A long-term clinical follow-up study after arthroscopic intra-articular Bankart repair using absorbable tacks

Abstract

The aim of the study was to perform an independent long-term evaluation after arthroscopic Bankart repair using absorbable tacks. We hypothesise that arthroscopic Bankart repair using absorbable tacks will result in stable shoulders. Eighty-one consecutive patients (84 shoulders) with symptomatic, recurrent, anterior, post-traumatic shoulder instability were included in the study. All the patients had a Bankart lesion. The age of the patients was 28 (15-62) years. The number of dislocations prior to surgery was five (sublux-50). The operation was performed 28 (3-360) months after the index injury by one of three surgeons with a special interest in shoulder surgery using an intra-articular arthroscopic Bankart procedure involving absorbable Suretac fixators. Seventy-six/84 (90%) of the shoulders (50 male, 23 female patients) were re-examined by two independent observers, after a follow-up period of 98 (46-129) months. In the long-term, the failure rate in terms of stability was 8/76 (11%) dislocations and a further 6/76 (8%) had experienced or had clinical signs of subluxation. The Rowe score was 91 (38-98) points at follow-up and the Constant score was 90 (56-100) points. The Constant score for the contralateral shoulder was 93 (69-100) points (P < 0.001). In the long-term, the arthroscopic Bankart procedure using Suretac fixators resulted in stable, well-functioning shoulders in the majority of patients. Eighteen per cent of the patients had experienced signs of instability during the follow-up period in terms of dislocations or subluxations.

Arthroscopic Bankart Suture-Anchor Repair

“…9,19 Concerning studies with a longer follow-up, Larrain et al 16 reported 8.3% recurrence in rugby players with traumatic anterior shoulder instability at a mean follow-up of 5.9 years. Elmlund et al 4 reported a 19% recurrence rate in a long-term clinical follow-up study after arthroscopic intra-articular Bankart repair using absorbable tacks. Marquardt et al 18 found an overall failure rate of 5.6% at a mean follow-up of 8.7 years using absorbable tacks; their results did not deteriorate over time.…”

High Variability of the Definition of Recurrent Glenohumeral Instability: An Analysis of the Current Literature by a Systematic Review

“…Zhu et al 82 49 DSA 1 (2) 2 (4) 1 (2) 4 (8) Mohtadi et al 83 87 DS 16 ( 18) 4 ( 5) 20 ( 23) Zaffagnini et al 51 49 redislocation 6 (12) 6 (12) Elmlund et al 84 76 DS 8 (11) 6 ( 8) 6 ( 8) 14 ( 18) Carreira et al 85 85 DS 4 (6) 3 ( 4) 2 (3) 7 (10) Gigis et al 102 38 DS 4 (11) 5 ( 13) Shymon et al 103 71 redislocation event and/or the need for further surgical intervention 17 (24) *Only reported on dislocations.…”

Arthroscopic Implant-Free Bone Grafting for Shoulder Instability With Glenoid Bone Loss

“…10,35,37,40,42 In cases of more complex injuries with additional glenoid bone loss, soft tissue repairs alone have been shown to be insufficient in restoring shoulder stability, and recurrence rates of up to 40% have been reported. 10,14,35,41,42 Furthermore, previous studies showed the clinical and biomechanical importance of intact glenoid anatomy for shoulder stability. 8,22,30,41,46 Relevant bony glenoid defects were reported to be prevalent in 5% to 67% of shoulders with recurrent instability, 8,12,24,33,37,38 and therefore thought to be a major factor for failure of surgical repair.…”