Analysis of the functional results of arthroscopic Bankart repair in posttraumatic recurrent anterior dislocations of shoulder

Abstract

Background:The Bankart lesion represents the most common form of labro-ligamentous injury in patients with traumatic dislocations of the shoulder leading to shoulder instability. We report the clinical outcome of arthroscopic repair of Bankart lesion in 50 patients.Materials and Methods:Sixty five patients with posttraumatic anterior dislocation of shoulder were treated by arthroscopic repair from Jan 2005 to Nov 2008. Fifty patients, with an average age of 26.83 years (range 18-45 years), were reviewed in the study. The average followup period was 27 months (range 24-36 months). University of California Los Angeles shoulder rating scale was used to determine the outcome after surgery. The recurrence rates, range of motion, as well as postoperative function and return to sporting activities were evaluated.Results:Thirty six patients (72.0%) had excellent results, whereas seven patients (14.0%) had good results. The mean pre- and postoperative range of external rotation was 80.38° and 75.18°, respectively. Eighty-six percent patients had stability compared with the normal sided shoulder and were able to return to sports. There were no cases of redislocation observed in this study; however, three cases had mild laxity of the joint.Conclusion:Arthroscopic Bankart repair with the use of suture anchors is a reliable treatment method, with good clinical outcomes, excellent postoperative shoulder motion and low recurrence rates.

Results of Arthroscopic Bankart Lesion Repair in Patients with Post-Traumatic Anterior Instability of the Shoulder and a Non-Engaging Hill-Sachs Lesion with a Suture Anchor after a Minimum of 6-Year Follow-Up

“…However, the results obtained and presented in this paper contradict the validity of this approach to the treatment of shoulder joint instability. It is our opinion, and it has been corroborated by data from other authors, that arthroscopic treatment using suture anchors is just as effective and is not associated with a higher incidence of recurrences, while its advantages include its low invasiveness and quick resumption of pre-surgery activity levels [ 14 , 15 , 37 ]. We realize the limitations of our study.…”

Variability of Reporting Recurrence After Arthroscopic Bankart Repair: A Call for a Standardized Study Design

“…The criteria for recurrence after surgery have been defined by an assortment of indications, ranging from the exclusive occurrence of dislocations 4,16,57 to studies considering recurrence by additional means of instability, including dislocations or subluxations, 11,19,70 or further by the inclusion of apprehension or feelings of pain or instability. 47,61,68…”

Why do patients with anterior shoulder instability not return to sport after surgery? A systematic review of 63 studies comprising 3545 patients

“…Of these 381 studies, 333 did not meet the inclusion criteria in the end, leaving 63 studies for inclusion, comprising 3545 patients. 3 , 4 , 5 , 8 , 10 , 11 , 12 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 22 , 24 , 25 , 26 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 39 , 40 , 42 , 45 , 46 , 47 , 48 , 50 , 51 , 52 , 53 , 54 , 56 , 57 , 58 , 59 , 60 , 62 , 63 , 64 , 65 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 81 , 84 , 86 , 88 , 89 , 90 A flow chart diagram listing the reasons for exclusion is displayed in Figure 1 . Forty-nine retrospective studies and ten pros...…”