{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:21:17Z","timestamp":1788913277906,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T00:00:00Z","timestamp":1699920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009885","name":"American Academy of Orthopaedic Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009885","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011549","name":"American Orthopaedic Society for Sports Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011549","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008542","name":"Arthroscopy Association of North America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009885","name":"American Academy of Orthopaedic Surgeons","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009885","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical failure, recurrent instability, patient\u2010reported outcome measures (PROMs), and return to sport (RTS) between knotted and knotless fixation methods in arthroscopic posterior labral repair for isolated posterior shoulder instability (PSI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Multiple databases were queried according to Preferred Reported Items for Systematic Reviews and Meta\u2010Analyses guidelines for clinical studies with Level I to IV evidence, including knotted and knotless suture anchors for arthroscopic posterior labral repair. Combined anterior and posterior instability, multidirectional instability, SLAP injuries, unspecified repair techniques, majority open procedures, and revision surgery were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Screening yielded 17 full\u2010text articles reporting on 852 shoulders undergoing posterior labral repair. Recurrent instability ranged from 0% to 21%, and the rate of revision surgery ranged from 0% to 11% in knotted only, 0% in knotless only, and 2.0% to 8.1% in knotted and knotless studies. Six studies with both pre\u2010 and postoperative visual analog scale scores and 7 studies with both pre\u2010 and postoperative American Shoulder and Elbow Score scores all showed improvement in scores after intervention regardless of repair technique. Thirteen studies reported RTS or duty rates with a minimum of 79%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall recurrent instability after posterior labral repair for isolated PSI was low with improvement in PROMs and favorable RTS rates regardless of fixation method. There was no clear difference in recurrent instability or revision surgery between knotted and knotless fixation methods for isolated posterior labral repair. However, the current literature is predominantly limited by Level III and IV evidence. The quality of literature and lack of standardization on the definition of clinical failure and recurrent instability among surgeons preclude any definitive conclusion regarding one clinically superior fixation method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level III and IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2023.100837","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T07:56:58Z","timestamp":1703059018000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["No Difference in Recurrent Instability Between Knotted and Knotless Repair Techniques in Arthroscopic Treatment of Isolated Posterior Labral Tears: A Systematic Review"],"prefix":"10.1002","volume":"6","author":[{"given":"Mikalyn T.","family":"DeFoor","sequence":"first","affiliation":[{"name":"San Antonio Military Medical Center San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily R.","family":"McDermott","sequence":"additional","affiliation":[{"name":"San Antonio Military Medical Center San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Dickens","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Duke University Durham North Carolina U.S.A."},{"name":"Department of Orthopaedic Surgery Walter Reed National Military Medical Center Uniformed Services University of Health Sciences Bethesda Maryland U.S.A."},{"name":"Department of Orthopaedics Institute of Clinical Sciences Sahlgrenska Academy Gothenburg University Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis J.","family":"Dekker","sequence":"additional","affiliation":[{"name":"10th Medical Group United States Air Force Academy Colorado Springs Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520976143"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506295179"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.06.053"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200009000-00002"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505285585"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.08.046"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510384232"},{"key":"e_1_2_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000160"},{"key":"e_1_2_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738116672446"},{"key":"e_1_2_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738111400562"},{"key":"e_1_2_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515577622"},{"key":"e_1_2_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511406869"},{"key":"e_1_2_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.10.022"},{"key":"e_1_2_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2018.05.029"},{"key":"e_1_2_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120911646"},{"key":"e_1_2_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.056"},{"key":"e_1_2_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.09.010"},{"key":"e_1_2_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(01)90009-X"},{"key":"e_1_2_3_20_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.23227"},{"key":"e_1_2_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.11.024"},{"key":"e_1_2_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.10.024"},{"key":"e_1_2_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.01.046"},{"key":"e_1_2_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.01.005"},{"key":"e_1_2_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.06.016"},{"key":"e_1_2_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271509"},{"key":"e_1_2_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2019.10.008"},{"key":"e_1_2_3_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1110-8"},{"key":"e_1_2_3_29_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200308000-00008"},{"key":"e_1_2_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.03.011"},{"key":"e_1_2_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260060301"},{"key":"e_1_2_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310020801"},{"key":"e_1_2_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70034-9"},{"key":"e_1_2_3_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000315"},{"key":"e_1_2_3_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05783-x"},{"key":"e_1_2_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.01.006"},{"key":"e_1_2_3_37_2","first-page":"279","article-title":"Patient\u2010reported outcomes of knotted and knotless glenohumeral labral repairs are equivalent","volume":"46","author":"Bents E.J.","year":"2017","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"e_1_2_3_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.05.033"},{"key":"e_1_2_3_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.04.030"},{"key":"e_1_2_3_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513493599"},{"key":"e_1_2_3_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508314426"},{"key":"e_1_2_3_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120967652"},{"key":"e_1_2_3_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.09.029"},{"key":"e_1_2_3_44_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.005"}],"container-title":["Arthroscopy, Sports Medicine, and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X23001888?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666061X23001888?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2023.100837","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.asmr.2023.100837","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.asmr.2023.100837","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:18:06Z","timestamp":1773566286000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.asmr.2023.100837"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,20]]},"references-count":43,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1016\/j.asmr.2023.100837"],"URL":"https:\/\/doi.org\/10.1016\/j.asmr.2023.100837","archive":["Portico"],"relation":{},"ISSN":["2666-061X","2666-061X"],"issn-type":[{"value":"2666-061X","type":"print"},{"value":"2666-061X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,20]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"No Difference in Recurrent Instability Between Knotted and Knotless Repair Techniques in Arthroscopic Treatment of Isolated Posterior Labral Tears: A Systematic Review","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy, Sports Medicine, and Rehabilitation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.asmr.2023.100837","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}],"article-number":"100837"}}