Arthroscopic Autologous Bone Graft With Arthroscopic Bankart Repair for a Large Bony Defect Lesion Caused by Recurrent Shoulder Dislocation

Anterior inferior shoulder dislocation is a common injury. After primary traumatic shoulder dislocation and conservative treatment, the risk of re-dislocation is very high in patients younger than 35 years. With age, the risk of re-dislocation after traumatic shoulder dislocation and conservative treatment decreases. Surgical treatment via either open or arthroscopic stabilization minimizes the risk of re-dislocation. Today, anterior shoulder stabilization by arthroscopic refixation of the labroligamentous complex with suture anchors is a standard procedure, if there is no severe chronic bony defect at the glenoid site. Lafosse et al. described the so-called „Lasso-loop stitch“. This technique allows for positioning of the knot away from the joint and at the same time it establishes a labral bump that stabilizes the humeral head against (sub)luxation. The surgical principle and aim consist of refixation of the anterior labrum-capsule-ligament complex to the glenoid with positioning of the knot at distance to the joint as well as bulging up the labrum. This stabilizes the shoulder joint and therefore avoids further dislocations and associated pathologies. The aim of this work is to give an illustrated instruction of the surgical technique of arthroscopic Bankart repair using the lasso-loop stitch.

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Arthroscopic Revision Bankart for Recurrent Anterior Shoulder Dislocation : Contributing Factor Analysis and a Case Report

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00484 ◽

2019 ◽

Vol 7 (11_suppl6) ◽

pp. 2325967119S0048

Author(s):

Andri Lubis ◽

Prima Rizky Oktari

Keyword(s):

New York ◽

Shoulder Dislocation ◽

Suture Anchor ◽

Preoperative Assessment ◽

Late Complications ◽

Bankart Repair ◽

Anterior Dislocation ◽

Range Of Movement ◽

Arthroscopic Bankart Repair ◽

Recurrent Shoulder Dislocation

Objectives: Recurrent shoulder dislocation after arthroscopic Bankart repair (ABR) is still a matter of discussion. The recurrence rate varies between four to fourteen percent in the general population. Re-injury timing, large anatomical defect, and anchor techniques are the factors contributing to re-dislocation after ABR, yet there was still no consensual algorithm for Bankart revision. Case presentation: We presented a case of 27 years old woman with recurrent anterior dislocation after seven years of arthroscopic Bankart repair. Seven years ago, we did Bankart repair using a 2.8 mm fiber-wire anchor (FASTak® (Arthrex, Karsfield Germany)). Now we decided to do arthroscopic revision using all suture anchor technique (Y-Knot® Flex All-Suture Anchor, 1.3mm – One strand of #2 Hi-Fi® (Conmed, New York)). Results: From preoperative and intraoperative assessment, we found that the mechanism of injury, Hill’s-Sachs lesion, Bankart lesion and the number of anchors contributed to re-dislocation. Four months postoperative follow up showed that the patient could gain a normal range of movement. No early or late complications were observed. Conclusion: The success of arthroscopic Bankart repair greatly depended on the preoperative assessment. The arthroscopic revision will do many benefits to the patient since it is less invasive and not compromising the post-operative range of motion of the shoulder.

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The clinical and functional outcome of arthroscopic bankart repair in recurrent shoulder dislocation

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2021.v7.i1c.2472 ◽

2021 ◽

Vol 7 (1) ◽

pp. 147-151

Author(s):

Dr. Ratnesh Kumar ◽

Dr. Rasiq Rashid ◽

Dr. Krishna Kumar ◽

Dr. Vishwanath MS

Keyword(s):

Functional Outcome ◽

Shoulder Dislocation ◽

Bankart Repair ◽

Arthroscopic Bankart Repair ◽

Recurrent Shoulder Dislocation

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Outcomes of arthroscopy in recurrent shoulder instability at Viet Duc University Hospital

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2021.2.1 ◽

2021 ◽

Vol 11 (2) ◽

Author(s):

Đình Bằng Cao ◽

Keyword(s):

Shoulder Instability ◽

Shoulder Dislocation ◽

Constant Score ◽

Excellent Result ◽

Modern Technology ◽

Arthroscopic Repair ◽

University Hospital ◽

Bankart Repair ◽

Arthroscopic Bankart Repair ◽

Recurrent Shoulder Dislocation

Abstract Introduction: This study aims to assess the results of patients with recurrent shoulder dislocation treated with arthroscopic Bankart repair. Patients and Method: 31 patients (26 males and 5 females, with an average age of 28.7) were treated with arthroscopic Bankart repair from 2017 to 2018. Those with multidirectional instability, posterior shoulder instability and more-than-25% Hill-Sachs defects, along with those who had prior shoulder surgeries were excluded. Average follow-up time after surgery is 15.13 months. Frequency of pre-operative dislocation, post-operative dislocation, functional status and daily activity performance were evaluated. The results were assessed using CONSTANT score. Results: One patient had post-operative dislocation (3.23%). One patient had post-operative joint adhesion (3.23%). Assessment using CONSTANT score showed an excellent result in 67.4%, good in 12.9%, moderate in 12.9% and average in 6.46%. There was no case with poor result. One patient had post-operative dislocation due to a sport injury. Conclusions: Arthroscopic repair is a modern technology, and is being used widely in diagnosing and treating shoulder lesions. This study shows that arthroscopic repair for recurrent shoulder dislocation may bring good result for patients. Keywords: Shoulder instability, arthroscopy, Bankart.

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Postoperative pectoral swelling after shoulder arthroscopy

Joints ◽

10.11138/jts/2015.3.3.158 ◽

2015 ◽

Vol 03 (03) ◽

pp. 158-160 ◽

Cited By ~ 2

Author(s):

Ersin Ercin ◽

Mustafa Bilgili ◽

Halil Ones ◽

Cemal Kural

Keyword(s):

Chest Radiography ◽

Shoulder Dislocation ◽

Shoulder Arthroscopy ◽

Infusion Pump ◽

Bankart Repair ◽

Common Complication ◽

Compartment Pressure ◽

Fluid Extravasation ◽

Arthroscopic Bankart Repair ◽

Recurrent Shoulder Dislocation

Fluid extravasation is possibly the most common complication of shoulder arthroscopy. Shoulder arthroscopy can lead to major increases in the compartment pressure of adjacent muscles and this phenomenon is significant when an infusion pump is used. This article describes a case of pectoral swelling due to fluid extravasation after shoulder arthroscopy. A 24-year-old male underwent an arthroscopic Bankart repair for recurrent shoulder dislocation. The surgery was performed in the beach chair position and lasted two hours. At the end of the procedure, the patient was found to have left pectoral swelling. A chest radiography showed no abnormality. Pectoral swelling due to fluid extravasation after shoulder arthroscopy has not previously been documented.

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Platelet-rich fibrin did not affect autologous bone graft in repairing alveolar clefts

Journal of Oral and Maxillofacial Surgery Medicine and Pathology ◽

10.1016/j.ajoms.2021.01.011 ◽

2021 ◽

Author(s):

Arintara Thanasut ◽

Onanong Silkosessak ◽

Keskanya Subbalekha

Keyword(s):

Bone Graft ◽

Autologous Bone Graft ◽

Platelet Rich Fibrin ◽

Autologous Bone

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Combining Microfractures, Autologous Bone Graft, and Autologous Matrix-Induced Chondrogenesis for the Treatment of Juvenile Osteochondral Talar Lesions

Foot & Ankle International ◽

10.1177/1071100716687367 ◽

2017 ◽

Vol 38 (5) ◽

pp. 485-495 ◽

Cited By ~ 17

Author(s):

Riccardo D’Ambrosi ◽

Camilla Maccario ◽

Chiara Ursino ◽

Nicola Serra ◽

Federico Giuseppe Usuelli

Keyword(s):

Bone Graft ◽

Repeated Measures ◽

Osteochondral Lesion ◽

Young Patients ◽

Case Series ◽

Autologous Bone Graft ◽

Lesion Size ◽

Level Of Evidence ◽

Significant Difference ◽

Autologous Bone

Background: The purpose of this study was to evaluate the clinical and radiologic outcomes of patients younger than 20 years, treated with the arthroscopic-talus autologous matrix-induced chondrogenesis (AT-AMIC) technique and autologous bone graft for osteochondral lesion of the talus (OLT). Methods: Eleven patients under 20 years (range 13.3-20.0) underwent the AT-AMIC procedure and autologous bone graft for OLTs. Patients were evaluated preoperatively (T0) and at 6 (T1), 12 (T2), and 24 (T3) months postoperatively, using the American Orthopaedic Foot & Ankle Society Ankle and Hindfoot (AOFAS) score, the visual analog scale and the SF-12 respectively in its Mental and Physical Component Scores. Radiologic assessment included computed tomographic (CT) scan, magnetic resonance imaging (MRI) and intraoperative measurement of the lesion. A multivariate statistical analysis was performed. Results: Mean lesion size measured during surgery was 1.1 cm3 ± 0.5 cm3. We found a significant difference in clinical and radiologic parameters with analysis of variance for repeated measures ( P < .001). All clinical scores significantly improved ( P < .05) from T0 to T3. Lesion area significantly reduced from 119.1 ± 29.1 mm2 preoperatively to 77.9 ± 15.8 mm2 ( P < .05) at final follow-up as assessed by CT, and from 132.2 ± 31.3 mm2 to 85.3 ± 14.5 mm2 ( P < .05) as assessed by MRI. Moreover, we noted an important correlation between intraoperative size of the lesion and body mass index (BMI) ( P = .011). Conclusions: The technique can be considered safe and effective with early good results in young patients. Moreover, we demonstrated a significant correlation between BMI and lesion size and a significant impact of OLTs on quality of life. Level of Evidence: Level IV, retrospective case series.

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