Arthroscopic Bankart repair: Have we finally reached a gold standard?

Castagna, Alessandro; Garofalo, Raffaele; Conti, Marco; Flanagin, Brody A.

doi:10.1007/s00167-015-3952-6

Cited by 32 publications

(21 citation statements)

References 76 publications

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“…If patients are young and active, or conservative treatment failed, patients are at high risk of recurrent dislocations 7. Glenohumeral stability can be achieved through the classic Bankart repair 8…”

Section: Introductionmentioning

confidence: 99%

10 Years of Arthroscopic Latarjet Procedure: Outcome and Complications

Meraner

Smolen²,

Sternberg³

et al. 2019

IJOO

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Background: The treatment of anterior glenohumeral instability with a Bankart repair combined with a capsular plication is a frequently used arthroscopic technique. Latarjet created an open bone block procedure in 1954 for the treatment of anteroinferior glenohumeral instability. This procedure has been further developed by Lafosse in 2003 for arthroscopic surgery. The aim of this study is to evaluate the clinical outcome and complications of the latter procedure, most notably infection rate and nerve damage. Materials and Methods: 132 shoulders (106 males/19 females, 68 right/64 left) were included in this retrospective study. Patients were included if treatment was performed for anterior instability and if the patient's instability severity index score was at least 4, or if a revision procedure was performed after a prior unsuccessful arthroscopic or open capsule and labral repair. Treatment included the arthroscopic transfer of the coracoid process for the anterior stabilization of the shoulder joint. The disabilities of the arm, shoulder, and hand score were evaluated postoperatively in 76 patients and compared with the results found in the literature. Mean followup was 20.1 [±14.09] months. Results: The rate of recurrent glenohumeral instability which needed revision surgery after the arthroscopic Latarjet procedure was 6.1% ( n = 8). There were no severe neurovascular complications seen in our cohort. In 32 cases, re-operation was performed due to subjective discomfort because of screw impingement or postoperative shoulder stiffness. Conclusion: The all-arthroscopic Latarjet procedure developed by Lafosse is a valid and reliable method for the treatment of shoulder instability. Our favorable results indicating that this procedure can prevent chronic shoulder luxation are repeatable, and the rate of postoperative recurrence is low.

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Section: Introductionmentioning

confidence: 99%

10 Years of Arthroscopic Latarjet Procedure: Outcome and Complications

Meraner

Smolen²,

Sternberg³

et al. 2019

IJOO

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“…It is thought that in surgical treatment, in addition to Bankart repair, which is one of the pathologies thought to cause dislocation, a more than necessary amount of capsular plication and capsular shift reduces the internal volume of the joint. 2,3 Surgical options to reduce the capsular volume include open capsular shift and plication, arthroscopically capsular plication, and thermal capsulorrhaphy. 2,4,5 The open anteroinferior capsular shift-plication involves incising, overlapping, and suturing the capsule to reduce redundancy.…”

Section: Introductionmentioning

confidence: 99%

“…2,3 Surgical options to reduce the capsular volume include open capsular shift and plication, arthroscopically capsular plication, and thermal capsulorrhaphy. 2,4,5 The open anteroinferior capsular shift-plication involves incising, overlapping, and suturing the capsule to reduce redundancy. Arthroscopic techniques include the thermal capsulorrhaphy and the arthroscopic version of the open capsular shift-plication procedure.…”

Section: Introductionmentioning

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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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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“…Thus the site of the inferior anchor suture is crucial to allow anatomical reduction of the capsuloligamentous tissue and also to produce adequate capsular shift and thus eliminate capsular redundancy. 3 The low anterolateral portal provides limited access to the inferior glenoid and capsuloligamentous tissue possibly due to the obliquity of the approach. 2 In this study, we used a posterolateral portal to improve the access to the inferior capsulolabral structures.…”

Section: Discussionmentioning

confidence: 99%

Using a Posterolateral Portal to Pass and Tie the Suture of the Inferior Anchor During Arthroscopic Bankart Repair

Reda

Khedr

2016

Arthroscopy Techniques

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Using a posterolateral portal in passing and tying the inferior knot allows good labral reduction and adequate capsular shift to treat anterior shoulder instability. In this technique, the most inferior anchor is placed through a low anterolateral portal. A penetrating grasper is introduced from a posterolateral portal situated 2 to 3 cm distal and lateral to the viewing portal. This portal is used to pass the 2 limbs of the anchor suture as inferior as possible through the labrum and capsule close to 6 o'clock position to form the 2 limbs of the first mattress suture. Finally, knot tying is performed through this posterolateral portal, thus allowing better superior shift of the capsulolabral tissue. The other 2 anchor sutures are passed and tied through the low anterolateral portal.

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Arthroscopic Bankart repair: Have we finally reached a gold standard?

Cited by 32 publications

References 76 publications

10 Years of Arthroscopic Latarjet Procedure: Outcome and Complications

10 Years of Arthroscopic Latarjet Procedure: Outcome and Complications

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

Using a Posterolateral Portal to Pass and Tie the Suture of the Inferior Anchor During Arthroscopic Bankart Repair

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