Arthroscopic Bankart repair augmented by plication of the inferior glenohumeral ligament via horizontal mattress suturing for traumatic shoulder instability

Lee, Kong Hwee; Soeharno, Henry; Chew, Chee Ping; Lie, Denny

doi:10.11622/smedj.2013199

Cited by 10 publications

(14 citation statements)

References 25 publications

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“…Therefore, the comparison must be with the pre and postoperative values of the healthy shoulder as it is necessary to determine the extent of the restriction in the normal values. Lee et al 22 applied capsular plication to 75 cases and it was concluded that in these patients with preoperative mean shoulder external rotation value of 78.1, at the 3rd and 6th months postoperatively there was a reduction in external rotation and only at the 24th month postoperatively was the preoperative level regained. If there is no problem in the other shoulder, there will be seen to be a loss of external rotation of mean 13.4%.…”

Section: Discussionmentioning

confidence: 99%

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

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Esenyel

Saygılı

et al. 2017

J Orthop Surg (Hong Kong)

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Purpose: The aim of this study was to evaluate the results of patients with recurrent anterior shoulder dislocation, who had been treated with repair of the Bankart lesion without capsuler plication. Material and method: The study included 22 shoulders of 22 patients (16 males and 6 females) with a mean age of 28 years, who underwent Bankart repair between 2011 and 2014. Patients with bilateral shoulder instability, multiple instability, >25% glenoid bone loss, and those with a history of shoulder surgery were not included in the study. The average follow-up time was 21.2 months. Evaluation was made of the preoperative number of dislocations, postoperative recurrence, functional status, and daily activity performance of the patients. Shoulder range of motion was measured. The results were evaluated using the Rowe shoulder score and the Oxford shoulder instability score. Results: Recurrence was observed in only one patient who had a shoulder dislocation after trauma, thus giving a recurrence rate of 4.5%. Shoulder range of motion was full in all except that one patient. The mean Rowe shoulder score was 95.5 (excellent) and Oxford shoulder stability score was 44.6 (excellent). Conclusion: No recurrent shoulder dislocation was observed in patients who underwent Bankart repair surgery. Plication was not performed with the Bankart repair. Close to full range of motion was obtained in all patients. In conclusion, Bankart repair alone can be considered to be sufficient for the treatment of traumatic recurrent anterior shoulder instability.

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Section: Discussionmentioning

confidence: 99%

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Kalkar

Esenyel

Saygılı

et al. 2017

J Orthop Surg (Hong Kong)

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“…The findings of the present study are consistent with other studies, e.g., Lee at al. 14 reported on 76 patients who underwent arthroscopic Bankart repair augmented by plication of the IGHL via horizontal mattress suturing, stating that it is a viable alternative technique which gives improved clinical outcomes and a low recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

“… 13 Recently, the modified Mason Allen stitch has come into favor and has been theorized to be superior to the simple stitch technique. 9 , 14 , 15 The concept of combining capsular shift and arthroscopic Bankart repair (ABR) with the modified Mason Allen stitch technique has been challenged. 16 However, clinical studies are still sparse.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Bankart repair: A matched cohort comparison of the modified Mason Allen method and the simple stitch method

Wongtriratanachai

Nimkingratana

Phornphutkul

2020

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Introduction Arthroscopic Bankart repair (ABR) has become a standard treatment for recurrent anterior shoulder dislocation in cases with minimal bone loss. Using the standard Bankart repair technique, the failure rate has been reported to be approximately between 4 and 35%. In addition to the original injury, multiple pathologies can occur after a dislocation including a Bankart lesion, capsular redundancy and bone defects. In cases with no significant bone loss, soft tissue plays a major role in stabilizing the shoulder joint. We hypothesized that effective repair of soft tissue with good inferior capsular shifting and proper capsulolabral restoration can create a proper level of soft tissue tension so the horizontal mattress suture method should improve outcomes. Materials and methods A retrospective cohort study was conducted by reviewing the records of patients with recurrent anterior instability who underwent ABR at a single institution between January 2009 and December 2017. Demographic information, preoperative radiographic data including glenoid bone loss, Hill-Sachs width, glenoid track and other surgical details were retrieved from the medical records. The patients identified were divided into 2 groups. Group 1 had one modified Mason Allen stitch plus simple stitches, while Group 2 had only simple stitches. Data obtained from the patient included failure rate, patient satisfaction, the ROWE score and Walch-Duplay score at a minimum of 2 years after surgery. Risk factors for failure were also identified. Results Group 1 included 50 patients (mean age 27.2 ± 9.4 years) who underwent modified Mason Allen stitch ABR (median follow-up, 59.2 months; range, 26.2–128.6 months). Group 2 included 30 patients (mean age 26.9 ± 8.5 years) who underwent simple stitch repair ABR (median follow-up, 68.0 months; range, 24.0–127.9 months). All patients met the inclusion criteria. Evaluation at the final follow-up compared Group 1 and Group 2: ROWE score (86.8 vs 76.3, P = 0.001), Walch-Duplay score (87.2 vs 82.0, P = 0.035), respectively. Failure rates were 6% in group 1 compared to 10% in group 2 (P = 0.511). Conclusions The modified Mason Allen stitch technique and the simple stitches technique ABR both result in excellent patient satisfaction at a minimum 2-year follow-up. Both techniques successfully restore shoulder stability, but the modified Mason Allen stitch technique results in better functional outcomes. Study design Cohort study; level of evidence, 3.

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“…Such procedures usually involve labral repair with the varying extent of the capsular shift. Often these repairs may incorporate tying the anterior band of the inferior glenohumeral ligament and the redundant anterior capsule, without loss of external rotation and with low recurrence rates 18 19. Off-track HSL requires the addition of remplissage procedure, the technique of choice being surgeon dependent.…”

Section: Bodymentioning

confidence: 99%

“…If the bone fragment is absorbed or there is an attritional bone loss which is often the case, then what needs to be considered is the activity of the patient, level of sports the patient intends to return to and the expectations. In patients with low demands and non-contact sports and are perhaps more sedentary, soft tissue repair alone may be considered18 though this is approached with caution as the risk of recurrence may be higher than those who had undergone glenoid reconstruction. Indeed patients who have high demand and are involved in contact sports, a glenoid reconstruction would have superior results and lower recurrence rates 21.…”

Section: Bodymentioning

confidence: 99%

How to handle minor and major bone loss in the shoulder? Current concepts

et al. 2020

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Arthroscopic Bankart repair augmented by plication of the inferior glenohumeral ligament via horizontal mattress suturing for traumatic shoulder instability

Abstract: Arthroscopic Bankart repair augmented by plication of the IGHL and anchored via horizontal mattress suturing is a safe and reliable treatment for shoulder instability, with good clinical outcomes and low recurrence rates.

Cited by 10 publications

References 25 publications

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Arthroscopic Bankart repair: A matched cohort comparison of the modified Mason Allen method and the simple stitch method

How to handle minor and major bone loss in the shoulder? Current concepts

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