Open Bankart Repair versus Arthroscopic Repair with Transglenoid Sutures or Bioabsorbable Tacks for Recurrent Anterior Instability of the Shoulder

Freedman, Kevin B.; Smith, Ashley A.; Romeo, Anthony A.; Cole, Brian J.; Bach, Bernard R.

doi:10.1177/0363546504265188

Cited by 181 publications

(140 citation statements)

References 62 publications

(51 reference statements)

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“…Interpretation of our results would be incomplete without comparison to arthroscopic procedures. Although the reported recurrence rates after arthroscopic Bankart procedures were initially high, ranging from 7.5% to 49% [18,20,23,61], more recent studies have found improved recurrence rates, ranging from zero to 12.5% [4,15,17,29,32,46,56,58,62]. Our rate of recurrent instability after arthroscopic Bankart repair, using sutures and anchors, was 15% in 91 patients at 36 months followup [8].…”

Section: Discussionmentioning

confidence: 68%

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Boileau¹,

Fourati²,

Bicknell³

2012

Clinical Orthopaedics &Amp; Related Research

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Background Neer modified the Bankart procedure by combining a superoinferior capsular shift with the labral reattachment. The theoretical advantages of the modification were that such a procedure would restore the patient's anatomy and also treat the repeated capsular stretching encountered in anteroinferior instability without limiting external rotation and, thereby reducing the risk of arthritis. Questions/purposes We therefore determined: (1) the rate of recurrent instability after this modification, (2) patient function, and (3) the incidence and stage of glenohumeral osteoarthritis at greater than 2 years followup in patients with traumatic anteroinferior instability. Methods We retrospectively reviewed all 64 patients (average age, 27 years) who had the modified Bankart procedure for recurrent dislocations (n = 39) or subluxation (n = 25) from 1991 to 1997. The labrum was reattached with suture anchors and a superoinferior capsular shift was added. We determined the rate of recurrent instability, Rowe and Walch-Duplay scores and shoulder ROM, and the presence of glenohumeral osteoarthritis (modified Samilson and Prieto classification). The minimum followup was 24 months (median, 40 months; range, 24-120 months). Results Recurrent instability occurred in seven of the 64 patients (11%) at an average of 25 months postoperatively (range, 7 days to 6 years); in six patients the recurrence was associated with trauma; five of the six patients underwent reoperation with a Latarjet procedure. Eight additional patients (13%) presented with persistent shoulder apprehension or discomfort. The average Rowe score was 83% (range, 20-100%) and average Walch-Duplay score 83% (range, 15-100%). However, only 36 of 64 (56%) patients could return to the same sport at the same level. The loss of external rotation was 13°compared with the contralateral side. Glenohumeral osteoarthritis incidence increased from 4% preoperatively to 17% postoperatively. Conclusions The open Bankart procedure modified by Neer provided high function scores but a relatively low rate of return to sport and high rate of recurrent instability. Our rate of recurrent instability, similar to that obtained with arthroscopic Bankart procedures, has prompted us to abandon the open procedure.

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Section: Discussionmentioning

confidence: 68%

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Boileau¹,

Fourati²,

Bicknell³

2012

Clinical Orthopaedics &Amp; Related Research

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“…Freedman et al 36 published a meta-analysis comparing open Bankart repair with arthroscopic repair and concluded that arthroscopic repair is associated with a higher failure rate.…”

Section: Surgical Treatment Of the Initial Anterior Dislocationmentioning

confidence: 99%

Anterior Shoulder Dislocation

Cutts

Prempeh

Drew

2009

annals

166

134

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Ann R Coll Surg Engl 2009; 91: 2-7 2The glenohumeral joint of the shoulder is the most commonly dislocated joint in the human body. Acute dislocation is a surgical emergency and demands urgent relocation. Failure to reduce a dislocated shoulder successfully within the first 24 hours carries the risk that it will be impossible to achieve a stable closed reduction. 1Broadly speaking, anterior shoulder dislocation shows a bimodal age distribution (Fig. 1) Anterior dislocation of the shoulder is commonly seen in accident and emergency (A&E) and trauma clinics. In this article, we review the existing literature on the injury and the recent trends in management. MATERIALS AND METHODS We have discussed this condition with our colleagues and performed a Medline search ('anterior shoulder dislocation') of the relevant papers. We also describe key historical publications and recent developments regarding immobilisation of the joint. RESULTS Management decisions regarding this condition continue to vary between units, especially for recurrent and posterior dislocation. This paper lays some emphasis on the choice of analgesic agent when attempting shoulder reduction in the A&E setting. A summary of the data from our own department has provided a graphical representation of the classical age and sex distribution for this condition. CONCLUSIONS Shoulder dislocation is a common injury. Delays in diagnosis remain the single biggest obstacle to optimum results in this group of patients. A significant proportion will require eventual surgery and up to a third of these patients will go on to develop long-term shoulder arthritis. Even patients who have experienced a single episode of dislocation may go on to develop long-term sequelae.

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“…Arthroscopic techniques using transglenoid sutures or bioabsorbable tacks have worse outcomes than open or arthroscopic techniques using suture anchors. 35,36 . Further randomized controlled trials have again shown no difference in outcome between open and arthroscopic techniques.…”

mentioning

confidence: 99%

BESS/BOA Patient Care Pathways

Brownson¹,

Donaldson²,

Fox³

et al. 2015

Shoulder & Elbow

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Open Bankart Repair versus Arthroscopic Repair with Transglenoid Sutures or Bioabsorbable Tacks for Recurrent Anterior Instability of the Shoulder

Abstract: Arthroscopic Bankart repair using transglenoid sutures or bioabsorbable tacks results in a higher rate of recurrence of instability compared to open techniques. Studies comparing open repair to newer arthroscopic techniques using suture anchor fixation and capsular plication are necessary.

Cited by 181 publications

References 62 publications

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Anterior Shoulder Dislocation

BESS/BOA Patient Care Pathways

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