Arthroscopic Bankart Repair with All Suture Anchors as Treatment of Anterior Shoulder Instability
Main Article Content
Juan Carlos Jaramillo, MD
http://orcid.org/0009-0008-1910-6952
Antonio Orrego, MD
http://orcid.org/0000-0002-2119-9974
Simón Uribe, MD
http://orcid.org/0000-0002-2949-293X
Daniela Galeano, MD
http://orcid.org/0000-0003-0954-6352
Manuel Vallejo, MD
http://orcid.org/0000-0001-6638-0710
Ana Maria Arcila, MD
http://orcid.org/0009-0001-1438-1524
Ana Milena Herrera, MD, PhD
http://orcid.org/0000-0002-7382-5631
http://orcid.org/0009-0008-1910-6952
Antonio Orrego, MD
http://orcid.org/0000-0002-2119-9974
Simón Uribe, MD
http://orcid.org/0000-0002-2949-293X
Daniela Galeano, MD
http://orcid.org/0000-0003-0954-6352
Manuel Vallejo, MD
http://orcid.org/0000-0001-6638-0710
Ana Maria Arcila, MD
http://orcid.org/0009-0001-1438-1524
Ana Milena Herrera, MD, PhD
http://orcid.org/0000-0002-7382-5631
Abstract
Background: Arthroscopic Bankart repair is the preferred surgical treatment for recurrent anterior shoulder instability. The development of all-suture anchors aims to reduce invasiveness, preserve bone stock, and facilitate revision options.
Aims: To assess short- and mid-term clinical outcomes of arthroscopic Bankart repair using exclusively all-suture anchors, focusing on recurrence of instability, functional recovery, and safety.
Methods: We retrospectively reviewed 53 patients who underwent arthroscopic Bankart repair with all-suture anchors between 2010 and 2024. The primary outcome was recurrent instability (dislocation or subluxation). Secondary outcomes included pain assessed by visual analogue scale, range of motion, functional recovery using the Rowe score, and need for revision surgery. The use of adjunctive procedures (rotator interval closure, remplissage) was documented. Comparative analyses were performed using nonparametric tests, with significance set at p < 0.05.
Results: The median follow-up was 8 months (range, 4–94 months). Redislocation occurred in 4 patients (7.5%) and subluxation in 2 (3.8%); 3 patients (5.7%) required revision surgery. The median Rowe score improved from 30 preoperatively to 100 at final follow-up (p<0.01), with 88.6% of patients achieving excellent outcomes. Pain scores decreased significantly (median visual analogue scale from 7 to 0; p<0.01). Most patients recovered near-full range of motion, and return to sports was achieved at a median of 24 weeks. No anchor-related complications were observed.
Conclusion: Arthroscopic Bankart repair using all-suture anchors provides excellent functional outcomes, significant pain reduction, and low recurrence rates in short- and mid-term follow-up, confirming this technique as a safe and effective option for anterior shoulder instability.
Keywords:
Bankart Lesion, Arthroscopy, Shoulder Dislocation, Suture Anchors, Shoulder Instability
Article Details
How to Cite
JARAMILLO, Juan Carlos et al.
Arthroscopic Bankart Repair with All Suture Anchors as Treatment of Anterior Shoulder Instability.
Medical Research Archives, [S.l.], v. 13, n. 10, oct. 2025.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/6999>. Date accessed: 05 dec. 2025.
doi: https://doi.org/10.18103/mra.v13i10.6999.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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22. Lee JH, Shin SJ. All-Suture Anchor Deployment Configurations in Arthroscopic Bankart Repair: A Comparative Analysis of Clinical and Radiological Outcomes. Orthop J Sports Med. 2025;13(3). doi:10.1177/23259671251319533
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26. Stokes DA, Savoie FH, Field LD, Ramsey JR. Arthroscopic repair of anterior glenohumeral instability and rotator interval lesions. Orthopedic Clinics of North America. 2003;34(4):529-538. doi:10.1016/S0030-5898(03)00091-9
27. Deshpande V, Barnett I, Valk J, et al. Similar Outcomes, but Significantly Lower Complication Rate with Arthroscopic Bankart Repair with Remplissage Versus Open or Arthroscopic Latarjet for Shoulder Instability Across a Wide Range of Glenoid Bone Loss: A Systematic Review and Meta-Analysis. JSES Reviews, Reports, and Techniques. Published online August 2025. doi:10.1016/j.xrrt.2025.07.007
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2. Bauer S, Collin P, Zumstein MA, Neyton L, Blakeney WG. Current concepts in chronic traumatic anterior shoulder instability. EFORT Open Rev.British Editorial Society of Bone and Joint Surgery. 2023;8(6):468-481. doi:10.1530/EOR-22-0084
3. DeFroda S, Bokshan S, Stern E, Sullivan K, Owens BD. Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes. Curr Rev Musculoskelet Med.Humana Press Inc. 2017;10(4):442-451. doi:10.1007/s12178-017-9435-2
4. Pickett A, Svoboda S. Anterior Glenohumeral Instability. Sports Med Arthrosc Rev. 2017;25(3):156-162. doi:10.1097/JSA.0000000000000157
5. Barlow JD, Grosel T, Higgins J, Everhart JS, Magnussen RA. Surgical treatment outcomes after primary vs recurrent anterior shoulder instability. J Clin Orthop Trauma.Elsevier B.V. 2019;10(2):222-230. doi:10.1016/j.jcot.2018.10.012
6. Monk AP, Roberts PG, Logishetty K, et al. Evidence in managing traumatic anterior shoulder instability: A scoping review. Br J Sports Med.BMJ Publishing Group. 2015;49(5):307-311. doi:10.1136/bjsports-2013-092296
7. Glazebrook H, Miller B, Wong I. Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment. Orthop J Sports Med.SAGE Publications Ltd. 2018;6(11). doi:10.1177/2325967118805983
8. Miura K, Tsuda E, Tohyama H, et al. Can arthroscopic Bankart repairs using suture anchors restore equivalent stability to open repairs in the management of traumatic anterior shoulder dislocation? A meta-analysis. Journal of Orthopaedic Science. 2018;23(6):935-941. doi:10.1016/j.jos.2018.06.016
9. Gao B, DeFroda S, Bokshan S, et al. Arthroscopic Versus Open Bankart Repairs in Recurrent Anterior Shoulder Instability: A Systematic Review of the Association Between Publication Date and Postoperative Recurrent Instability in Systematic Reviews. Arthroscopy - Journal of Arthroscopic and Related Surgery.W.B. Saunders. 2020;36(3):862-871. doi:10.1016/j.arthro.2019.10.022
10. Brown L, Rothermel S, Joshi R, Dhawan A. Recurrent Instability After Arthroscopic Bankart Reconstruction: A Systematic Review of Surgical Technical Factors. Arthroscopy - Journal of Arthroscopic and Related Surgery.W.B. Saunders. 2017;33(11):2081-2092. doi:10.1016/j.arthro.2017.06.038
11. Asiri FAM, Alqhtani AA, Assiri AH, Alqahtani MH, Tedla JS, Awwadh BAA. Systematic Review of Arthroscopic Bankart Repair Outcomes for Anterior Shoulder Instability. Medical Science Monitor. 2024;30. doi:10.12659/MSM.945942
12. Petrera M, Patella V, Patella S, Theodoropoulos J. A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surgery, Sports Traumatology, Arthroscopy. 2010;18(12):1742-1747. doi:10.1007/s00167-010-1093-5
13. Marquardt B, Witt KA, Liem D, Steinbeck J, Pötzl W. Arthroscopic Bankart Repair in Traumatic Anterior Shoulder Instability Using a Suture Anchor Technique. Arthroscopy - Journal of Arthroscopic and Related Surgery. 2006;22(9):931-936. doi:10.1016/j.arthro.2006.04.105
14. Lee JH, Itami Y, Hedayati B, et al. Biomechanical effects of position and angle of insertion for all-suture anchors in arthroscopic Bankart repair. Clinical Biomechanics. 2018;60:45-50. doi:10.1016/j.clinbiomech.2018.10.002
15. Gül O, Okutan AE, Ayas MS. Arthroscopic glenoid labral lesion repair using all-suture anchor for traumatic anterior shoulder instability: short-term results. J Shoulder Elbow Surg. 2019;28(10):1991-1997. doi:10.1016/j.jse.2019.03.003
16. Lee JH, Park I, Hyun HS, Kim SW, Shin SJ. Comparison of Clinical Outcomes and Computed Tomography Analysis for Tunnel Diameter After Arthroscopic Bankart Repair With the All-Suture Anchor and the Biodegradable Suture Anchor. Arthroscopy - Journal of Arthroscopic and Related Surgery. 2019;35(5): 1351-1358. doi:10.1016/j.arthro.2018.12.011
17. Uluyardımcı E, Öçgüder DA, Bozkurt ibrahim, Korkmazer S, Uğurlu M. All-suture anchors versus metal suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: A comparison of mid-term outcomes. Jt Dis Relat Surg. 2021;32(1): 101-107. doi:10.5606/ehc.2021.75027
18. Chalmers PN, Hillyard B, Kawakami J, et al. Double-loaded suture anchors in the treatment of anteroinferior glenohumeral instability. JSES Int. 2020;4(3):587-591. doi:10.1016/j.jseint.2020.03.015
19. Jain V, Gupta H, Mehta N, Joshi D, Ajay, Kataria H. Retrospective Comparative Analysis of Clinical and Functional Outcome After Arthroscopic Bankart Repair using All-Suture Anchor and Metal Anchor. Malays Orthop J. 2024;18(1):11-18. doi:10.5704/MOJ.2403.002
20. Lau LCM, Chau WW, Ng R, et al. Reconsidering “Critical” Bone Loss in Shoulder Instability: 17-Year Follow-Up Study following Arthroscopic Bankart Repair. Schwingel PA, ed. Adv Orthop. 2024;2024:1-11. doi:10.1155/2024/5598107
21. Vermeulen AE, Landman EBM, Veen EJD, Nienhuis S, Koorevaar CT. Long-term clinical outcome of arthroscopic Bankart repair with suture anchors. J Shoulder Elbow Surg. 2019;28(5):e137-e143. doi:10.1016/j.jse.2018.09.027
22. Lee JH, Shin SJ. All-Suture Anchor Deployment Configurations in Arthroscopic Bankart Repair: A Comparative Analysis of Clinical and Radiological Outcomes. Orthop J Sports Med. 2025;13(3). doi:10.1177/23259671251319533
23. Zhang M, Liu J, Jia Y, et al. Risk factors for recurrence after Bankart repair: a systematic review and meta-analysis. J Orthop Surg Res. 2022;17(1):113. doi:10.1186/s13018-022-03011-w
24. Bulleit CH, Hurley ET, Jing C, et al. Risk factors for recurrence following arthroscopic Bankart repair: a systematic review. J Shoulder Elbow Surg. 2024;33(11):2539-2549. doi:10.1016/j.jse.2024.04.017
25. Shim SB, Jeong JY, Keum DH, Yoo JC. Does creating a trough on the anterior glenoid rim make a difference in Arthroscopic Bankart repair using suture anchors? A mid-term follow-up retrospective study. Journal of Orthopaedic Science. 2019;24(2):250-257. doi:10.1016/j.jos.2018.09.024
26. Stokes DA, Savoie FH, Field LD, Ramsey JR. Arthroscopic repair of anterior glenohumeral instability and rotator interval lesions. Orthopedic Clinics of North America. 2003;34(4):529-538. doi:10.1016/S0030-5898(03)00091-9
27. Deshpande V, Barnett I, Valk J, et al. Similar Outcomes, but Significantly Lower Complication Rate with Arthroscopic Bankart Repair with Remplissage Versus Open or Arthroscopic Latarjet for Shoulder Instability Across a Wide Range of Glenoid Bone Loss: A Systematic Review and Meta-Analysis. JSES Reviews, Reports, and Techniques. Published online August 2025. doi:10.1016/j.xrrt.2025.07.007
28. Graden N, Ina J, Cabarcas B, et al. An Evidence-Based Approach to Indication for Remplissage. Curr Rev Musculoskelet Med. 2025;18(7):267-280. doi:10.1007/s12178-025-09969-4
29. Karovalia SN, Collett DJ, Bokor D. Rotator interval closure: inconsistent techniques and its association with anterior instability. A literature review. Orthop Rev (Pavia). Published online June 26, 2019. doi:10.4081/or.2019.8136
30. Liu JN, Gowd AK, Garcia GH, Cvetanovich GL, Cabarcas BC, Verma NN. Recurrence Rate of Instability After Remplissage for Treatment of Traumatic Anterior Shoulder Instability: A Systematic Review in Treatment of Subcritical Glenoid Bone Loss. Arthroscopy - Journal of Arthroscopic and Related Surgery.W.B. Saunders. 2018;34(10):2894-2907.e2. doi:10.1016/j.arthro.2018.05.031
31. Lazarides AL, Duchman KR, Ledbetter L, Riboh JC, Garrigues GE. Arthroscopic Remplissage for Anterior Shoulder Instability: A Systematic Review of Clinical and Biomechanical Studies. Arthroscopy - Journal of Arthroscopic and Related Surgery.W.B. Saunders. 2019;35(2):617-628. doi:10.1016/j.arthro.2018.09.029
32. Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am. 1978;60(1):1-16.
33. Manea H, Hafeez MH, Ahmad B, et al. Arthroscopic Bankart Repair Versus Open Latarjet Repair for Anterior Shoulder Instability: A Systematic Review and Meta-Analysis. Clin Med Insights Arthritis Musculoskelet Disord. 2025;18. doi:10.1177/11795441251360805
34. Sugawara S, Yamamoto N, Koibuchi Y, et al. Long-Term Outcomes of Arthroscopic Bankart Repair: A 10-Year Follow-Up Study. JSES Int. Published online August 2025. doi:10.1016/j.jseint.2025.07.004
35. Ideler N, De Mesel A, Vercruysse L, Declercq G, van Riet R, Verborgt O. Clinical and radiological outcome of all-suture anchors in shoulder and elbow surgery. Shoulder Elbow. 2023;15(5):544-553. doi:10.1177/17585732221127433
36. Wallace AL, Calvo E, Ardèvol Cuesta J, et al. Safety and efficacy of second-generation all-suture anchors in labral tear arthroscopic repairs: prospective, multicenter, 1-year follow-up study. JSES Int. 2024;8(4):763-768. doi:10.1016/j.jseint.2024.04.008
37. Ruiz Ibán MA, Vega Rodriguez R, Díaz Heredia J, Pérez Expósito R, Zarcos Paredes I, Ruiz Díaz R. Arthroscopic Bankart repair with all-suture anchors does not cause important glenoid bone osteolysis: a volumetric CT study of 143 anchors. Knee Surgery, Sports Traumatology, Arthroscopy. 2021;29(7):2152-2158. doi:10.1007/s00167-020-06192-1
38. Asghar E, Burks R. Is 13.5% the Right Number for Critical Bone Loss? Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2022;38(10):2773-2775. doi:10.1016/j.arthro.2022.08.001
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