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Factors Associated with Anchor-Number Preference Among Orthopedic Surgeons Performing Bankart Repair in Saudi Arabia: A Cross-Sectional Survey

Year: 2026

Type: article

Abstract: Objective: This study described anchor-number preferences among orthopedic surgeons performing arthroscopic Bankart repair in Saudi Arabia and explored unadjusted associations with surgeon- and practice-related characteristics. Methods: A cross-sectional electronic survey used purposive recruitment across five Saudi regions. Descriptive analyses included 71 respondents. Because ‘Both’ represented case-dependent use rather than a discrete anchor count, these three responses were reported descriptively and excluded from inferential comparisons; exact analyses compared 1–2 anchors (n = 18) with 3–4 anchors (n = 50). Fisher–Freeman–Halton exact tests, Cramér’s V, and bootstrap 95% confidence intervals were reported. Results: Fifty surgeons (70.4%; 95% CI: 59.0–79.8%) reported usually using 3–4 anchors. In exploratory unadjusted analyses, anchor-number preference was associated with annual Bankart-repair volume (exact p = 0.021; Cramér’s V = 0.371, 95% CI: 0.194–0.548) and hypothetical future preference when cost and other factors were not considered (exact p = 0.044; Cramér’s V = 0.298, 95% CI: 0.068–0.529). Other assessed associations were nonsignificant. Tear size and extent was the most frequently reported consideration (95.8%). Conclusions: Most respondents preferred 3–4 anchors, and tear size/extent was the most frequently reported consideration. The observed associations were exploratory and unadjusted and did not establish independent determinants, cost effects on actual practice, superior stabilization, or guideline recommendations.

Source: Healthcare

DOI: 10.3390/healthcare14193304