Comparison of Arthroscopic Bankart Repair Using Double Loaded Grand Knot Technique Versus Double Loaded Knotted Suture Anchor

NCT06394609 | Completed DMC

• 1 other identifier: N-472-2018
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Arthroscopic surgery is the preferred method to fix a Bankart lesion (tears in the labrum) and has better patient outcomes. It\'s important to assess any bone loss in the shoulder socket before surgery for a successful outcome. Using suture anchors to reattach the torn tissue is advantageous because it avoids going through the back of the shoulder. The article describes a specific technique for tying the sutures and anchor placement to minimize nerve and artery damage. Design of the suture anchor and how the suture is placed can affect its strength. Using two sutures per anchor (double-loaded) might be just as strong as using three anchors with one suture each (single-loaded), which is more common. This could save cost and bone but needs further study. The study proposes a new surgical technique using double-loaded anchors with more sutures to see if it offers similar strength while reducing implant use.

Conditions

Arthroscopic Bankart Repair

Keywords

Arthroscopic Bankart Repair; double loaded Grand Knot Technique; Double loaded knotted suture Anchor; traumatic anterior shoulder instability

Outcome Measures

Primary Outcomes (1)

• Constant score

  12 months

Secondary Outcomes (2)

• ASES Shoulder Score

  12 months

• Rowe score

  12 months

Study Arms (1)

double loaded knotted suture anchor

EXPERIMENTAL

arthroscopic bankart repair by using double loaded knotted suture anchor

Other: double loaded knotted suture anchor; Other: double grand knot

Interventions

double loaded knotted suture anchor OTHER

arthroscopic bankart repair by using double loaded knotted suture anchor

double loaded knotted suture anchor

double grand knot OTHER

arthroscopic bankart repair by using double grand knot

double loaded knotted suture anchor

Eligibility Criteria

• Age: 18 Months+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with recurrent anterior glenohumeral subluxation or dislocation after an initial episode of traumatic anterior shoulder dislocation, a Bankart lesion confirmed by arthroscopic examination and Magnetic resonance imaging (MRI)

You may not qualify if:

• Significant bony pathology (bony bankart)
• Poor quality capsule-labral tissue
• Multi directional instability
• Ligamentous laxity
• ALPSA lesion
• Hillsachs lesion more than 10 %

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Medicine, Cairo University

Giza, Egypt

Location

Related Publications (1)

• Rashwan AS, Amin AQ, Zawam SH, Soliman AM, El-Desouky M. Arthroscopic Bankart repair using trans-glenoid double-loaded grand knots versus double-loaded suture anchors; is there a difference? a randomized controlled study. BMC Musculoskelet Disord. 2025 Mar 21;26(1):280. doi: 10.1186/s12891-025-08477-3.

  PMID: 40114187 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Patients with recurrent anterior glenohumeral subluxation or dislocation after an initial episode of traumatic anterior shoulder dislocation, a Bankart lesion confirmed by Magnetic resonance imaging (MRI) and arthroscopic examination. We would like to report the 12 months clinical outcomes of double loaded grand knot technique and knotted double loaded anchor used in traumatic anterior dislocations of the shoulder

Study Record Dates

• First Submitted: April 28, 2024
• First Posted: May 1, 2024
• Study Start: December 1, 2018
• Primary Completion: April 30, 2023
• Study Completion: April 30, 2023
• Last Updated: May 1, 2024

Record last verified: 2024-04

Locations

EG (1)