Clinical Results of Arthroscopic Bankart Repair With Knot-Tying and Knotless Suture Anchors

Cho, Nam Su; Lubis, Andri Maruli Tua; Ha, Jeong Han; Rhee, Yong Girl

doi:10.1016/j.arthro.2006.07.005

Cited by 64 publications

(86 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A soft tissue penetrator (Suture Hook; Linvatec, Largo, FL) or an arthroscopic suture passer (Accu-Pass, Smith & Nephew, Andover, MA) was passed through the detached labrum. The arthroscopic technique included a minimum of 3 anchors (mean: 3.9) in all patients and a routine incorporation of capsular plication and proximal shift as previously reported [6,15]. An SMC sliding knot was tied on the soft tissue capsulolabral side of the repair.…”

Section: Arthroscopic Bankart Repairmentioning

confidence: 99%

“…Some authors have suggested that arthroscopic stabilization produces results similar to those of open stabilization. On the other hand, some pointed out that those patients who had a large glenoid or humeral defect had a high recurrence rate after arthroscopic Bankart repair [6][7][8][9]. There are some studies reporting high recurrence rates in contact or collision athletes and participation in contact athletics is a contraindication for arthroscopic shoulder stabilization [7,8,10,11].…”

Section: Introductionmentioning

confidence: 94%

See 1 more Smart Citation

Outcome of Bankart repair in contact versus non-contact athletes

Yamamoto

Kijima

Nagamoto

et al. 2015

Orthopaedics & Traumatology: Surgery & Research

View full text Add to dashboard Cite

show abstract

Section: Arthroscopic Bankart Repairmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Outcome of Bankart repair in contact versus non-contact athletes

Yamamoto

Kijima

Nagamoto

et al. 2015

Orthopaedics & Traumatology: Surgery & Research

View full text Add to dashboard Cite

show abstract

“…Methods: A total of 100 patients were primarily operated using arthroscopic Bankart repair after traumatic anterior shoulder instability. Medical records were retrospectively reviewed, and patients were assessed using postal questionnaire after a mean follow-up of 8.3 years [3][4][5][6][7][8][9][10][11][12][13][14]. Clinical assessment was performed using Constant score, Rowe score, and American Shoulder and Elbow Surgeons score.…”

mentioning

confidence: 99%

Mid-term to long-term results of primary arthroscopic Bankart repair for traumatic anterior shoulder instability: a retrospective study

Panzram

Kentar

Maier

et al. 2020

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: The arthroscopic method offers a less invasive technique of Bankart repair for traumatic anterior shoulder instability. The aim of the study is to determine the mid−/long-term functional outcome, failure rates and predictors of failure after primary arthroscopic Bankart repair for traumatic anterior shoulder instability. Methods: A total of 100 patients were primarily operated using arthroscopic Bankart repair after traumatic anterior shoulder instability. Medical records were retrospectively reviewed, and patients were assessed using postal questionnaire after a mean follow-up of 8.3 years [3][4][5][6][7][8][9][10][11][12][13][14]. Clinical assessment was performed using Constant score, Rowe score, and American Shoulder and Elbow Surgeons score. Results: The overall recurrence rate was 22%. The Kaplan-Meier failure-free survival estimates. were 80% at 5 years and 70% at 10 years. Nearly half (54.5%) of recurrences occurred at 2 years postoperative. Compared with normal shoulder, there were statistical differences in all 3 scores. Failure rate was significantly affected by age at the time of surgery with 86% of recurrence cases observed in patients aged 30 years or younger. Nevertheless, Younger age at the time of surgery (P = 0.007) as well age at the time of initial instability (P = 0.03) was found to correlate negatively with early recurrence within 2 years of surgery. Among those with recurrent instability, recurrence rate was found to be higher if there had been more than 5 instability episodes preoperatively (P = 0.01). Return to the preinjury sport and occupational level was possible in 41 and 78%, respectively. Conclusion: Failure-free survival rates dropped dramatically over time. Alternative reconstruction techniques should be considered in those aged ≤30 years due to the high recurrence rate.

show abstract

“…[1][2][3][4][5][6][7] Limitations of this study are a small number of patients and lack of a multicenteric study. We can confirm our hypothesis that bipolar fixation provides a stable fixation and prevents recurrences as compared with a classic Bankart repair alone.…”

Section: Discussionmentioning

confidence: 99%

“Bipolar Fixation”

Kany

Pankappilly

Guinand

et al. 2013

Techniques in Shoulder &Amp; Elbow Surgery

View full text Add to dashboard Cite

The purpose of this study is to introduce a novel concept of arthroscopic "bipolar fixation" in the treatment of recurrent anteroinferior shoulder dislocations. Between January 2008 and January 2011, 297 patients with the history of recurrent anteroinferior dislocations underwent either open Latarjet procedure or arthroscopic Bankart repair along with the tenodesis of infraspinatus and the posterior capsule (bipolar fixation) on to the bare area irrespective of the presence or absence of Hill-Sachs lesions and hyperlaxity. Twenty-six patients who underwent arthroscopic bipolar fixation in 2008 with a minimum follow-up of 2 years were included in this study. Hyperlaxity was noticed in 53% of the population. Seventy-four percent had Hill-Sachs lesions and glenoid defects were found in 30%. The average instability severity index score was 5.07. The patients were followed up with Walch-Duplay score and Subjective Shoulder Value. At 2-year follow-up, 100% had full range of motion without any deficits. Thirteen percent experienced some residual posterior pain, but all the 26 patients could get back to their sports activities. Eighty-five percent could get back to their previous level of sports. Subjective Shoulder Value improved from 53% to 95% postoperatively. The Walch-Duplay score was 95%. The lone failure (3.84%) was a case of attritional glenoid when he had a redislocation at 1 year postoperatively after a minor injury. Arthroscopic bipolar fixation restores a good balance between the injured anterior and the posterior capsuloligamentous structures. The technique is reliable and reproducible in posttraumatic recurrent anteroinferior dislocations regardless of the presence or absence of Hill-Sachs lesions. The absolute contraindication is a type 3 anterior glenoid defect. Nevertheless, further comparative studies need to be performed to confirm our results, and so far one should correct the pathology as found rather than routinely performing a "bipolar" tightening regularly. FIGURE 7. A, Visualization of the bare area from the anterior portal. B, Tenodesis of the infraspinatus and the capsule over the bare area.FIGURE 6. A, The first set of sutures being tied down using double-pulley technique. B, The step repeated for the second set of sutures. C, Suture bridge between the anchors.

show abstract

Clinical Results of Arthroscopic Bankart Repair With Knot-Tying and Knotless Suture Anchors

Cited by 64 publications

References 20 publications

Outcome of Bankart repair in contact versus non-contact athletes

Outcome of Bankart repair in contact versus non-contact athletes

Mid-term to long-term results of primary arthroscopic Bankart repair for traumatic anterior shoulder instability: a retrospective study

“Bipolar Fixation”

Contact Info

Product

Resources

About