TY - JOUR
T1 - The “purse string” technique for anterior glenohumeral instability
T2 - long-term results 7–13-year follow-up
AU - Panagopoulos, Georgios
AU - Picca, Girolamo
AU - Adamczyk, Aleksandra
AU - Leonidou, Andreas
AU - Consigliere, Paolo
AU - Sforza, Giuseppe
AU - Atoun, Ehud
AU - Rath, Ehud
AU - Levy, Ofer
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - Purpose: The “Purse-String Technique” (PST) is an arthroscopic horizontal mattress suture technique for recurrent anterior shoulder instability that uses a single double-loaded suture anchor at the 4-o’ clock position, achieving a Bankart labral repair and an infero-superior capsular shift. In this study, we describe the long-term results of the PST. Methods: The study included 69 individuals (70 shoulders), with a mean age of 30 years, who had recurrent post-traumatic anteroinferior instability. A purse-string suture anchor at the 4-o'clock position was used to address the Bankart lesion and capsular laxity, recreating the anterior glenoid bumper. All patients were assessed via telephone interview at a mean of 116 months after surgery (7–13-year follow-up). Results: Postoperatively, the mean Constant score was 94, mean Rowe score was 93 and mean Walch–Duplay score was 89. 89% of patients resumed their preinjury sport activities, with 61% of patients achieving preinjury levels and most professional athletes returning to full activity. Seven patients had recurrent dislocation postoperatively (10% failure rate). Of these patients, three had revision arthroscopic stabilization, one patient had revision arthroscopic stabilization with remplissage, two had a Latarjet procedure, whereas one patient decided to seek no further treatment. Conclusion: The long-term results of PST are promising, with a low failure rate, high patient satisfaction and a high rate of return to sport. Level of evidence: Level IV; Case series; Treatment study.
AB - Purpose: The “Purse-String Technique” (PST) is an arthroscopic horizontal mattress suture technique for recurrent anterior shoulder instability that uses a single double-loaded suture anchor at the 4-o’ clock position, achieving a Bankart labral repair and an infero-superior capsular shift. In this study, we describe the long-term results of the PST. Methods: The study included 69 individuals (70 shoulders), with a mean age of 30 years, who had recurrent post-traumatic anteroinferior instability. A purse-string suture anchor at the 4-o'clock position was used to address the Bankart lesion and capsular laxity, recreating the anterior glenoid bumper. All patients were assessed via telephone interview at a mean of 116 months after surgery (7–13-year follow-up). Results: Postoperatively, the mean Constant score was 94, mean Rowe score was 93 and mean Walch–Duplay score was 89. 89% of patients resumed their preinjury sport activities, with 61% of patients achieving preinjury levels and most professional athletes returning to full activity. Seven patients had recurrent dislocation postoperatively (10% failure rate). Of these patients, three had revision arthroscopic stabilization, one patient had revision arthroscopic stabilization with remplissage, two had a Latarjet procedure, whereas one patient decided to seek no further treatment. Conclusion: The long-term results of PST are promising, with a low failure rate, high patient satisfaction and a high rate of return to sport. Level of evidence: Level IV; Case series; Treatment study.
KW - Arthroscopic
KW - Bankart repair
KW - Instability
KW - Long-term follow-up
KW - Shoulder
UR - http://www.scopus.com/inward/record.url?scp=85141572468&partnerID=8YFLogxK
U2 - 10.1007/s00590-022-03426-5
DO - 10.1007/s00590-022-03426-5
M3 - Article
C2 - 36350404
AN - SCOPUS:85141572468
SN - 1633-8065
VL - 33
SP - 2317
EP - 2323
JO - European Journal of Orthopaedic Surgery and Traumatology
JF - European Journal of Orthopaedic Surgery and Traumatology
IS - 6
ER -