Clinical outcome of Bankart repair with remplissage for recurrent shoulder dislocation with less than 20% glenoid bone loss

Prathamesh Hanchinal; Rajesh B. Naik

doi:10.18203/issn.2455-4510.IntJResOrthop20251793

Authors

Prathamesh Hanchinal Department of Orthopedics, KLE Jagadguru Gangadhar Mahaswamigalu Moorsavirmath Medical College and Hospital, Hubli, Karnataka, India
Rajesh B. Naik Department of Orthopedics, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251793

Keywords:

Anterior shoulder instability, Arthroscopic repair, Bankart’s repair, Quick DASH score, ROWE score, Suture anchors

Abstract

Background: The goal was to assess the functional result and recurrence rate of anterior shoulder instability after arthroscopic Bankart’s surgery with Remplissage.

Methods: This was a prospective study on 30 patients who were operated with arthroscopic Bankart’s repair between April 2022 to March 2024. Pre-op scores and regular follow-up scores were taken using ROWE score, ASES score and Quick DASH for minimum duration of 6 months post-op to assess functional outcome.

Results: Mean VAS score improved from pre-op value of 7.2 to post-op value of 1.8 at the end of 6 months follow-up. Mean ROWE score improved from pre-op value of 24.6 to post-op value of 91.1 at the end of 6 months follow-up. Mean Quick DASH score improved from pre-op value of 44 to post-op value of 11.4 at the end of 6 months follow-up.

Conclusions: We conclude that the arthroscopic Bankart repair with Remplissage surgery is a beneficial and efficient remedy for anterior shoulder instability. Identifying and choosing the right patient is still crucial to the repair’s effectiveness.

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References

Yan H, Cui GQ, Wang JQ, Yin Y, Tian DX, Ao YF. Arthroscopic Bankart repair with suture anchors: results and risk factors of recurrence of instability. Zhonghua Wai Ke Za Zhi. 2011;49(7):597-602.

Dickson JW, Devas M. Bankart’s operation for recurrent dislocation of shoulder. J Bone Joint Surg. 1957;39:114-9. DOI: https://doi.org/10.1302/0301-620X.39B1.114

Wolf EM, Wilk RM, Richmond JC. Arthroscopic Bankart repair using suture anchors. Oper Tech Orthop. 1991;1:184-91. DOI: https://doi.org/10.1016/S1048-6666(05)80030-8

Matthews LS, Vetter WL, Oweida SJ, Spearman J, Helfet DL. Arthroscopic staple capsulorrhaphy for recurrent anterior shoulder instability. Arthroscopy. 1988;4(2):106-11. DOI: https://doi.org/10.1016/S0749-8063(88)80076-8

Kim SJ, Jung M, Moon HK, Chang WH, Kim SG, Chun YM. Is the transglenoid suture technique recommendable for recurrent shoulder dislocation? A minimum 5-year follow-up in 59 non-athletic shoulders. Knee Surgery, Sport Traumatol Arthrosc. 2009;17(12):1458-62. DOI: https://doi.org/10.1007/s00167-009-0748-6

Kaar TK, Schenck RC, Wirth MA, Rockwood CA. Complications of metallic suture anchors in shoulder surgery: a report of 8 cases. Arthroscopy. 2001;17(1):31-7. DOI: https://doi.org/10.1053/jars.2001.18246

Dhawan A, Ghodadra N, Karas V, Salata MJ, Cole BJ. Complications of bioabsorbable suture anchors in the shoulder. Am J Sports Med. 2012;40(6):1424-30. DOI: https://doi.org/10.1177/0363546511417573

Cole BJ, Warner JJ. Arthroscopic versus open Bankart repair for traumatic anterior shoulder instability. Clin Sports Med. 2000;19(1):19-48. DOI: https://doi.org/10.1016/S0278-5919(05)70294-5

Tan CK, Guisasola I, Machani B, Kemp G, Sinopidis C, Brownson P, et al. Arthroscopic stabilization of the shoulder: a prospective randomized study of absorbable versus nonabsorbable suture anchors. Arthroscopy. 2006;22(7):716-20. DOI: https://doi.org/10.1016/j.arthro.2006.03.017

Marquardt B, Witt KA, Götze C, Liem D, Steinbeck J, Pötzl W. Long-term results of arthroscopic Bankart repair with a bioabsorbable tack. Am J Sports Med. 2006;34(12):1906-10. DOI: https://doi.org/10.1177/0363546506290404

Tjoumakaris FP, Abboud J, Michener T, Hasan A, Rogers K, Ramsey M, et al. Equivalent patient assessed outcomes between arthroscopic and open bankart repair (SS-04). Arthroscopy. 2006;22(6):e2-3. DOI: https://doi.org/10.1016/j.arthro.2006.04.006

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(9):1188-96. DOI: https://doi.org/10.1302/0301-620X.89B9.18467

Sharma P, Chaudhary D, Mishra A. Analysis of the functional results of arthroscopic Bankart repair in posttraumatic recurrent anterior dislocations of shoulder. Indian J Orthop. 2012;46(6):668-74. DOI: https://doi.org/10.4103/0019-5413.104205

Sugaya H, Moriishi J, Kanisawa I, Tsuchiya A. Arthroscopic osseous Bankart repair for chronic recurrent traumatic anterior glenohumeral instability. Surgical technique. J Bone Joint Surg Am. 2006;88(Suppl 1 Pt 2):159-69. DOI: https://doi.org/10.2106/JBJS.F.00319

Kamath GV, Hoover S, Creighton RA, Weinhold P, Barrow A, Spang JT. Biomechanical analysis of a double-loaded glenoid anchor configuration: can fewer anchors provide equivalent fixation? Am J Sports Med. 2013;41(1):163. DOI: https://doi.org/10.1177/0363546512469090

Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am. 2006;88(8):1755-63. DOI: https://doi.org/10.2106/JBJS.E.00817

Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Hill-Sachs remplissage: an arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2008;24(6):723-6. DOI: https://doi.org/10.1016/j.arthro.2008.03.015

Connolly JF. Humeral head defects associated with shoulder dislocations: their diagnostic and surgical significance. Instr Course Lect. 1972;21:42-54.