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Journals / Acta Orthopaedica et Traumatologica Turcica / 2019 / Cilt: 53 - Sayı: 4

Can capsular plication compensate the lack of one suture anchor in an arthroscopic three suture anchor Bankart repair? A comparative study

NURİ AYDIN
BEDRİ KARAİSMAİLOĞLU
Emir HARBİYELİ
MAHMUT KÜRŞAT ÖZŞAHİN
Pages
266–271
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Higher recurrence rate despite the shorter average followup of group B suggests that two anchor usage might not be sufficient for Bankart repair in terms of better stability and less recurrence risk.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of thisstudywas tocomparethe complication ratesand clinical resultsof labralrepair with two suture anchors and capsular plication, and labral repair with three suture anchor fixation in artroscopic Bankart surgery.
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Key Findings & Data:Methods: Sixty-nine patients (60 males, 9 females; mean age: 28.2 ± 7.8 years (range: 16e50)) who had undergone arthroscopic repair of a labral Bankart lesion were evaluated.
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Conclusion & Impact:Higher recurrence rate despite the shorter average followup of group B suggests that two anchor usage might not be sufficient for Bankart repair in terms of better stability and less recurrence risk.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: The aim of thisstudywas tocomparethe complication ratesand clinical resultsof labralrepair with two suture anchors and capsular plication, and labral repair with three suture anchor fixation in artroscopic Bankart surgery. Methods: Sixty-nine patients (60 males, 9 females; mean age: 28.2 ± 7.8 years (range: 16e50)) who had undergone arthroscopic repair of a labral Bankart lesion were evaluated. Group A underwent an arthroscopic Bankart repair with three knotless suture anchors, while group B underwent a modified arthroscopic Bankart repair with two knotless suture anchors and an additional capsular plication procedure. The mean follow-up was 52.5 months. Constant Shoulder Score (CSS), Rowe Score (RS), modified UCLA Shoulder Score (mUSS) and range of motion (ROM) were used as outcome measures. Results: In both groups, a significant improvement was detected in functional outcomes at postoperative last follow-up compared to the preoperative period. No statistically significant difference was found (p > 0.05) in clinical scores (CSS; Group A: 89.7, Group B: 80.2) (RS; Group A: 88.2, Group B: 80.2) (mUSS; Group A: 26.3, Group B: 25.7) external rotation loss (At neutral; Group A: 4.5, Group B: 5.2. At abduction; Group A: 4.3, Group B: 5.7) and recurrence rates (Group A: 13.3%, Group B: 20.8%). Although the difference was not statistically significant, the recurrence rate was higher in group B (20.8%), compared to group A (13.3%), despite the shorter average follow-up time of group B (p ¼ 0.417). Conclusions: Arthroscopic repair of labral Bankart lesions with both techniques showed good functional outcomes and stability at the latest follow-up. Higher recurrence rate despite the shorter average followup of group B suggests that two anchor usage might not be sufficient for Bankart repair in terms of better stability and less recurrence risk.

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Cite This Article

AYDIN, N., KARAİSMAİLOĞLU, B., HARBİYELİ, E., ÖZŞAHİN, M. K. (2019). Can capsular plication compensate the lack of one suture anchor in an arthroscopic three suture anchor Bankart repair? A comparative study. Acta Orthopaedica et Traumatologica Turcica, Cilt: 53 - Sayı: 4, 266–271. https://ajindex.com/articles/151220

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