Early Functional Result of Arthroscopic Bankart Repair: The Rajavithi Hospital’s Experience

Main Article Content

Srisuwanporn P, MD
Cheecharern S, MD
Choosakde P, MD
Kamchatphai S, MD

Abstract

Objective: To study functional result and redislocation rate of the shoulder after arthroscopic Bankart repair using suture anchors.


Methods: Sixteen patients who underwent arthroscopic Bankart repair at Rajavithi Hospital between Jan 2007 and Dec 2008 were enrolled in this study. Demographic data and functional score were collected using the methods of UCLA (University of California, Los Angeles) and ASES (American Shoulder and Elbow Surgeons). Preoperative and postoperative scores were compared using statistical analysis.


Results: Postoperative functional scores were statistically better than preoperative scores in all patients. No redislocation was observed. There was no correlation between preoperative number of dislocations and functional result one year after surgery.


Conclusion: The functional result after arthroscopic Bankart repair using suture anchors is excellent with proper selection and technique. There was no correlation between preoperative number of dislocations and functional result.

Article Details

Section
Original Articles

References

1. Weiss KS, Savoie FH 3rd. Recent Advances in arthroscopic repair of traumatic anterior glenohumeral instability. Clin Orthop Relat Res. 2002(400): 117-22.
2. Speer KP, Deng X, Borrero S, Torzilli PA, Altchek DA, Warren RF. Biomechanical evaluation of a simulated Bankart lesion. J Bone Joint Surg Am. 1994; 76(12): 1819-26.
3. Hovelius L. Incidence of shoulder dislocation in Sweden. Clin Orthop Relat Res. 1982; (166): 127-31.
4. Bankart ASB. Recurrent or habitual dislocation of the shoulder-joint. British Med J. 1923; 2(3287): 1132-3.
5. Montgomery WH, 3rd, Jobe FW. Functional outcomes in athletes after modified anterior capsulolabral reconstruction. Am J Sports Med. 1994; 22(3): 352-8.
6. Rosenberg BN, Richmond JC, Levine WN. Long-term follow-up of Bankart reconstruction. Incidence of late degenerative glenohumeral arthrosis. Am J Sports Med. 1995; 23(5): 538-44.
7. Arciero RA, Taylor DC, Snyder RJ, Uhorchak JM. Arthroscopic bioabsorbable tack stabilization of initial anterior shoulder dislocations. a preliminary report. Arthroscopy. 1995; 11(4): 410-7.
8. Arciero RA, Wheeler JH, Ryan JB, McBride JT. Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med 1994; 22: 589-94.
9. Bacilla P, Field LD, Savoie FH 3rd. Arthroscopic Bankart repair in a high demand patient population. Arthroscopy. 1997; 13(1):
10. Caspari RB, Savoie FH. Arthroscopic reconstruction of the shoulder: the Bankart repair. In Operative Arthroscopy. 1991: 507-15.
11. Grana WA, Buckley PD, Yates CK. Arthroscopic Bankart suture repair. Am J Sports Med. 1993; 21(3): 348-53.
12. Guanche CA, Quick DC, Sodergren KM, Buss DD. Arthroscopic versus open reconstruction of the shoulder in patients with isolated Bankart lesions. Am J Sports Med. 1996; 24(2): 144-8.
13. Koss S, Richmond JC, Woodward JS Jr. Two- to five-year follow-up of arthroscopic Bankart reconstruction using a suture anchor technique. Am J Sports Med. 1997; 25(6): 809-12.
14. Maki NJ. Arthroscopic stabilization: suture technique. Op Tech Orthop. 1991; 1(2): 180-3.
15. McEleney ET, Donovan MJ, Shea KP, Nowak MD. Initial failure strength of open and arthroscopic Bankart repairs. Arthroscopy. 1995; 11(4): 426-31.
16. Mologne TS, McBride MT, Lapoint JM. Assessment of failed arthroscopic anterior labral repairs. Findings at open surgery. Am J Sports Med. 1997; 25(6): 813-7.
17. Lo IK, Parten PM, Burkhart SS. The inverted pear glenoid: An indicator of significant glenoid bone loss. Arthroscopy. 2004; 20(2): 169-74.
18. Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am. 2006; 88(8): 1755-63.
19. Ochoa E Jr, Burkhart SS. Glenohumeral bone defects in the treatment of anterior shoulder instability. Instr Course Lect. 2009; 58: 323-36.