Arthroscopic stabilization of anterior shoulder instability using a single anterior portal

Armangil, Mehmet; Basat, Hakkı Çağdaş; Akan, Burak; Karaduman, Mert; Demirtaş, Mehmet

doi:10.3944/aott.2015.14.0035

Cited by 9 publications

(13 citation statements)

References 20 publications

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“…Moreover, in some studies, much higher rates of postoperative recurrent shoulder dislocation have been reported. 7 In other studies, similar clinical results to those of open procedures have been reported. 13 , 14 Single anterior portal application that we perform at our clinic provides several advantages in this sense compared with double anterior portal, which has been the classic technique for surgical treatment of the shoulder for many years.…”

Section: Discussionsupporting

confidence: 73%

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Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?

Çıçek¹,

Tuhanioğlu²,

Oğur³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to compare single and double anterior portal techniques in the arthroscopic treatment of traumatic anterior shoulder instability.MethodsA total of 91 cases who underwent arthroscopic Bankart repair for anterior shoulder instability were reviewed. The patients were divided into 2 groups as Group 1 (47 male and 2 female; mean age: 25.8 ± 6.8) for arthroscopic single anterior portal approach and Group 2 (41 male and 1 female; mean age: 25.4 ± 6.6) for the classical anterior double portal approach. The groups were compared for clinical scores, range of motion, analgesia requirement, complications, duration of surgery, cost and learning curve according to a short questionnaire completed by the relevant healthcare professionals.ResultsNo statistically significant difference was found between the 2 groups in terms of pre-operative and post-operative Constant and Rowe Shoulder Scores, range of motion and complications (p > 0.05). In Group 2 patients, the requirement for post-operative analgesics was significantly higher (p < 0.001), whereas the duration of surgery was statistically significantly shorter in Group 1 (p < 0.001). In the assessment of the questionnaire, it was seen that a single portal anterior approach was preferred at a higher ratio (p = 0.035). The cost analysis revealed that the cost was 5.7% less for patients with a single portal.ConclusionIn the arthroscopic treatment of traumatic anterior shoulder instability accompanied by a Bankart lesion, the anterior single portal technique is as successful in terms of clinical results as the conventional double portal approach. The single portal technique has advantages such as less postoperative pain, a shorter surgical learning curve and lower costs.Level of EvidenceLevel III, Therapeutic study.

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Section: Discussionsupporting

confidence: 73%

“…Successful results observed in studies of anterior instability treatment using single anterior portal without the need for an additional portal have been published in literature. 6 , 7 …”

mentioning

confidence: 99%

Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?

Çıçek¹,

Tuhanioğlu²,

Oğur³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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“…These techniques rely on using as many anchors as possible to “spot weld” the detached anterior labrum to the glenoid. As a result more “spots” lead to stronger repair and less than 2 anchors can cause failure [5, 14, 15]. …”

Section: Discussionmentioning

confidence: 99%

“…[5, 6] The idea of using a single anchor and adapt the open vertical apical suture technique described by S. Copeland [7] in the form of “purse- string” technique was first described in 2006 by O. Levy [8] and was found to be at least as successful as multiple anchor techniques [9].…”

Section: Introductionmentioning

confidence: 99%

The “Purse-string” Technique for Shoulder Stabilization, Description of the Technique, Long term Results and Literature Review

Arealis

Rodrigues

Hope

et al. 2017

TOORTHJ

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Background:Over the last 2 decades arthroscopic stabilization and Bankart repair has gained popularity due to the advances in materials and surgical techniques. Results of arthroscopic stabilization have been similar to open without the risks of it. The number of anchors used has been suggested to be very important in “spot-weld” arthroscopic stabilization however the “purse-string” technique (PST) can achieve similar results using only one anchor.We describe technique and long term results from using the PST and search the literature for other papers regarding PST.Methods:Between 2003 and 2013 a total of 193 patients were operated. Patients included those with anterior instability. Using PubMed relevant studies reporting results of PST were identified.Results:Mean follow up was 2 (range 0.5 to 3) years. 9 (4.7%) patients experienced recurrent instability. Almost all patients (97%) returned to their sporting and leisure activities and all professional athletes went back to the same sport. One more UK centre reported 6.1% recurrence in 114 patients at 4 years follow up. These results are similar to the published 11% recurrence of instability after “spot-weld” arthroscopic techniques at 11 years clinical follow-up.Conclusion:This study indicates that PST is safe and effective alternative method for the treatment of anterior shoulder instability. In this technique with one anchor simultaneous repair of labrum, creation of an anterior bumper and capsular shift can be achieved. It has the advantage of being cheaper, faster yet efficient with good long term results and leaves space for revision anchors in case of recurrence.

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“…This also can be associated with lower patient morbidity. 3,[8][9][10] In sports medicine, we continue to try to provide improved outcomes by decreasing size and number of incisions, and in this technique we describe a single-incision anterior labrum repair without the need for a posterior incision. Our technique uses the NanoScope (Arthrex, Naples, FL) to eliminate the posterior portal, achieving a single-incision arthroscopic anterior labrum repair.…”

mentioning

confidence: 99%

Nanoscopic Single-Incision Anterior Labrum Repair

Lavender

Lycans

Kopiec

et al. 2020

Arthroscopy Techniques

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Arthroscopy frequently has been used to treat a variety of shoulder conditions, including anterior labrum tears. Anterior labrum repair techniques have progressed from multiple incision techniques to most recently a single anterior working portal with a posterior viewing portal. With the development of the NanoScope (Arthrex, Naples, FL), we do not need to make a standard portal for viewing purposes. In this article, we describe the single-incision anterior labrum repair bypassing the need for a posterior skin incision. The removal of this incision and portal should result in less fluid needed and less swelling. We hope this leads to less pain and improved patient outcomes.

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Arthroscopic stabilization of anterior shoulder instability using a single anterior portal

Cited by 9 publications

References 20 publications

Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?

Single anterior portal: A better option for arthroscopic treatment of traumatic anterior shoulder instability?

The “Purse-string” Technique for Shoulder Stabilization, Description of the Technique, Long term Results and Literature Review

Nanoscopic Single-Incision Anterior Labrum Repair

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