Arthroscopic bankart repair in the traumatic anterior shoulder dislocation

Key Findings & Data:Material and Method: 16 patients who were performed arthroscopic Bankart repair due to recurrent anterior shoulder dislocation were included in the study.

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Conclusion & Impact:Increased number of preoperative dislocations may increase the frequency of redo surgery; this should be kept in mind for these patients.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: To analyze the results of arthroscopic Bankart repair for recurrent anterior shoulder dislocations. Material and Method: 16 patients who were performed arthroscopic Bankart repair due to recurrent anterior shoulder dislocation were included in the study. There were four females and 12 males. X ray and Magnetic resonans imaging was admitted for all patients. Results were evaluated according to Rowe and Constant scores. Results: The mean number of dislocations was 10.2, mean Rowe score was 90.6 and mean Constant score was 94.3. Concomitant superior labral anterior and posterior repair was performed for two patients. Three patients had Hill Sachs defects and three patients had defects on the glenoid rim. One patient was detected with traumatic redislocation 15 months after the operation and was reoperated. One patient was reoperated because of intraarticular penetration of the anchor. Mean follow up time was 32.6 months. Conclusion: Arthroscopic bancart repair has good clinical outcome. Increased number of preoperative dislocations may increase the frequency of redo surgery; this should be kept in mind for these patients.

Özet

Amaç: Tekrarlayan anterior omuz çıkığı tedavisinde yapılan artroskopik bankart tamiri sonuçları tar- tışıldı. Gereç ve Yöntem: Tekrarlayan omuz çıkığı nedeni ile artroskopik bankart tamiri yapılan 16 hasta değerlendirmeye alındı. Dört hasta bayan, 12 hasta erkekti. Tüm hastalara direkt radyografi ve man- yetik rezonans görüntüleme yapıldı. Sonuçlar Rowe ve Constant skoru ile değerlendirildi. Bulgular: Ortalama çıkma sayısı 10.2, ortalama Rowe skoru 90.6 ve ortalama Constant skoru 94.3 bulundu. İki hastada eşlik eden süperior labral anterior ve posterior tamir yapıldı. Üç hastada Hill Sachs defekti, üç hastada ise glenoid kenarda defekt mevcuttu. Bir hastamızın ameliyattan 15 ay sonra yeni travma sonrası nüks omuz çıkığı görüldü; tekrar opere edildi. Bir hastamıza vida eklem içi penetrasyonu nedeni ile revizyon yapıldı. Ortalama takip süresi 32.6 aydı. Sonuç: Artroskopik Bankart tamirinin klinik sonuçları iyidir. Ameliyat öncesi çıkık sayısı fazla olan hastalarda revizyon cerrahisine ihtiyaç olabilir; dikkatli olunmalıdır.

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Cite This Article

KAYA, İ., ERTÜRK, A., UĞRAŞ, A., BAYRAM, E., SUNGUR, İ., YILMAZ, M., ORDU, S., ÇETİNUS, E. (2013). Arthroscopic bankart repair in the traumatic anterior shoulder dislocation. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 47 - Sayı: 2, 83–86. https://ajindex.com/articles/363789

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