A comparative study on use of two versus three double-loaded suture anchors in arthroscopic Bankart repair

Abstract

Traumatic anterior instability or dislocation of the shoulder joint usually results in avulsion of the anterior inferior labrum. Bankart defined this lesion as the essential lesion of shoulder instability. [1] Recently, arthroscopic Bankart repair has been frequently performed for anterior shoulder instabilities, and the results similar to those for open surgical repair have been reported. [2] Different types of suture anchors are used in arthroscopic Bankart repair. Currently, metallic, bioabsorbable, double-loaded or single-loaded, and knotless suture anchors are available. There is no standardization for the number of suture anchors to be used in arthroscopic Bankart repair. The number and type of suture anchors used depend on the surgeon's knowledge and experience. Although there is no definite number of suture anchors required in arthroscopic Bankart repair, a minimum of three suture anchors have been recommended in many publications. [3][4][5] Although the use of three or Objectives: This study aims to compare clinical results of repair using two versus three double-loaded suture anchors in arthroscopic Bankart repair.

"Arthroscopic Soft Tissue Stabilization as a Primary Procedure for Shoulder Instability"

“…The interval between the first dislocation and the time of surgery did not seem to play a critical role in the failure of the with arthroscopic stabilisation in terms of return to sport and proprioception however there remain a higher redislocation rate with arthroscopic stabilisation [16]. A retrospective cohort study, by Blona at el, showed that the arthroscopic Bankart procedure was inferior to the open Latarjet procedure for repair of recurrent anterior shoulder dislocation [17].…”

Evaluation of the anterior shoulder instability using ultrasound shear wave elastography

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Anterior shoulder instability is the most common form of shoulder instability and is seen in 1.7 to 2% of the general population. [1][2][3] Traumatic shoulder instability or dislocation is often seen as an avulsion of the anterior inferior labrum and the lesion is called Bankart lesion. [4] Static factors such as the glenoid labrum, capsuloligamentous structures, bone formations forming the joint, dynamic factors such as the muscles forming the shoulder girdle, negative intra-articular pressure, and joint adhesion-cohesion forces stabilize the glenohumeral joint.

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