Editorial Commentary: Is Arthroscopic Bankart Repair Using Suture Anchors on the Glenoid Appropriate Treatment for Traumatic Anterior Shoulder Instability?

Nakagawa, Shigeto

doi:10.1016/j.arthro.2019.03.039

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…In 2018, A. Studies have shown that the number, type and size of the suture anchors and the linear arrangement of multiple anchors have important effects on postoperative glenoid fracture and recurrent shoulder instability 15 . For larger glenoid fractures, it has been reported that the use of at least three anchors during arthroscopic surgery is recommended to reduce the incidence of postoperative unstable recurrence 16,17 .…”

Section: Discussionmentioning

confidence: 99%

Double-Pulley, V-Shaped Fixation Technique for Arthroscopic Repair of Ideberg Type IA Glenoid Fracture

Sun

Rong³

et al. 2023

Preprint

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Background: Different techniques have been described for glenoid fractures, there is still a need for safe and effective agents to promote outcomes. To evaluate the clinical effect of the Double-pulley, V-shaped fixation technique under arthroscopy in the treatment of Ideberg Type IA glenoid fractures. Methods: From January 2016 to April 2021, the clinical data of 17 patients with pulley type IA fractures treated by the V-shaped fixation technique under shoulder arthroscopy were retrospectively analyzed. Preoperative X-ray, CT, and MRI examinations were completed, and the average defect area of glenoid fracture was 25%. The functional score of the shoulder joint, such as the visual analog scale (VAS), Constant score, and Modified Rowe score, was used to evaluate the preoperative and final follow-up clinical outcomes. The active shoulder range of motion (ROM) was also collected preoperatively and at the final postoperative follow-up (forward flexion and abduction). Accordingly, intraoperative and postoperative complications were also observed. Results: The mean follow-up was 49.52 months (16-79 months). The patients’ follow-up exams showed that shoulder joint flexion, abduction, external rotation, internal rotation, and pain were not significantly different from those of the contralateral side (p > 0.05). The mean Constant score was 83.52 (58-98), and the average Modified Rowe score was 94.29 (70-100). X-ray and CT films of all cases showed good healing without articular depression or steps. Three patients had traumatic arthritis, with VAS<3 pain. No postoperative complications, such as infections, nerve or vessel damage, or suture anchor problems occurred during the follow-up period. Conclusions:Using the Double-pull, V-shaped fixation technique can stabilize the reduction of glenoid fractures while reducing the possibility of bone destruction. It is a good solution and provides an opportunity to treat rotator cuff tears associated with the procedure. However, there is an extended learning curve for shoulder arthroscopy.

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Section: Discussionmentioning

confidence: 99%

Double-Pulley, V-Shaped Fixation Technique for Arthroscopic Repair of Ideberg Type IA Glenoid Fracture

Sun

Rong³

et al. 2023

Preprint

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“…The Arthroscopy Association of North America Proficiency-Based Training program, developed through the Copernicus project, emphasizes the technical steps considered essential for arthroscopic success. 2,3 They include an anterosuperior viewing portal, an anteroinferior working portal abutting the superior subscapularis border, capsulolabral mobilization allowing clear viewing of the subscapularis muscle, proper insertion of 3 anchors, 4 cannulated suture hook or retriever placement inferior to the anchor site and at or peripheral to the capsulolabral junction, and proper arthroscopic knot tying including at least 3 half hitches to reinforce the initial knot.…”

Section: See Related Article On Page 862mentioning

confidence: 99%

Editorial Commentary: Open or Arthroscopic Surgery? Practice Makes Perfect…We Do Best What We Do Most Often

Barber¹

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The reported outcomes of Bankart procedures performed after 2000 are significantly better than those reported prior to that date. The cause of this improvement can be found in adherence to the specific steps outlined in the Arthroscopy Association of North America Proficiency-Based Training program, improvements in instrumentation and implants and more appropriate patient selection. What is defined as an arthroscopic Bankart has also expanded. Patientselection criteria have also changed dramatically over the past 2 decades, reflecting a better understanding of anterior shoulder instability and altering the choice of patients who should receive arthroscopic Bankart procedures. The arthroscopic Bankart with dual suture anchor remplissage is arguably the current arthroscopic gold standard for anterior shoulder "off-track" instability.

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“… 11 Naturally, the latter approach is advantageous in terms of cost and length of surgery. Moreover, a large number of anchors inserted into the anterior glenoid rim can cause excessive non-physiological stress and subsequentially bony avulsion of the anterior glenoid, termed “postage-stamp fracture.” 12 Additional studies are required to compare the two surgical methods. There are currently not enough controlled studies to resolve this issue.…”

Section: The Risk Factorsmentioning

confidence: 99%

Management of Failed Surgery for Anterior Glenohumeral Instability: Synopsis of Clinical Evidence

Rosenberg

Hamoud

2020

Rambam Maimonides Med J

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Failed surgical treatment of anterior shoulder instability should be treated according to clinical principles similar to primary stabilization by addressing risk factors related to the damaged static glenohumeral stabilizers (labrum, capsule and its components, and bony damage to the humeral head and scapular glenoid). In relatively rare conditions when failed primary surgery involves patients with functionally low demands, conservative treatment by strengthening dynamic muscular stabilizers might be considered; otherwise, surgical revision should be strongly considered aimed at improving quality of life. Although the overall failure rate following primary and revision surgery is expected to be below 4%, it is clear that revision surgery is technically demanding. Therefore, the initial recognition and correction of the exact pathology causing glenohumeral instability is crucial to avoid failure of primary surgery and to facilitate the success of the revision procedure, if necessary.

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Editorial Commentary: Is Arthroscopic Bankart Repair Using Suture Anchors on the Glenoid Appropriate Treatment for Traumatic Anterior Shoulder Instability?

Cited by 5 publications

References 18 publications

Double-Pulley, V-Shaped Fixation Technique for Arthroscopic Repair of Ideberg Type IA Glenoid Fracture

Double-Pulley, V-Shaped Fixation Technique for Arthroscopic Repair of Ideberg Type IA Glenoid Fracture

Editorial Commentary: Open or Arthroscopic Surgery? Practice Makes Perfect…We Do Best What We Do Most Often

Management of Failed Surgery for Anterior Glenohumeral Instability: Synopsis of Clinical Evidence

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