Matches in SemOpenAlex for { <https://semopenalex.org/work/W2161186221> ?p ?o ?g. }
- W2161186221 endingPage "1189" @default.
- W2161186221 startingPage "1182" @default.
- W2161186221 abstract "Background: During arthroscopic Bankart repair, inferior anchor placement is critical to a successful outcome. Low anterior anchors may be placed with a standard straight guide via midglenoid portal, with a straight guide with trans-subscapularis placement, or with curved guide systems. Purpose/Hypothesis: To evaluate glenoid suture anchor trajectory, position, and biomechanical performance as a function of portal location and insertion technique. It is hypothesized that a trans-subscapularis portal or curved guide will improve anchor position, decrease risk of opposite cortex breach, and confer improved biomechanical properties. Study Design: Controlled laboratory study. Methods: Thirty cadaveric shoulders were randomized to 1 of 3 groups: straight guide, midglenoid portal (MG); straight guide, trans-subscapularis portal (TS); and curved guide, midglenoid portal (CG). Three BioRaptor PK 2.3-mm anchors were inserted arthroscopically, with an anchor placed at 3, 5, and 7 o’clock. Specimens were dissected with any anchor perforation of the opposite cortex noted. An “en face” image was used to evaluate actual anchor position on a clockface scale. Each suture anchor underwent cyclic loading (10-60 N, 250 cycles), followed by a load-to-failure test (12.5 mm/s). Fisher exact test and mixed effects regression modeling were used to compare outcomes among groups. Results: Anchor placement deviated from the desired position by 9.9° ± 11.4° in MG specimens, 11.1° ± 13.8° in TS, and 13.1° ± 14.5° in CG. After dissection, opposite cortex perforation at 5 o’clock occurred in 50% of MG anchors, 0% of TS, and 40% of CG. Of the 90 anchors tested, 17 (19%) failed during cyclic loading, with a similar failure rate across groups ( P = .816). The maximum load was significantly higher for the 3-o’clock anchors when compared with the 5-o’clock anchors, regardless of portal or guide ( P = .021). For the 5-o’clock position, there were significantly fewer “out” anchors in the TS group versus the CG or MG group ( P = .038). There was no statistically significant difference in maximum load among groups at 5 o’clock. Conclusion: Accuracy in suture anchor placement during arthroscopic Bankart repair can vary depending on both portal used and desired position of anchor. The results of the current study indicate that there was no difference in ultimate load to failure among anchors inserted via a midglenoid straight guide, midglenoid curved guide, or percutaneous trans-subscapularis approach. However, midglenoid portal anchors drilled with a straight or curved guide and placed at the 5-o’clock position had significant increased risk of opposite cortex perforation compared with trans-subscapularis percutaneous insertion, with no apparent biomechanical detriment. Clinical Relevance: The findings from this study will facilitate improved understanding of risks and benefits of several techniques for arthroscopic shoulder instability treatment with regard to suture anchor fixation." @default.
- W2161186221 created "2016-06-24" @default.
- W2161186221 creator A5009351771 @default.
- W2161186221 creator A5024440442 @default.
- W2161186221 creator A5031776133 @default.
- W2161186221 creator A5055128851 @default.
- W2161186221 creator A5060004552 @default.
- W2161186221 creator A5062004286 @default.
- W2161186221 creator A5064391561 @default.
- W2161186221 creator A5072171722 @default.
- W2161186221 creator A5079427685 @default.
- W2161186221 creator A5090824574 @default.
- W2161186221 date "2014-02-27" @default.
- W2161186221 modified "2023-10-16" @default.
- W2161186221 title "Inferior Suture Anchor Placement During Arthroscopic Bankart Repair" @default.
- W2161186221 cites W1964368864 @default.
- W2161186221 cites W1965231692 @default.
- W2161186221 cites W1972684806 @default.
- W2161186221 cites W1977475254 @default.
- W2161186221 cites W1981265279 @default.
- W2161186221 cites W1983740339 @default.
- W2161186221 cites W1989966403 @default.
- W2161186221 cites W1991916910 @default.
- W2161186221 cites W1998349475 @default.
- W2161186221 cites W2008863350 @default.
- W2161186221 cites W2009191677 @default.
- W2161186221 cites W2033538052 @default.
- W2161186221 cites W2035342783 @default.
- W2161186221 cites W2037275150 @default.
- W2161186221 cites W2042871932 @default.
- W2161186221 cites W2045632519 @default.
- W2161186221 cites W2055819757 @default.
- W2161186221 cites W2059371237 @default.
- W2161186221 cites W2067070558 @default.
- W2161186221 cites W2077528414 @default.
- W2161186221 cites W2095096756 @default.
- W2161186221 cites W2097102899 @default.
- W2161186221 cites W2098090372 @default.
- W2161186221 cites W2100514156 @default.
- W2161186221 cites W2105690267 @default.
- W2161186221 cites W2109664033 @default.
- W2161186221 cites W2111719893 @default.
- W2161186221 cites W2112840679 @default.
- W2161186221 cites W2113042738 @default.
- W2161186221 cites W2114790499 @default.
- W2161186221 cites W2115962674 @default.
- W2161186221 cites W2117053878 @default.
- W2161186221 cites W2127069063 @default.
- W2161186221 cites W2132319069 @default.
- W2161186221 cites W2135331492 @default.
- W2161186221 cites W2137115595 @default.
- W2161186221 cites W2137328769 @default.
- W2161186221 cites W2144372623 @default.
- W2161186221 cites W2145225691 @default.
- W2161186221 cites W2148234807 @default.
- W2161186221 cites W2161179006 @default.
- W2161186221 cites W2168103808 @default.
- W2161186221 cites W3081892815 @default.
- W2161186221 doi "https://doi.org/10.1177/0363546514523722" @default.
- W2161186221 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24576744" @default.
- W2161186221 hasPublicationYear "2014" @default.
- W2161186221 type Work @default.
- W2161186221 sameAs 2161186221 @default.
- W2161186221 citedByCount "37" @default.
- W2161186221 countsByYear W21611862212014 @default.
- W2161186221 countsByYear W21611862212015 @default.
- W2161186221 countsByYear W21611862212016 @default.
- W2161186221 countsByYear W21611862212017 @default.
- W2161186221 countsByYear W21611862212018 @default.
- W2161186221 countsByYear W21611862212019 @default.
- W2161186221 countsByYear W21611862212021 @default.
- W2161186221 countsByYear W21611862212022 @default.
- W2161186221 countsByYear W21611862212023 @default.
- W2161186221 crossrefType "journal-article" @default.
- W2161186221 hasAuthorship W2161186221A5009351771 @default.
- W2161186221 hasAuthorship W2161186221A5024440442 @default.
- W2161186221 hasAuthorship W2161186221A5031776133 @default.
- W2161186221 hasAuthorship W2161186221A5055128851 @default.
- W2161186221 hasAuthorship W2161186221A5060004552 @default.
- W2161186221 hasAuthorship W2161186221A5062004286 @default.
- W2161186221 hasAuthorship W2161186221A5064391561 @default.
- W2161186221 hasAuthorship W2161186221A5072171722 @default.
- W2161186221 hasAuthorship W2161186221A5079427685 @default.
- W2161186221 hasAuthorship W2161186221A5090824574 @default.
- W2161186221 hasConcept C141071460 @default.
- W2161186221 hasConcept C175696284 @default.
- W2161186221 hasConcept C191897082 @default.
- W2161186221 hasConcept C192562407 @default.
- W2161186221 hasConcept C2775862295 @default.
- W2161186221 hasConcept C2777325788 @default.
- W2161186221 hasConcept C2777327002 @default.
- W2161186221 hasConcept C2778456384 @default.
- W2161186221 hasConcept C2778527123 @default.
- W2161186221 hasConcept C2780879209 @default.
- W2161186221 hasConcept C71924100 @default.
- W2161186221 hasConceptScore W2161186221C141071460 @default.
- W2161186221 hasConceptScore W2161186221C175696284 @default.
- W2161186221 hasConceptScore W2161186221C191897082 @default.