Evaluation of arthroscopic Bankart repair in recurrent shoulder dislocation

Authors

  • R. G. Asutosh Mohapatra Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India
  • Jitendra Kumar Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20192683

Keywords:

Arthroscopic, Bankart, Shoulder, Dislocation

Abstract

Background: Our aim was to study the surgical and functional outcome and postoperative shoulder motion following, arthroscopic repair of the Bankart lesion of the shoulder with suture anchors.

Methods: This was a study of arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors in 20 patients. Most of patients had symptoms for a period ranging from 1 to 2 years and 1- 4 recurrent dislocation episodes preoperatively. Necessary radiological and haematological investigations were done. The post-operative x-rays were evaluated and the post-operative rehabilitation evaluation done at 3 weeks, 6 weeks, 12 weeks, 6 months and 1 year, for any recurrence of symptoms.

Results: In our study of 20 patients, with the mean follow up period of 12 months, the mean Rowe score post-operatively improved to 94 from a pre-operative mean score of 56.25. Out of 20 patients none had episodes of recurrent dislocation. In 15 patients 3 suture anchors were used and in 5 patients 2 suture anchors used intra operatively. The range of movement – external rotation in 90º of abduction improved in 17 patients (85%).

Conclusions: We concluded that arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors is effective in providing better shoulder function with range of movement and lower rate of recurrence.

References

Dickson JW, Devas MB. Bankart’s operation for recurrent dislocation of shoulder. J Bone Joint Surg (Br). 1957;39:114-9.

Adla DN, Shukla S, Pandey R. Clinical outcome of arthroscopic anterior stabilisation of shoulder using absorbable knotless suture anchors. J Bone Joint Surg Br. 2009;91(1):118.

Stoffelen DVC, Singhania AK, Mievis J, Reynders P. Recurrent anterior shoulder instability, Results of the glenoid based Inferior capsular shift. Acta Orthop Belg. 2004;70:112-7.

Lenters TR, Franta AK, Wolf FM, Leopold SS, Matsen FA. Arthroscopic Compared with open repairs for recurrent anterior shoulder instability. A systematic review and metaanalysis of the literature. J Bone Joint Surg Am. 2007;89:244–54.

Freedman KB, Smith AP, Romeo AA, Cole BJ, Bach BR Jr. Open Bankart repair versus arthroscopic repair with transglenoid sutures or bioabsorbable tacks for recurrent anterior instability of the shoulder: a meta-analysis. Am J Sports Med. 2004;6:1520-7.

Mohtadi NG, Bitar IJ, Sasyniuk TM, Hollinshead RM, Harper WP. Arthroscopic versus open repair for traumatic anterior shoulder instability: a metaanalysis. Arthroscopy. 2005;21:652-8.

Wolf EM, Wilk RM, Richmond JC: Arthroscopic Bankart repair using suture anchors. Oper Tech Orthop. 1991;1:184-91.

Bacilla P, Field LD, Savoie FH. Arthroscopic Bankart’s repair in a high demand patient population. Arthroscopy. 1997;13:51-60.

Webber SC. Arthroscopic suture anchor repair versus Open Bankart repair in the management of traumatic anterior glenohumeral instability. Arthroscopy. 1996;12:382.

Hoffmann F, Rief G. Arthroscopic shoulder stabilization using Mitek anchors. Knee Surg Sports Tramatol Arthrosc. 1995;3:50-4.

Tan CK, Guisasola I, Machani B. Arthroscopic Stabilization Of The Shoulder: A Prospective Randomized Study of Absorbable Versus Nonabsorbable Suture anchors. J Arthroscopic Related Surg. 2006;22(7):716-20.

Cho NS, Hwang JC, Rhee YG. Arthroscopic Stabilization In Anterior Shoulder Instability: Collition Athletes Versus Noncollision Athletes. J Arthroscopic Related Surg. 2006;22(9):947-53.

Marquardt B, Witt KA, Gotze C. Long Term Results Of Arthroscopic Bankart Repair With Bioabsorbable Tacks. Am J Sports Med. 2006;34(12),1906-10.

Tjoumakaris FP, Abboud JA, Hasan SA, Ramsey ML, Williams GR, Arthroscopic and open Bankart repairs provide similar results. Clin Orthop Relat Res. 2006;446:227-32.

Hobby J, Griffin D, Dunbar M, Boileau P. Is Arthroscopic Surgery for Stabilisation of Chronic Shoulder Instability As Effective As Open Surgery? A Systematic Review and Meta-Analysis of 62 Studies Including 3044 Arthroscopic Operations. J Bone Joint Surg (Br). 2007;89:1188-96.

Downloads

Published

2019-06-27

Issue

Section

Original Research Articles