Repair of Bankart lesions with a suture anchor in recurrent dislocation of the shoulder

Karlsson, Jón; Järvholm, U; Swärd, Leif; Lansinger, Olle

doi:10.1111/j.1600-0838.1995.tb00032.x

Cited by 26 publications

(20 citation statements)

References 32 publications

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“…After having used suture anchors for Bankart repair in open surgery, failure rates of 17% to 30% have been reported (Roberts et al 1999, Magnusson et al 2002, Berendes et al 2007). Other authors have described redislocation rates of between 5% and 10% after open suture anchor repair (Norlin 1994, Karlsson et al 1995). …”

Section: Discussionmentioning

confidence: 96%

“…The Bankart repair has been considered a demanding procedure (Adams 1948, Norlin 1994, Karlsson et al 1995), but there have been many reports of good results (Rowe et al 1978, Hovelius et al 1979). Suture anchors have been developed and this has made the method technically less demanding (Norlin 1994, Karlsson et al 1995).…”

Section: Discussionmentioning

confidence: 99%

“…Suture anchors have been developed and this has made the method technically less demanding (Norlin 1994, Karlsson et al 1995). Many surgeons combine a Bankart repair with a capsular shift to reduce the amount of capsular tissue and to restore the anatomy (Rowe et al 1978, Protzman 1980, Rockwood 1990, Norlin 1994, Karlsson et al 1995). …”

Section: Discussionmentioning

confidence: 99%

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The Bankart repair versus the Putti-Platt procedure

et al. 2009

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Background and purpose This randomized study compared clinical results after surgery for posttraumatic shoulder instability with either an anatomical repair or an older, less anatomical but commonly used method. The less anatomical procedure has been considered quicker and less demanding, but it has been questioned regarding the clinical result. We therefore wanted to compare the clinical outcome of the two different procedures. Our hypothesis was that the anatomical repair would give less residual impairment postoperatively.Methods Patients with anterior posttraumatic shoulder instability were consecutively randomized on the day before surgery to either a Bankart repair using Mitek GI/GII anchors combined with capsular imbrication (B) (n = 33) or a Putti-Platt procedure (P) (n = 33). Follow-up was performed by examination at 2 years and using a self-evaluation score at 10 years.Results At the 2-year follow-up, we found no difference in muscle strength between patients treated with the two surgical methods and there were no statistically significant differences in the Rowe scores (mean 90 units for both groups). Compared to preoperatively, the decrease in external rotation 2 years after surgery was 10 degrees in the P group and 3 degrees in the B group (p = 0.03). 10 years after surgery, 62 of 66 patients replied to a questionnaire sent by mail. It included a self-evaluating quality of life score for shoulder instability (WOSI) for evaluation of their shoulder function. In the P group 15 patients and in the B group 19 patients reported they had experienced either a redislocation or a subluxation with a new feeling of shoulder instability. Mean WOSI score was similar in the P and B groups: 80% and 83%, respectively. The WOSI score was 87% for patients with stable shoulders (n = 28) and 77% for those with unstable shoulders (n =34) (p = 0.005).Interpretation With assessment of pain and general shoulder function, only a small difference was found between the two methods. The WOSI scores for stable shoulders indicated that some shoulders still had impaired function even though the shoulders had become stable.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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The Bankart repair versus the Putti-Platt procedure

et al. 2009

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“…Thomas & Matsen (3%) (7,19). However, others have reported recurrence rates of up to 13% after open Bankart procedures (8,20,21).…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic shoulder stabilization using transglenoid sutures

Ekelund

Nyberg

1998

Scandinavian Med Sci Sports

105

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Arthroscopic shoulder stabilization using tr ansglenid sutures Ekelund A, Nyberg R. Arthroscopic shoulder stabilization using transglenoid sutures. Scand J Med Sci Sports 1998: 8: 41-20, 0 Munksgaard, 1998 The results of arthroscopic stabilization using multiple transglenoid sutures in 24 patients with posttraumatic recurrent anterior shoulder instability are presented with a minimum follow-up of 2 years. No serious complications were recorded. There were 2 recurrences. The remaining 22 patients had good or excellent results according to the modified Rowe score, with a median score of 89. The median value for loss of external rotation was 5". Seventeen patients were active in sports and 11 returned to the same sports at the same competitive level.

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“…In all patients, the Stryker notch view, the Westpoint view and the true AP view [20] were taken preoperatively, seven (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), 33 and 90 (80-95) months after the preoperative evaluation. The same independent radiologist evaluated all the radiographs.…”

Section: Radiographic Examinationmentioning

confidence: 99%

Absorbable implants for open shoulder stabilization

Magnusson

Ejerhed

Rostgård

et al. 2005

Knee Surg Sports Traumatol Arthrosc

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Eighteen consecutive patients who had recurrent, unidirectional, post-traumatic shoulder instability were included. All these patients underwent surgery using an open Bankart technique involving absorbable suture anchors. The median age at the index operation was 27 (16-50) years. One subluxation and two re-dislocations occurred during the follow-up period of 90 (80-95) months. At the 90-month control, the Rowe and Constant scores were 94 (63-100) points and 88.5 (65-100) points, respectively. The strength measurements on the index side in 90 degrees abduction revealed 8.1 (3.7-17.2) kg compared with 7.6 (2.7-17.6) kg on the contra lateral side (n.s.). The external rotation in abduction was 80 (60-95) degrees compared with 100 (70-120) degrees for the contra lateral side (p = 0.0015). Signs of minor or moderate degeneration were found in five of 18 patients (28%) on the preoperative radiographs. There was a significant continuous increase in degenerative changes during the follow-up period as seen on the seven, 33 and 90-month radiographs (p = 0.01, 0.03 and 0.01, respectively). On the 90-month radiographs, 12 of 18 patients (67%) had minor, moderate or severe degenerative changes (p = 0.0004 preoperative vs. 90 months). On the 7-month radiographs, two of 18 patients (11%) had invisible or hardly visible drill holes in conjunction with the absorbable implants. On the 90-month radiographs, 12 of 18 patients (67%) had invisible or hardly visible drill holes (p = 0.003 7 months vs. 90 months). In the long term, the method resulted in stable, well-functioning shoulders in 15 of 18 patients (83%). The stabilisation was not, however, able to prevent further increases in radiographic degenerative changes during the 7-8-year follow-up. The drill holes used for the absorbable suture anchors appeared to heal in the majority of patients during the follow-up period.

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Repair of Bankart lesions with a suture anchor in recurrent dislocation of the shoulder

Cited by 26 publications

References 32 publications

The Bankart repair versus the Putti-Platt procedure

The Bankart repair versus the Putti-Platt procedure

Arthroscopic shoulder stabilization using transglenoid sutures

Absorbable implants for open shoulder stabilization

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