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Repair of type-2 SLAP lesions using Corkscrew anchors

A preliminary report of the clinical results

  • Shoulder
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The aim of the study was to perform a clinical assessment of patients who had undergone arthroscopic repair of a type-2 SLAP lesion using one double-looped Corkscrew anchor. Fifteen consecutive patients who agreed to fill in a pre- and post-operative questionnaire were included in the study. The aetiology was traumatic in 10/15 patients and non-traumatic in 5/15. At the index operation four patients underwent a concomitant acromioplasty, while four patients underwent supplementary anterior labrum fixation using suture anchors. Thirteen/15 (87%) of the patients were physically re-examined by independent observers after a follow-up period of 25 months (11–32). The questionnaire involved a patient-administered assessment of ten common activities of daily living. At follow-up, the Rowe score was 84 points (51–98) and the Constant score was 83 points (35–100). The external rotation in abduction was 85° (60–110) on the operated side and 90° (80–110) on the non-operated side (p<0.05). The isometric strength in abduction was 8.3 kg (0.8–14.4) on the operated side and 8.9 kg (2.7–15.5) on the non-operated side (p=0.006). Significant improvements (p<0.05) compared with the pre-operative assessments were found in 2/10 activities of daily living. Another 4/10 activities seemed to improve but did not reach statistical significance (p<0.08). Eleven of 15 patients returned to their pre-injury activity level. In conclusion, the majority of patients returned to their pre-injury activity level and the subjective patient-administered evaluations appeared to improve after arthroscopic repair of type-2 SLAP lesions using one double-looped Corkscrew anchor. We feel encouraged to continue using this technique.

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Acknowledgement

This study was supported by grants from the Australian Institute of Musculo-Skeletal Research and the Department of Research and Development at Norra Älvsborg/Bohus County Council, Sweden.

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Authors and Affiliations

  1. Department of Orthopaedics, NÄL-Hospital, 461 85 , Trollhättan, Sweden

    Jüri Kartus

  2. City Physiotherapy, Trollhättan, Sweden

    Catarina Kartus

  3. North Sydney Orthopaedic and Sports Medicine Center, Sydney, Australia

    Jüri Kartus, Harry Brownlow, Greggory Burrow & Mark Perko

  4. Department of Orthopaedics, Royal Berkshire Hospital, Reading, UK

    Harry Brownlow

Authors
  1. Jüri Kartus
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  2. Catarina Kartus
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  3. Harry Brownlow
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  4. Greggory Burrow
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  5. Mark Perko
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Correspondence to Jüri Kartus.

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Kartus, J., Kartus, C., Brownlow, H. et al. Repair of type-2 SLAP lesions using Corkscrew anchors. Knee Surg Sports Traumatol Arthrosc 12, 229–234 (2004). https://doi.org/10.1007/s00167-003-0462-8

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  • DOI: https://doi.org/10.1007/s00167-003-0462-8

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