Single Working Portal Technique for Knotless Arthroscopic Bankart Repair

Ng, Dennis Zhaowen; Lau, Bernard Puang Huh; Tan, Bien-Soo; Kumar, Veerendra

doi:10.1016/j.eats.2017.07.021

Cited by 11 publications

(10 citation statements)

References 14 publications

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“…Ng et al. 14 described single–working portal knotless arthroscopic repair of Bankart lesions, presenting many surgical advantages, such as a shorter operative time, fewer surgical scars, greater cost-effectiveness, and less risk to the surrounding neurovascular structures; however, this technique is unsuitable for suture management in the case of knot-tying anchors. Kruse et al.…”

Section: Discussionmentioning

confidence: 99%

Shoulder Arthroscopic Rotator Cuff Repair With Biceps Tenodesis and Acromioplasty Using a Single Working Portal

Aouad

Rassi

2021

Arthroscopy Techniques

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Rotator cuff repair, acromioplasty, and biceps tenodesis operations have become some of the most common shoulder surgical procedures, evolving from open techniques to minimally invasive arthroscopic techniques. The use of many arthroscopic portals has been associated with surgical risks to many surrounding anatomic structures. We present an arthroscopic technique using a single anterolateral working portal for rotator cuff repair, acromioplasty, distal clavicle excision, and long head of the biceps tenodesis; this technique decreases the risk of injury to the surrounding neurovascular and musculotendinous structures, enables a faster recovery, and is minimally invasive.

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Section: Discussionmentioning

confidence: 99%

Shoulder Arthroscopic Rotator Cuff Repair With Biceps Tenodesis and Acromioplasty Using a Single Working Portal

Aouad

Rassi

2021

Arthroscopy Techniques

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“…Although open Bankart repair is still used in the management of anterior shoulder instability, many arthroscopic surgical techniques have been developed over the past two decades, with increasing popularity providing a minimally invasive anatomical reconstruction with low operative complication rates. [2][3][4][5] Arthroscopic Bankart repair (ABR) using one posterior and two anterior portals is the standard treatment for recurrent anterior shoulder instability, particularly in cases of isolated Bankart lesions or minimal loss of anterior glenoid rim. [6] However, creating two anterior working portals is challenging in some populations, particularly in patients with small shoulders.…”

mentioning

confidence: 99%

“…[5,7] Over the past five years, several studies have described the anterior single-portal technique for ABR. [2,8,9] This technique is an effective ABR modality with similar outcomes as that of the anterior two-portal technique; however, few studies have compared the two techniques. [5,10,11] In this study, we hypothesized that the results of ABR might vary based on the number of working portals used.…”

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confidence: 99%

Comparison of anterior single- and standard two-portal techniques in arthroscopic Bankart repair

et al. 2021

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Objectives: This study aims to compare the outcomes of patients undergoing a single anterior portal or a standard two-portal arthroscopic procedure for Bankart repair. Patients and methods: Between January 2015 and March 2018, a total of 71 consecutive patients (53 males and 18 females; mean age: 33.3±10.3 years; range, 17 to 56 years) who underwent arthroscopic Bankart repair with a minimum two-year follow-up period were included. The patients were divided into two groups according to the arthroscopic technique used: single anterior portal group (Group 1, n=32) and standard two-portal group (Group 2, n=39). Demographic and surgical characteristics of the patients were recorded. Pre- and postoperative clinical and functional outcomes were evaluated using the external rotation degree, as well as Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons (ASES), University of California at Los Angeles (UCLA) Shoulder Rating Scale, Constant-Murley Score (CMS), Oxford Shoulder Instability Score (OSIS), and Rowe scores. The clinical and functional outcomes and revision rates were compared between the groups. Results: The mean follow-up was 32.0±7.4 months in Group 1 and 38.0±13.4 months in Group 2 (p=0.222). Good-to-excellent postoperative functional and clinical outcomes were achieved in both groups at the final follow-up, compared to baseline (p<0.001 for all). No significant difference was observed in the postoperative outcomes including daily sports activity, VAS, ASES, UCLA Shoulder Rating Scale, CMS, OSIS, and Rowe scores, and external rotation restriction degrees between the groups (p=0.270, p=0.190, p=0.313, p=0.248, p=0.125, p=0.203, p=0.318, p=0.083, respectively). The operative time in Group 1 was significantly lower than that in Group 2 (60.3±8.3 vs. 71.4±7.2, respectively; p=0.001). Four patients (5.6%) experienced recurrent dislocation with no significant difference between the groups (p=0.622). No significant complications occurred in the peri- or postoperative period. Fifty-eight (81.7%) patients returned to their preoperative sports activity level. The mean time to return to sports was 7.2±1.7 months. Conclusion: Good-to-excellent clinical and functional outcomes can be obtained after arthroscopic Bankart repair, regardless of the use of a single or two anterior working portals. However, the single-portal technique is associated with reduced the operative time, compared to two-portal technique.

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“…1,2 Traditionally, open repair of a torn labrum has provided excellent results with high patient satisfaction scores and low reoperation rates. [3][4][5] This surgery, however, can be associated with a high morbidity and a significant loss of shoulder motion. 5 Arthroscopic Bankart repair, originally described by Wolf et al, has gained popularity as a less-invasive surgery that has been shown to provide equivalent results compared with open surgery.…”

mentioning

confidence: 99%

“…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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Single Working Portal Technique for Knotless Arthroscopic Bankart Repair

Cited by 11 publications

References 14 publications

Shoulder Arthroscopic Rotator Cuff Repair With Biceps Tenodesis and Acromioplasty Using a Single Working Portal

Shoulder Arthroscopic Rotator Cuff Repair With Biceps Tenodesis and Acromioplasty Using a Single Working Portal

Comparison of anterior single- and standard two-portal techniques in arthroscopic Bankart repair

Nanoscopic Single-Incision Anterior Labrum Repair

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