Similar functional outcome using single anterior portal and standard two portals technique in recurrent dislocation of shoulder

Ghai, Amresh; Sachdeva, Julie; Sood, Munish; Sud, Ajaydeep; Chauhan, Monika; Singh, Shalendra

doi:10.1016/j.cjtee.2019.12.003

Cited by 6 publications

(13 citation statements)

References 26 publications

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“…Compared to the standard two anterior portal, single-portal technique showed similar outcomes concurrent with the literature. [5,11,20] Moreover, the results of the current study showed a similar recurrence rate with a single anterior portal, compared to the standard two-portal technique after at least two years.…”

Section: Discussionsupporting

confidence: 68%

“…Over the past two decades, several arthroscopic techniques have been developed, particularly for shoulder surgery. [2][3][4][5]18,19] The advantages of ABR are as follows: less postoperative pain, less loss of motion, shorter length of hospital stay, lower morbidity rates, shorter operative time, and better cosmetic appearance. [20] Previously, the standard anterior two-portal technique was used in ABR surgery; however, the single anterior portal technique, which is less invasive, has been introduced and increasingly used over the past five years.…”

Section: Discussionmentioning

confidence: 99%

“…Although open Bankart repair is still used in the management of anterior shoulder instability, many arthroscopic surgical techniques have been developed over the past two decades, with increasing popularity providing a minimally invasive anatomical reconstruction with low operative complication rates. [2][3][4][5] Arthroscopic Bankart repair (ABR) using one posterior and two anterior portals is the standard treatment for recurrent anterior shoulder instability, particularly in cases of isolated Bankart lesions or minimal loss of anterior glenoid rim. [6] However, creating two anterior working portals is challenging in some populations, particularly in patients with small shoulders.…”

mentioning

confidence: 99%

“…[7] Moreover, the standard anterior two-portal technique may lead to iatrogenic nerve injuries and cannula breakage, as the cannulas have to be close to each other in small shoulders. [5,7] Over the past five years, several studies have described the anterior single-portal technique for ABR. [2,8,9] This technique is an effective ABR modality with similar outcomes as that of the anterior two-portal technique; however, few studies have compared the two techniques.…”

mentioning

confidence: 99%

“…[2,8,9] This technique is an effective ABR modality with similar outcomes as that of the anterior two-portal technique; however, few studies have compared the two techniques. [5,10,11] In this study, we hypothesized that the results of ABR might vary based on the number of working portals used. We, therefore, aimed to compare the clinical and functional outcomes and revision rates of patients who underwent ABR using two different techniques: a single anterior portal and two standard portals.…”

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confidence: 99%

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Comparison of anterior single- and standard two-portal techniques in arthroscopic Bankart repair

et al. 2021

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Objectives: This study aims to compare the outcomes of patients undergoing a single anterior portal or a standard two-portal arthroscopic procedure for Bankart repair. Patients and methods: Between January 2015 and March 2018, a total of 71 consecutive patients (53 males and 18 females; mean age: 33.3±10.3 years; range, 17 to 56 years) who underwent arthroscopic Bankart repair with a minimum two-year follow-up period were included. The patients were divided into two groups according to the arthroscopic technique used: single anterior portal group (Group 1, n=32) and standard two-portal group (Group 2, n=39). Demographic and surgical characteristics of the patients were recorded. Pre- and postoperative clinical and functional outcomes were evaluated using the external rotation degree, as well as Visual Analog Scale (VAS), American Shoulder and Elbow Surgeons (ASES), University of California at Los Angeles (UCLA) Shoulder Rating Scale, Constant-Murley Score (CMS), Oxford Shoulder Instability Score (OSIS), and Rowe scores. The clinical and functional outcomes and revision rates were compared between the groups. Results: The mean follow-up was 32.0±7.4 months in Group 1 and 38.0±13.4 months in Group 2 (p=0.222). Good-to-excellent postoperative functional and clinical outcomes were achieved in both groups at the final follow-up, compared to baseline (p<0.001 for all). No significant difference was observed in the postoperative outcomes including daily sports activity, VAS, ASES, UCLA Shoulder Rating Scale, CMS, OSIS, and Rowe scores, and external rotation restriction degrees between the groups (p=0.270, p=0.190, p=0.313, p=0.248, p=0.125, p=0.203, p=0.318, p=0.083, respectively). The operative time in Group 1 was significantly lower than that in Group 2 (60.3±8.3 vs. 71.4±7.2, respectively; p=0.001). Four patients (5.6%) experienced recurrent dislocation with no significant difference between the groups (p=0.622). No significant complications occurred in the peri- or postoperative period. Fifty-eight (81.7%) patients returned to their preoperative sports activity level. The mean time to return to sports was 7.2±1.7 months. Conclusion: Good-to-excellent clinical and functional outcomes can be obtained after arthroscopic Bankart repair, regardless of the use of a single or two anterior working portals. However, the single-portal technique is associated with reduced the operative time, compared to two-portal technique.

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Comparison of anterior single- and standard two-portal techniques in arthroscopic Bankart repair

et al. 2021

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Arthroscopic Bankart Repair Using One Anterior Portal has a Shorter Surgical Time and Comparable Clinical Results with the Standard Two-Portal Technique

Gazeloglu,

Yilmaz,

Turhan

et al. 2024

Arthroscopy, Sports Medicine, and Rehabilitation

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Results of arthroscopic treatment for anteroinferior shoulder instability using a single anterior working portal using birdbeak

Yamak¹,

Çetin²,

Aydemi̇r

2023

BMC Sports Sci Med Rehabil

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Background The shoulder joint is the joint with the most dislocations in all joints. The arthroscopic surgery method is considered the gold standard because it creates less soft tissue damage, shorter hospitalization and surgery time, and less restriction of movement after surgery in shoulder instability. Anterior single portal technique has become popular recently. In this study, it was aimed to evaluate the results of the anterior single portal repair technique using “birdbeak”. We try to evaluate if this technique is a reliable technique and has the same or more advantages of two portal arthroscopic surgery and make the surgery easier for surgeons. Methods In the total of 40 patients who underwent arthroscopic surgery for traumatic recurrent anterior shoulder dislocation between January 2017 and February 2020, this study included 19 patients with the surgical technique of arthroscopic isolated anterior labrum tear repair using a birdbeak from the anterior single working portal. Clinical results were evaluated with the Simple Shoulder Test (SST), Rowe Score for Instability (RWS) and Oxford Shoulder Instability Score (OSIS) tests before and after surgery. The relationship between the time to surgery after the first dislocation and clinical outcomes was also examined in the study. Kolmogorov-Smirnov and Shapiro-Wilk tests were used to control the assumption of normality. In addition, Pearson correlation and Spearman correlation analyzes were used to test the relationship between the variables. Results The mean follow-up period of the 19 patients included in this study was 33.1 months. The mean time to surgery after the first dislocation was 18.4 months. The mean preoperative number of dislocations was 5.3. The mean number of anchors used in the repair was 2.1. No recurrent dislocations were observed after surgery. A significant difference was observed between preoperative and postoperative SST, RWS and OSIS scores (respectively, p = 0.000 < 0.001, p = 0.000 < 0.001, p = 0.000 < 0.001). There was no statistically significant relationship between the time elapsed after the first dislocation and the postoperative SST, RWS, OSIS scores (respectively, p = 0.43 > 0.05, p = 0.39 > 0.05, p = 0.31 > 0.05). Conclusion It has been observed that the repair technique applied using the “birdbeak” from the anterior single working portal is a successful treatment, and further studies are required due to the limited literature.

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Similar functional outcome using single anterior portal and standard two portals technique in recurrent dislocation of shoulder

Cited by 6 publications

References 26 publications

Comparison of anterior single- and standard two-portal techniques in arthroscopic Bankart repair

Comparison of anterior single- and standard two-portal techniques in arthroscopic Bankart repair

Arthroscopic Bankart Repair Using One Anterior Portal has a Shorter Surgical Time and Comparable Clinical Results with the Standard Two-Portal Technique

Results of arthroscopic treatment for anteroinferior shoulder instability using a single anterior working portal using birdbeak

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