-title":"J\u00a0Bone Jt Surg [Am]"},{"key":"10.1016\/j.aott.2017.03.002_bib15","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/00003086-200207000-00009","article-title":"Classification of glenohumeral joint instability","volume":"400","author":"Gerber","year":"2002","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.aott.2017.03.002_bib16","doi-asserted-by":"crossref","first-page":"218","DOI":"10.5435\/00124635-200704000-00005","article-title":"The rotator interval: anatomy, pathology, and strategies for treatment","volume":"15","author":"Hunt","year":"2007","journal-title":"J\u00a0Am Acad Orthop Surg"},{"issue":"1","key":"10.1016\/j.aott.2017.03.002_bib17","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.arthro.2004.08.011","article-title":"Pullout strength of knotless suture anchors","volume":"21","author":"Leedle","year":"2005","journal-title":"Arthroscopy"},{"issue":"6","key":"10.1016\/j.aott.2017.03.002_bib18","doi-asserted-by":"crossref","first-page":"408","DOI":"10.3928\/01477447-20090511-07","article-title":"Quantification of active ROM after arthroscopic Bankart repair with rotator interval closure","volume":"32","author":"Randelli","year":"2009","journal-title":"Orthopedics"},{"key":"10.1016\/j.aott.2017.03.002_bib19","doi-asserted-by":"crossref","first-page":"53","DOI":"10.2106\/00004623-199274010-00008","article-title":"The role of the rotator interval capsule in passive motion and stability of the shoulder","volume":"74","author":"Harryman","year":"1992","journal-title":"J\u00a0Bone Jt Surg Am"},{"issue":"7","key":"10.1016\/j.aott.2017.03.002_bib20","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1016\/j.jse.2010.03.001","article-title":"Arthroscopic rotator interval closure in shoulder instability repair: a retrospective study","volume":"19","author":"Chechik","year":"2010","journal-title":"J\u00a0Shoulder Elb Surg"},{"key":"10.1016\/j.aott.2017.03.002_bib21","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.1016\/S0749-8063(03)00384-0","article-title":"Indirect arthroscopic rotator interval repair","volume":"19","author":"Cole","year":"2003","journal-title":"Arthroscopy"},{"issue":"6","key":"10.1016\/j.aott.2017.03.002_bib22","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1016\/j.jse.2013.09.004","article-title":"Effect of Bankart repair on the loss of range of motion and the instability of the shoulder joint for recurrent anterior shoulder dislocation","volume":"23","author":"Shibano","year":"2014","journal-title":"J\u00a0Shoulder Elb Surg"},{"issue":"4","key":"10.1016\/j.aott.2017.03.002_bib23","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.arthro.2014.01.005","article-title":"Arthroscopic Bankart repair using knot-tying versus knotless suture anchors: is there a difference?","volume":"30","author":"Ng","year":"2014","journal-title":"Arthroscopy"},{"issue":"7","key":"10.1016\/j.aott.2017.03.002_bib24","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1007\/s00167-009-0811-3","article-title":"No difference between knotless sutures and suture anchors in arthroscopic repair of Bankart lesions in collision athletes","volume":"17","author":"Kocaoglu","year":"2009","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"10.1016\/j.aott.2017.03.002_bib25","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/j.arthro.2006.03.006","article-title":"Arthroscopic Bankart repair with knotless suture anchor for traumatic anterior shoulder instability: results of short-term follow-up","volume":"22","author":"Hayashida","year":"2006","journal-title":"Arthroscopy"},{"issue":"3","key":"10.1016\/j.aott.2017.03.002_bib26","doi-asserted-by":"crossref","first-page":"e201","DOI":"10.1016\/j.eats.2013.02.011","article-title":"The posterolateral portal: optimizing anchor placement and labral repair at the inferior glenoid","volume":"2","author":"Cvetanovich","year":"2013","journal-title":"Arthrosc Tech"},{"issue":"2","key":"10.1016\/j.aott.2017.03.002_bib27","doi-asserted-by":"crossref","first-page":"e121","DOI":"10.1016\/j.eats.2012.12.006","article-title":"A\u00a0novel technique for advancing the inferior labrum in a bankart repair","volume":"2","author":"Adams","year":"2013","journal-title":"Arthrosc Tech"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301372?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301372?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3273\/3221","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:01:28Z","timestamp":1763463688000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":27,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,1,4]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2017.03.002","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?","name":"articletitle","label":"Article Title"},{"value":"Acta Orthopaedica et Traumatologica Turcica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aott.2017.03.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}