Arthrosis of glenohumeral joint after arthroscopic Bankart repair: a long-term follow-up of 13 years

Kavaja, Lauri; Pajarinen, Jukka; Sinisaari, Ilkka; Savolainen, Vesa; Björkenheim, Jan-Magnus; Haapamäki, Ville; Paavola, Mika

doi:10.1016/j.jse.2011.04.023

Cited by 56 publications

(51 citation statements)

References 45 publications

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“…Factors associated with development of degenerative disease included increased age at onset of symptoms and surgery; a longer time from occurrence to surgery; and the average number of preoperative instability episodes, which was also found to be significantly higher in those with severe osteoarthritis. 3 In this study, 52% of patients developed degenerative changes a mean of 12 years (range, [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] after their index dislocation. The majority had anterior instability and exhibited severe symptoms that required definitive surgery.…”

Section: Discussionmentioning

confidence: 96%

The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience

Thangarajah

Lambert

2015

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 96%

The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience

Thangarajah

Lambert

2015

Journal of Shoulder and Elbow Surgery

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“…In fact, age at time of surgery is the most consistent risk factor in the literature to date. 5,6,10,12,14,19 This finding may be related to the normal aging process, because older patients have a higher incidence of arthritis than younger patients. However, primary glenohumeral osteoarthritis is a rare condition, and given the strong correlation of osteoarthritis and age within this study, it is evident that an older joint is more susceptible to secondary dislocation arthropathy.…”

Section: Discussionmentioning

confidence: 99%

“…In 2010, Castagna et al 7 reported mild to moderate degenerative changes in 12 of 30 patients (39%) after arthroscopic suture anchor Bankart repair at an average follow-up of 10.9 years. More recently, Privitera et al 27 and Kavaja et al 19 provided long-term radiographic data on arthroscopic Bankart repair using bioabsorbable tacks.…”

mentioning

confidence: 99%

Prevalence of and Risk Factors for Dislocation Arthropathy

et al. 2015

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At an average 13 years after arthroscopic Bankart repair, osteoarthritic changes are a common finding and, overall, are comparable with reports in the literature regarding open procedures as well as nonoperative treatment. The extent of trauma sustained during preoperative dislocations and the age of the patient seem to be more relevant for long-term dislocation arthropathy than the kind of treatment. Accordingly, the study hypothesis must be rejected. Avoiding preoperative dislocations is more important for the prevention of osteoarthritis than short-term treatment. The number of anchors used was found to be a predictor for long-term development of osteoarthritis.

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“…Hovelius et al reported an 11% rate of mild and a 9% rate of moderate OA 10 years following primary dislocation [42]. One study found mild to severe OA in 50 out of 74 shoulders [43]. In an 8-year follow-up study by Francheschi et al, the most common risk factors for OA after arthroscopic Bankart repairs were older age at first dislocation, increased length of time from first injury to surgery, increased number of anchors used, and the degenerative state of the labrum at time of surgery, indicating that factors other than quality of repair likely contribute to development of OA [44].…”

Section: Complicationsmentioning

confidence: 99%

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. Recent Findings Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. Summary When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.

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Arthrosis of glenohumeral joint after arthroscopic Bankart repair: a long-term follow-up of 13 years

Cited by 56 publications

References 45 publications

The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience

The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience

Prevalence of and Risk Factors for Dislocation Arthropathy

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

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