Suture Anchor Fixation of Bony Bankart Fractures

Giles, Joshua W.; Puskás, Gábor J.; Welsh, Mark; Johnson, James A.; Athwal, George S.

doi:10.1177/0363546513501795

Cited by 26 publications

(19 citation statements)

References 18 publications

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“…Regarding the strengths of 1-point versus 2-point fixations, Giles et al. 10 performed a biomechanics study and found equivalent failure strengths and load transfers for the 2 groups. The suture bridge technique may provide greater initial fracture stability.…”

Section: Discussionmentioning

confidence: 99%

“…Previously reported techniques have yielded good results; however, fixation through the bony fragment might result in the fragment fracturing, making the surgery more complicated. Regarding the strengths of 1-point versus 2-point fixations, Giles et al 10 . performed a biomechanics study and found equivalent failure strengths and load transfers for the 2 groups.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopic Bony Bankart Repair Using a Double-Row Double-Pulley Technique

Ganokroj

Keyurapan

2019

Arthroscopy Techniques

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We propose an arthroscopic technique called “double-row double-pulley” to restore a bony Bankart lesion. This technique is a 2-point fixation construct using the sutures from a medial row anchor at the glenoid neck to wrap around the bony Bankart fragment and tie to the sutures from a lateral row anchor at the glenoid rim with the double-pulley method. This technique may present some difficulty with suture management, but there are several advantages. First, due to the 2-point fixation, the risk of a bone piece fracture from direct penetration is minimized. Moreover, the fragment can be reduced directly due to the multiple knots that are tied sequentially over the bony fragment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Arthroscopic Bony Bankart Repair Using a Double-Row Double-Pulley Technique

Ganokroj

Keyurapan

2019

Arthroscopy Techniques

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“…Existen escasos estudios biomecánicos que hayan intentado comparar las diferentes técnicas. Giles et al 46 compararon las técnicas de Sugaya et al 7 y BBB para defectos de 15% en 16 especímenes cadavéricos, y demostraron que la técnica BBB, con doble punto de fijación, proporciona significativamente mayor estabilidad del fragmento frente a cargas concéntricas y excéntricas en comparación a la técnica de Sugaya et al, 7 con un solo punto de fijación ( p < 0,04), pero sin diferencias en transferencias de carga y superficie de contacto. Spiegl et al 2 realizaron un estudio similar, pero con defectos glenoideos > 25%.…”

Section: Estudio Biomecánicosunclassified

“…There are few biomechanical studies that have tried to compare the different techniques. Giles et al 46 compared the Sugaya et al 7 and BBB techniques for 15% defects in 16 cadaveric specimens, demonstrating that 2-point fixation techniques provide significantly greater fragment stability against concentric and eccentric loads compared to the Sugaya et al 7 technique, with 1 point of fixation ( p < 0.04), but without differences in load transfers and contact surface. Spiegl et al 2 performed a similar study, but with glenoid defects > 25%.…”

Section: Biomechanical Studiesmentioning

confidence: 99%

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Moran

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenLas lesiones óseas en el borde anterior del anillo glenoideo secundarias a un episodio de inestabilidad anterior del hombro cada vez son más reportadas. Conocidas como lesión de Bony Bankart, su presencia genera una pérdida de la estabilidad estática glenohumeral que provoca un aumento del riesgo de un nuevo evento de luxación. Por ende, resulta fundamental que los cirujanos ortopédicos comprendan y diagnostiquen estas lesiones de forma correcta y oportuna para evaluar la necesidad de restaurar la superficie articular glenoidea. El objetivo de esta revisión narrativa es otorgar los conceptos más importantes de la lesión ósea de Bankart para comprender y enfrentar de forma adecuada esta lesión. Nivel de Evidencia V

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“…Andere Autoren konnten im biomechanischen Modell signifikante Stabilitätsverluste ab einer Defektgröße zwischen 15 und 20% nachweisen [32,33]. In den eigenen biomechanischen Versuchen zeigte sich zusätzlich ein deutlicher Zusammenhang zwischen dem Instabilitätsausmaß und dem Grad der Labrumablösung, die über die Frakturgrenze hinaus nach kranial und kaudal reicht [34]. Da dies in den biomechanischen Studien nicht berücksichtigt wurde, gehen wir davon aus, dass bei entsprechender zusätzlicher Labrumablösung eine Instabilität ab einer ossären Bankart-Läsion von 15-20% zu erwarten ist.…”

Section: Abb 3 8 Algorithmus Zur Klassifikation Ossärer Bankart-läsiunclassified

Die ossäre Bankart-Läsion

et al. 2014

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Fractures of the anteroinferior glenoid rim, termed bony Bankart lesions, have been reported to occur in up to 22% of first time anterior shoulder dislocations. The primary goal of treatment is to create a stable glenohumeral joint and a good shoulder function. Options for therapeutic intervention are largely dependent on the chronicity of the lesion, the activity level of the patient and postreduction fracture characteristics, such as the size, location and number of fracture fragments. Non-operative treatment can be successful for small, acute fractures, which are anatomically reduced after shoulder reduction. However, in patients with a high risk profile for recurrent instability initial Bankart repair is recommended. Additionally, bony fixation is recommended for acute fractures that involve more than 15-20% of the inferior glenoid diameter. On the other hand chronic fractures are generally managed on a case-by-case basis depending on the amount of fragment resorption and bony erosion of the anterior glenoid with high recurrence rates under conservative therapy. When significant bone loss of the anterior glenoid is present, anatomical (e.g. iliac crest bone graft and osteoarticular allograft) or non-anatomical (e.g. Latarjet and Bristow) reconstruction of the anterior glenoid is often indicated.

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Suture Anchor Fixation of Bony Bankart Fractures

Abstract: This study will aid in the selection of the optimal repair technique for bony Bankart fractures by providing important insights into the quality of initial fixation and ultimate strength.

Cited by 26 publications

References 18 publications

Arthroscopic Bony Bankart Repair Using a Double-Row Double-Pulley Technique

Arthroscopic Bony Bankart Repair Using a Double-Row Double-Pulley Technique

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Die ossäre Bankart-Läsion

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