title: Simple versus horizontal suture anchor repair of Bankart lesions: which better restores labral anatomy?
abstract: OBJECTIVE
  The goal of this study was to determine which suture repair technique better restores glenoid labrum height: horizontal sutures or simple sutures.
  
  
  METHODS
  Sixteen cadaveric glenoids, 8 per repair technique, were used to measure native labral height at the 3:00 to 6:00 positions in half-hour increments. A Bankart lesion was then created from 3:00 to 6:30. Height measurements at each time point were again taken after creation of the Bankart lesion. Repair with a 3-mm knotted suture anchor was then performed at 3:30, 4:30, and 5:30 with either a simple or horizontal suture technique, and postrepair heights were measured across all time points.
  
  
  RESULTS
  Significant decreases in height, as compared with native height, were observed at 3:30, 4:30, and 5:30 in the simple repair group. Decreases in height of 1.4 mm (P = .044), 2.1 mm (P = .030), and 1.1 (P = .034) were observed at 3:30, 4:30, and 5:30. There was no significant decrease in height at these respective time points in the horizontal repair group.
  
  
  CONCLUSIONS
  The in vitro horizontal mattress suture technique better restores labral height and anatomy when compared with a simple suture technique in the repair of acute Bankart lesions.
  
  
  CONCLUSIONS
  Compared with the simple suture technique, horizontal suture repair may provide increased stability to the glenohumeral construct.
authors.affiliation: Department of Orthopedic Surgery, University of Buffalo, Buffalo, New York 14215, USA. Elect lindseyhagstrom@gmail.com
authors.forename: Lindsey S
authors.initials: LS
authors.lastname: Hagstrom
authors.forename: John M
authors.initials: JM
authors.lastname: Marzo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001182:Arthroscopy; D001696:Biomechanical Phenomena; D002102:Cadaver; D005260:Female; D051445:Fibrocartilage / Q000033:anatomy & histology / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000033:anatomy & histology / Q000293:injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery*; D053441:Suture Anchors; D013536:Suture Techniques