Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 10 2 2024 06 30 60 4 Ravindra Chauhan Command Hospital, Lucknow Ashish Pande Command Hospital, Lucknow Dilip Shaktawat Command Hospital, Lucknow Aditya Dwivedi Command Hospital, Lucknow Shijo Thomas Command Hospital, Lucknow 2023 06 26 2024 06 30 Background: The soft tissue in the shoulder plays a significant role in anterior shoulder instability, leading to humeral head displacement from the glenoid fossa. Arthroscopic Bankart repair is a widely accepted method to restore the labrum to the joint rim. This study aims to evaluate the clinical outcomes of Bankart repair by knotless suture anchors at medium-term follow-up, assess the functional outcomes of the knotless suture anchor method for recurrent anterior glenohumeral instability, and conduct clinical assessment using the Rowe score at 6-week, 3-month, 6-month, and 12-month intervals in patients. Methods: In this retrospective study, patients who underwent arthroscopic Bankart repair using a 2.8 mm knotless suture anchor (MINI-VIM PK®) were enrolled. They were assessed for shoulder stability, range of motion (ROM), and functional outcomes using the Rowe scale at the baseline, 6-week, 3-month, 6-month, and 12-month follow-up intervals as part of the planned early efficacy measures. All the statistical analyses were performed using SPSS software. Results: The mean age of the subjects was 28.10 ± 6.14. In this trial, 51 patients (69.86%) were diagnosed with recurrent shoulder dislocation on the left side, and 22 patients (30.14%) on the right side. The Rowe score demonstrated a significant improvement (P < 0.0001), increasing from 44.73 ± 1.64 to 95.62 ± 18.33 at the 12-month follow-up period. This indicated better clinical outcomes and reduced recurrence of instability with the use of knotless suture anchors. Conclusion: The use of knotless suture anchors demonstrated reduced recurrence rates, improved post-operative shoulder motion, and increased stability without adding complexity to the procedure. https://jost.tums.ac.ir/index.php/jost/article/view/515 https://jost.tums.ac.ir/index.php/jost/article/download/515/365