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All-suture 봉합 나사와 고전적 봉합 나사 간의 방카르트 봉합술 결과 비교: 체계적 문헌고찰 및 메타분석
이효열 ( Hyo Yeol Lee ),김태훈 ( Tae Hoon Kim ),김민극 ( Min Geuk Kim ) 국군의무사령부 2021 대한군진의학학술지 Vol.52 No.1
Objective; The aim of this meta-analysis was to compare the result between All-suture anchors and conventional screwin anchors for Bankart repair, in terms of biomechanical properties and outcomes. Method; MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, and SCOPUS electronic databases for articles published up until July 2020 were searched to find relevant articles comparing biomechanical properties of all-suture anchor versus conventional screw-in anchor for Bankart repair. Data searching, extraction, analysis, and quality assessment were performed according to Cochrane Collaboration guidelines. The biomechanical outcomes were evaluated using various outcome values such as stiffness, ultimate load to failure, elongation and displacement. Results are presented as mean difference (MD) or weighted mean difference (WMD) for continuous outcomes with 95% confidence intervals (CI). Result; Five biomechanical studies were included. No significant biomechanical differences between All-suture anchors and conventional screw-in anchors were found regarding ultimate load to failure (MD=33.21; 95% Confidence Interval[CI], -10.68 to 77.09; I2=88%), Displacement (WMD = -0.70; 95% CI, -1.71 to 0.30; I2 = 85%), and stiffness (WMD=0.24; 95% CI, -0.54 to 1.01; I2=76%). The most common mode of failure for both types of anchor was anchor pullout. Conclusion; Compared to conventional screw-in anchors, All-suture anchors showed no significant differences regarding biomechanical outcomes. All-suture anchors could replace conventional screw-in anchors when used in Bankart repair.