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

Abstract

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.

Functional outcome of arthroscopic Bankart repair in post-traumatic recurrent shoulder dislocation in a private tertiary care teaching hospital in eastern India

“…In this study, all the patients were young and physically active, mostly males (89.2%), age ranging from 19-42 years with mean age 26.16 years, with higher incidence of right-hand involvement (75.7%) who were engaged in jobs of varying demand. Similar results were seen in studies conducted by Katti 19,20,21 The mean pre-operative total Rowe score in our study was 46.62 which is close to the studies conducted by Sahu et al and Ramesh et al which had a total Rowe score of 48.51 and 45.5 pre-operatively respectively. 18,22 In all of the patients, 3 suture anchors were used.…”

“…The results found were similar to the ones reported by Erkoçak et al, Sahu et al, Sood et al and Kalkar et al 1 out of the 37 patients included in the study experienced one episode of shoulder dislocation at 8 months post-surgery which occurred while lifting a heavy weight overhead. 20,21,22,29 Similar results of 1 episode of re-dislocation post operatively was seen in studies of Kalkar et al and Katti et al 8,21 Arthroscopic techniques described previously used transglenoid sutures or bioabsorbable tracks. In the past few years, newer techniques involving suture anchor fixation and capsular plication have evolved with promising results.…”

“…25,26 The mean post-operative total Rowe score in our study was 94.20 which is almost similar to studies performed by Kalkar et al, Jadhav et al and Parmar et al in having a total Rowe score of 95.5, 95.63 and 94.16 post-operatively respectively. 21,27,28 In this study, out of 37 patients, 32 (86.5%) came out with excellent results, 2 (5.4%) showed good, 2 (5.4%) showed fair and 1 (2.7%) had poor outcome at the end of 1-year follow-up period. The results found were similar to the ones reported by Erkoçak et al, Sahu et al, Sood et al and Kalkar et al 1 out of the 37 patients included in the study experienced one episode of shoulder dislocation at 8 months post-surgery which occurred while lifting a heavy weight overhead.…”