Comparison of Clinical Outcomes and Computed Tomography Analysis for Tunnel Diameter After Arthroscopic Bankart Repair With the All-Suture Anchor and the Biodegradable Suture Anchor

Abstract Background The primary aim of this study was to compare the clinical outcomes of patients undergoing arthroscopic Bankart repair and open Latarjet procedure for recurrent dislocation of the shoulder. Secondary aims were to assess and compare the cost-effectiveness, satisfaction and complications, including recurrence and infection. Methods We retrospectively evaluated the patients who underwent either arthroscopic Bankart repair with or without Remplissage procedure or open Latarjet procedure between May 2015 and May 2018. The preoperative data were collected from the hospital records, and the postoperative data were collected during the follow-up visit. At the final follow-up, 41(male=32, female=9) patients in the Bankart group and 40(male=34 and female=6) patients in the Latarjet group were included in the study. Clinical outcomes were assessed using the ASES score, Rowe score, and Quick DASH score. A self-constructed scale that consisted of satisfied and dissatisfied was used to measure the level of satisfaction. Any complications were recorded in every follow-up visit. Collected data were analyzed using SPSS version 25. Results There was no statistically significant difference regarding the age (p=0.401), gender (p=0.569), site of involvement (p=0.158), number of preoperative dislocations (p=0.085), follow-up (p=0.061), between the two groups. Similarly, no statistically significant difference existed regarding the ASES score (p=0.388), Rowe score (p=0.211), and Quick DASH score (p=0.713). The average external rotation was 83 degrees in the Bankart group and 85 degrees in the Latarjet group (p=0.140). Functional satisfaction was higher in the Laterjet group compared to the Bankart group (p=0.482). Hundred percent of the patients were cosmetically satisfied in the Bankart group, whereas only 32(80%) patients were cosmetically satisfied in the Latarjet group (p=0.002). There was a significantly higher operating cost for arthroscopic Bankart repair compared to open Latarjet procedure (p<0.001). Three patients had a recurrence in the Bankart group, whereas no recurrence occurred in the Latarjet group. And, 2 superficial infections occurred in the Latarjet group. Conclusion These results provide the fact that arthroscopic Bankart repair might be a fancy and minimally invasive procedure, Latarjet procedure should still be a priority in a developing country like Nepal, where financial cost is a huge burden.

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Postoperative evaluation of drill holes for arthroscopic Bankart repair with suture anchors by the use of computed tomography

Journal of Orthopaedic Science ◽

10.1007/s00776-015-0703-y ◽

2015 ◽

Vol 20 (3) ◽

pp. 481-487 ◽

Cited By ~ 1

Author(s):

Masahito Yoshida ◽

Hideyuki Goto ◽

Masahiro Nozaki ◽

Yasuhiro Nishimori ◽

Tetsuya Takenaga ◽

...

Keyword(s):

Computed Tomography ◽

Bankart Repair ◽

Suture Anchors ◽

Postoperative Evaluation ◽

Arthroscopic Bankart Repair ◽

Drill Holes

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Arthroscopic Bankart Repair With Knotless Suture Anchor for Traumatic Anterior Shoulder Instability: Results of Short-Term Follow-Up

Yearbook of Hand and Upper Limb Surgery ◽

10.1016/s1551-7977(08)70215-2 ◽

2007 ◽

Vol 2007 ◽

pp. 16-17

Author(s):

R.J. Goitz

Keyword(s):

Shoulder Instability ◽

Suture Anchor ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Short Term ◽

Arthroscopic Bankart Repair ◽

Knotless Suture Anchor

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Outcomes of arthroscopic Bankart repair (ABR) for anterior shoulder instability using two knotless suture anchors fixation.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.11.6485 ◽

2021 ◽

Vol 28 (11) ◽

pp. 1595-1599

Author(s):

Sana Ullah ◽

Waqas Haleem ◽

Muhammad Waqar ◽

Zeeshan Khan ◽

Israr Ahmad ◽

...

Keyword(s):

Shoulder Instability ◽

Suture Anchor ◽

Surgical Complication ◽

High Rate ◽

Bankart Repair ◽

Anterior Shoulder Instability ◽

Short Term ◽

Arthroscopic Bankart Repair ◽

Glenohumeral Osteoarthritis ◽

Knotless Suture Anchor

Objectives: The purpose of this study is to evaluate the short term outcomes of isolated Arthroscopic Bankart Repair (ABR) using knotless suture anchor technique, in young and middle aged patients with post traumatic Anterior Shoulder Instability (ASI). Study Design: Prospective Observational Study. Setting: Sports Units of Hayatabad Medical Complex, Peshawar. Period: January 2018 to December 2020. Material & Methods: 32 patients were included in this study, all of them were male, and who had traumatic anterior shoulder dislocation and underwent Arthroscopic Bankart Repair (ABR), with at least 2 years follow-up and minimum of 4 months of physiotherapy postoperatively. Sample size was calculated through non-probability consecutive sampling technique. Recurrent instability, postoperative glenohumeral osteoarthritis, post-surgical complications and subjective scores (Simple Shoulder Test [SST], American Shoulder and Elbow Surgeon [ASES] and Rowe scores) were evaluated. Results: Among the 32 participants, five patients (15.6%) experienced at least one episode of redislocation, eight patients (25%) had moderate to severe glenohumeral-osteoarthritis. The overall satisfaction rate was 76% with ASES, SST and Rowe scores of 82%, 9% and 79% respectively. One patient (3.12%) had wound infection. Conclusion: Isolated Arthroscopic Bankart Repair (ABR) using knotless suture anchor fixation for anterior shoulder instability followed by physiotherapy has excellent short term outcome in term of low post-surgical complication rate, high patient satisfaction, ability to joint work back and improved subjective scores, although high rate of postoperative glenohum eral osteoarthritis is disappointing necessitating further studies on the matter.

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Does Anchor Placement on the Glenoid Affect Functional Outcome After Arthroscopic Bankart Repair?

The American Journal of Sports Medicine ◽

10.1177/0363546518785968 ◽

2018 ◽

Vol 46 (10) ◽

pp. 2466-2471 ◽

Cited By ~ 7

Author(s):

Jin-Young Park ◽

Jae-Hyung Lee ◽

Seok Won Chung ◽

Kyung-Soo Oh ◽

Young Min Noh ◽

...

Keyword(s):

Computed Tomography ◽

Functional Outcome ◽

Functional Outcomes ◽

Bankart Repair ◽

Level Of Evidence ◽

Ct Arthrography ◽

Arthroscopic Bankart Repair ◽

The Mean ◽

Bankart Lesions

Background: In arthroscopic Bankart repair, anchor positions can affect glenoid labral height and functional outcomes. Purpose: To evaluate anchor placement on the glenoid during Bankart lesion repair and determine which placement would lead to better functional outcomes. Study Design: Cohort study; Level of evidence, 3. Method: This study included 90 patients (74 males, 16 females; average age, 23.7 years; range, 18-47 years) who underwent surgery for Bankart lesions between December 2009 and March 2014. The mean follow-up duration was 32.7 months (range, 26-48 months). We divided anchor positions into 2 groups: on the glenoid face and at the glenoid edge. The anchor position on the glenoid and the labral height were examined with computed tomography (CT) arthrography at 4.5-month follow-up, and Rowe scores were calculated at 2-year follow-up. Results: The group with the anchor placed on the glenoid face contained 63 patients, and the group with the anchor placed at the glenoid edge or rim contained 27 patients. Mean labral heights at 4.5 months postoperatively in the 2 groups were 5.4 ± 0.22 mm and 3.2 ± 0.16 mm, respectively ( P < .01), and mean Rowe scores at 2 years were 94.7 and 79.5, respectively ( P < .01). Rowe scores calculated at 2-year follow-up were significantly related to anchor position ( P < .01). Conclusion: Anchors positioned on the glenoid face resulted in the greatest restored labral height and better functional outcome (Rowe score). Thus, anchor placement on the glenoid face should be considered, as it may yield better functional outcome in arthroscopic Bankart repair.

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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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