ORV Arthroscopic Transosseous Bony Bankart Repair

Myer, Daniel; Caldwell, Paul E.

doi:10.1016/j.eats.2012.07.006

Cited by 4 publications

(4 citation statements)

References 21 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since then, numerous arthroscopic techniques to address Bankart fractures have been published. [5][6][7][8][9][10][11][12][13][14] Despite the high incidence (4% to 70%) of bony Bankart lesions after shoulder dislocation, few clinical outcome studies of arthroscopic bony Bankart repair have been published to date. [1][2][3]11,[15][16][17] Most of the published clinical trials focus on the size of the remaining defect, as shown by computed tomography (CT), as well as the influence of fragment reduction and bony healing on postoperative failure and patient satisfaction.…”

mentioning

confidence: 96%

Arthroscopic Suture Anchor Fixation of Bony Bankart Lesions: Clinical Outcome, Magnetic Resonance Imaging Results, and Return to Sports

Plath

Feucht

Bangoj

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

mentioning

confidence: 96%

Arthroscopic Suture Anchor Fixation of Bony Bankart Lesions: Clinical Outcome, Magnetic Resonance Imaging Results, and Return to Sports

Plath

Feucht

Bangoj

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

“…The nail is inserted into a non-articulating portion of the chondral surface of the humeral head, previously described as the optimal starting point to avoid rotator cuff disruption [13,26]. This technique allows the muscular portion of the supraspinatus to be penetrated while sparing the tendinous insertion, as is done in arthroscopic labral repairs [27]. While conceptual concerns exist regarding penetrating the articular cartilage of the humeral head, reports documenting the use of retrograde femoral nails with a starting point through the non-weight-bearing articular cartilage of the distal femur date back over 20 years [28,29] and continue to yield positive results [30].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Intramedullary Nailing of Complex Humeral Shaft Fractures: A Retrospective Case Series

Hudson¹,

Gulbrandsen²,

Liu³

et al. 2022

Cureus

View full text Add to dashboard Cite

Background: Humeral diaphyseal fractures have been traditionally stabilized with plates and screws. However, surgical morbidity can be quite extensive, particularly in more complex segmental and comminuted fracture patterns. An intramedullary nail (IMN) has the biomechanical advantage of being a load-sharing device and can be placed with a more minimally invasive technique. The purpose of this study was to evaluate the clinical and radiographic outcomes of complex humeral shaft fractures treated with an IMN utilizing a percutaneous surgical technique.Methods: A retrospective review was performed on a consecutive series of patients who underwent treatment of a complex humeral shaft fracture with an IMN placed with a percutaneous technique. Clinical outcome scores and radiographic analysis were performed at a minimum one-year follow-up.Results: Of the 14 patients included, 12 had clinical and radiographic follow-ups at one year. The majority (64%) were obese and involved polytrauma (50%), and 79% were AO Foundation/Orthopaedic Trauma Association (AO/OTA) type C fractures. Union after the index procedure was 93%, with one nonunion requiring a secondary operation. The average operative time was 103 minutes. There were no other complications or additional procedures. The mean clinical outcome scores included American Shoulder and

show abstract

“…A possible solution may be transosseous bony Bankart repair, and such techniques have been recently described. Myer and Caldwell 32 and Driscoll et al 12 both described techniques utilizing a primary suture anchor placed medial to the glenoid articular surface, with suture limbs passing in a transosseous fashion through the bony Bankart fracture fragment. Two other suture anchors are then placed superior and inferior to the primary anchor to capture the labrum and capsule.…”

Section: Discussionmentioning

confidence: 99%

Chondral Damage After Arthroscopic Repair Techniques for Acute Bony Bankart Lesions: A Biomechanical Study

et al. 2021

View full text Add to dashboard Cite

Background: Bony Bankart lesions can be encountered during treatment of shoulder instability. Current arthroscopic bony Bankart repair techniques involve intra-articular suture placement, but the effect of these repair techniques on the integrity of the humeral head articular surface warrants further investigation. Purpose: To quantify the degree of humeral head articular cartilage damage secondary to current arthroscopic bony Bankart repair techniques in a cadaveric model. Study Design: Controlled laboratory study. Methods: Testing was performed in 13 matched pairs of cadaveric glenoids with simulated bony Bankart fractures, with a defect width of 25% of the glenoid diameter. Half of the fractures were repaired with a double-row technique, while the contralateral glenoids were repaired with a single-row technique. Samples were subjected to 20,000 cycles of internal-external rotation across a 90° arc at 2 Hz after a compressive load of 750 N, or 90% body weight (whichever was less) was applied to simulate wear. Cartilage defects on the humeral head were quantified through a custom MATLAB script. Mean cartilage cutout differences were analyzed by the Wilcoxon rank-sum test. Results: Both single- and double-row repairs showed macroscopic damage. The histomorphometric analysis demonstrated that the double-row technique resulted in a significantly ( P = .036) more chondral damage (mean, 57,489.1 µm2; SD, 61,262.2 µm2) than the single-row repair (mean, 28,763.5 µm2; SD, 24,4990.2 µm2). Conclusion: Both single-row and double-row arthroscopic bony Bankart fixation techniques resulted in damage to the humeral head articular cartilage in the concavity-compression model utilized in this study. The double-row fixation technique resulted in a significantly increased cutout to the humeral head cartilage after simulated wear in this cadaveric model. Clinical Relevance: This study provides data demonstrating that placement of intra-articular suture during arthroscopic bony Bankart repair techniques may harm the humeral head cartilage. While the double-row repair of bony Bankart lesions is more stable, it results in increased cartilage damage. These findings suggest that alternative, cartilage-sparing arthroscopic techniques for bony Bankart repair should be investigated.

show abstract

ORV Arthroscopic Transosseous Bony Bankart Repair

Cited by 4 publications

References 21 publications

Arthroscopic Suture Anchor Fixation of Bony Bankart Lesions: Clinical Outcome, Magnetic Resonance Imaging Results, and Return to Sports

Arthroscopic Suture Anchor Fixation of Bony Bankart Lesions: Clinical Outcome, Magnetic Resonance Imaging Results, and Return to Sports

Percutaneous Intramedullary Nailing of Complex Humeral Shaft Fractures: A Retrospective Case Series

Chondral Damage After Arthroscopic Repair Techniques for Acute Bony Bankart Lesions: A Biomechanical Study

Contact Info

Product

Resources

About