{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:55:42Z","timestamp":1790844942199,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82472431"],"award-info":[{"award-number":["82472431"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2024QH590"],"award-info":[{"award-number":["ZR2024QH590"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007129","name":"Natural Science Foundation of Shandong Province","doi-asserted-by":"publisher","award":["ZR2024QH588"],"award-info":[{"award-number":["ZR2024QH588"]}],"id":[{"id":"10.13039\/501100007129","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Bony Bankart lesion is a primary cause of traumatic shoulder instability. Although the arthroscopic suture bridge technique has been applied clinically, its operative complexity remains a challenge. This study aimed to evaluate the mid\u2010term clinical and radiological efficacy of a modified suture bridge technique combined with anchor insertion through a \u201c5 o'clock\u201d accessory portal for treating acute bony Bankart lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study retrospectively analyzed 36 patients with acute bony Bankart lesions who underwent the modified surgical treatment between January 2019 and February 2023. All patients were followed up for at least 2\u2009years. Preoperative and final follow\u2010up assessments included VAS, Constant\u2010Murley, ASES, UCLA, and Rowe scores, as well as shoulder range of motion (ROM). Statistical analysis was performed using paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests to compare preoperative and postoperative clinical scores and ROM. Fracture reduction and healing were assessed via CT 3D reconstruction at 6\u2009months postoperatively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean follow\u2010up period was 28.8\u2009months. At the final follow\u2010up, all clinical functional scores and ROM showed significant improvement compared to the preoperative status (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). CT 3D reconstruction at 6\u2009months postoperatively showed successful reduction of the fracture fragment in all patients. The mean glenoid bone loss decreased from 18.2%\u2009\u00b1\u20096.5% preoperatively to 2.5%\u2009\u00b1\u20091.5% at follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The fracture healing rate was 97.2%. Eighty percent of patients successfully returned to a pre\u2010injury or higher level of sport. The redislocation rate was 2.8%, and the total complication rate was 5.6%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The modified suture\u2010bridge technique using a \u201c5 o'clock\u201d accessory portal is a reliable and reproducible method for treating acute bony Bankart lesions. This approach achieves anatomical fracture reduction and yields excellent mid\u2010term clinical and radiological outcomes with a low risk of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70381","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:00:41Z","timestamp":1790841641000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of an Improved Arthroscopic Suture\u2010Bridge Technique Assisted by a \u201c5 O'clock\u201d Portal for Acute Bony Bankart Lesions"],"prefix":"10.1111","author":[{"given":"Fan","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Qingdao Municipal Hospital Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing","family":"Yang","sequence":"additional","affiliation":[{"name":"Central Laboratories, Qingdao Municipal Hospital University of Health and Rehabilitation Sciences  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine The Affiliated Hospital of Qingdao University  Qingdao Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Affiliated Hospital of Qingdao University  Qingdao China"},{"name":"Traumatic Orthopedics Institute of Shandong, Affiliated Hospital of Qingdao University  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinlong","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Qingdao Municipal Hospital University of Health and Rehabilitation Sciences  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tengbo","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Qingdao Municipal Hospital University of Health and Rehabilitation Sciences  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-0290","authenticated-orcid":false,"given":"Youliang","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Qingdao Municipal Hospital University of Health and Rehabilitation Sciences  Qingdao China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-023-04173-x"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2022.04.005"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211055707"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518773317"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2023.01.002"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.945942"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.08.027"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518808495"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-008-0659-y"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05783-x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.35266"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.07.005"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1390-z"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520985184"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465980260012301"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513509062"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0854-4"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512472880"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90126-4"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.03.020"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.11.011"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(89)90174-6"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515571555"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-018-4046-0"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70102-1"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514532782"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211023758"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2025.102919"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.5152\/j.aott.2022.21271"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70381","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.70381","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70381","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:00:42Z","timestamp":1790841642000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.70381"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":29,"alternative-id":["10.1111\/os.70381"],"URL":"https:\/\/doi.org\/10.1111\/os.70381","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]},"assertion":[{"value":"2025-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"os.70381"}}