The Independent Double-Row (IDR) Bony Bankart Repair Technique

Abstract

A displaced anterior glenoid rim fracture, the so-called bony Bankart lesion, occurs after a traumatic shoulder dislocation resulting from a high energy trauma and is associated with recurrent shoulder instability. Different surgical techniques have been described in the literature to address this pathology, including open reduction and fixation, as well as arthroscopic transosseous, and single-row or double-row approaches with the use of suture anchors. However, there is currently no gold standard of treatment and the stability of fixation and the healing of the bony fragment are still a concern. The purpose of this report was to introduce an arthroscopic independent double-row (IDR) bony Bankart repair technique for fixation of large glenoid fractures.

Modified double‐pulley fixation provides better reduction of bone fragments and union compared to single‐point fixation in bony Bankart lesions

“…The suture bridge spanned the suture across the fragment, achieving double-point fixation and compression across the fracture site. Atala et al and Moroder et al used different combinations of double-row anchors for bony fixation [3,21]. In 2007, the doublepulley technique was developed to maximise the footprint coverage of rotator cuff injuries [2].…”