Long–term Results of Arthroscopic Bankart Repair with a Bioabsorbable Tack

2006 ◽  
Vol 34 (12) ◽  
pp. 1906-1910 ◽  
Author(s):  
Björn Marquardt ◽  
Kai–Axel Witt ◽  
Christian Götze ◽  
Dennis Liem ◽  
Jörn Steinbeck ◽  
...  
Keyword(s):  
Bankart Repair ◽  
Long Term Results ◽  
Arthroscopic Bankart Repair

scholarly journals Long-term results of arthroscopic Bankart repair: Minimum 10 years of follow-up

2017 ◽  
Vol 26 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Tapio Flinkkilä ◽  
Rony Knape ◽  
Kai Sirniö ◽  
Pasi Ohtonen ◽  
Juhana Leppilahti
Keyword(s):  
Bankart Repair ◽  
Long Term Results ◽  
Arthroscopic Bankart Repair

Long-term Results of the Arthroscopic Bankart Repair for Recurrent Anterior Shoulder Instability in Patients Older Than 40 Years: A Comparison With the Open Latarjet Procedure

2020 ◽  
Vol 48 (9) ◽  
pp. 2090-2096
Author(s):  
Lukas Ernstbrunner ◽  
Bianca De Nard ◽  
Maurits Olthof ◽  
Silvan Beeler ◽  
Samy Bouaicha ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Constant Score ◽  
Bankart Repair ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Latarjet Procedure ◽  
Level Of Evidence ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Anterior Shoulder Instability

Background: Long-term results of the arthroscopic Bankart repair in patients older than 40 years are unknown and may be favorable in terms of postoperative glenohumeral arthritis as opposed to the long-term results of the open Latarjet procedure in patients older than 40 years. Purpose: To analyze our long-term results of the arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years of age and to compare these results with previously published long-term results of the Latarjet procedure in a cohort of similar age. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 35 consecutive patients (36 shoulders) with a mean age of 47 years (range, 40-69) at time of the arthroscopic Bankart repair were studied at a mean 13.2 years (range, 8-18) after surgery. Clinical and radiographic results were then compared with those of our previous study of 39 consecutive patients (40 shoulders) of a same age group who had been treated for the same pathology with an open Latarjet procedure. Results: Six shoulders (17%) sustained a recurrent shoulder dislocation after a mean 5.3 years; subluxation occurred in 3 shoulders (8%); and apprehension persisted in 3 shoulders (8%). Revision surgery was performed in 8 patients (22%): 2 Bankart and 6 open Latarjet. The relative preoperative Constant score and Subjective Shoulder Value were significantly improved ( P < .001) at final follow-up. Arthropathy of stabilization was advanced in the shoulders of 16 patients (47%) and had progressed by at least 2 grades in 21 patients (62%). There were significantly higher rates of redislocation and subluxation when compared with the open Latarjet procedure (9 vs 3; P = .037), and the mean final Subjective Shoulder Value was significantly lower in the Bankart group (86% vs 91%; P = .011). There were no significant differences in final advanced arthropathy (16 vs 14; P = .334) and revision rates (8 vs 7; P = .409) when compared with the Latarjet procedure. Conclusion: Arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years was associated with reliable pain relief and patient satisfaction similar to that after the open Latarjet procedure. Restoration of stability was significantly less successful and development of arthropathy no better than the open Latarjet procedure in patients older than 40 years.

Arthroscopic bankart repair for the management of anterior shoulder instability: Mid- and long-term results

2021 ◽  
Vol 65 (4) ◽  
pp. 255-263
Author(s):  
M. García-Vega ◽  
P. De La Cuadra-Virgil ◽  
J. Jiménez-Cristobal ◽  
B. Occhi-Gómez ◽  
M. Boserman-Pérez-de Villaamil
Keyword(s):  
Shoulder Instability ◽  
Bankart Repair ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Arthroscopic Bankart Repair

scholarly journals Results of Arthroscopic Bankart Repair in Recreational Athletes and Laborers: A Retrospective Study With 5 to 14 Years of Follow-up

2019 ◽  
Vol 7 (11) ◽  
pp. 232596711988164 ◽  
Author(s):  
George A. Komnos ◽  
Konstantinos Banios ◽  
Athanasios Liantsis ◽  
Konstantinos Alexiou ◽  
Sokratis Varitimidis ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Shoulder Instability ◽  
Case Series ◽  
Bankart Repair ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Recreational Athletes ◽  
Arthroscopic Bankart Repair

Background: Arthroscopic Bankart repair is the most common procedure for anterior shoulder instability management. However, the long-term efficacy of the procedure is questionable, and the results are different among different populations. Few studies have focused on specific populations, such as recreational athletes and laborers. Hypothesis: Good to excellent long-term results, with a low recurrence rate, can be achieved using arthroscopic Bankart repair in recreational athletes and laborers suffering from anterior shoulder instability. Study Design: Case series; Level of evidence, 4. Methods: A specific group of laborers and recreational athletes were included in this study. A total of 52 patients (52 shoulders) with anterior-inferior traumatic shoulder instability underwent arthroscopic Bankart repair and met our strict criteria for study inclusion. The recurrence rate was recorded. Patients were evaluated at a minimum follow-up of 5 years using the American Shoulder and Elbow Surgeons (ASES) score, the Rowe score, the Constant score, and a visual analog scale (VAS) for pain. A radiological evaluation for arthritis was also performed according to the Samilson-Prieto classification. Results: The mean follow-up was 105.4 months (range, 65-164 months). Our overall recurrence rate was 11.5% (6/52 patients). All patients were able to return to their previous job status with minimum limitations, and 76.7% of our study population reported returning to their preinjury sporting activities. Postoperatively, all scores were improved, with statistically significant increases from preoperative values ( P < .001). At the last radiographic follow-up, 9 patients (18.8%) had mild arthritis, while 2 patients (4.2%) had moderate arthritis. Conclusion: Arthroscopic soft tissue Bankart repair may provide good to excellent long-term clinical results with an acceptable recurrence rate in medium-demand patients (recreational athletes and laborers).

Results of Arthroscopic Bankart Repair for Anterior-Inferior Shoulder Instability at 13-Year Follow-up

2016 ◽  
Vol 45 (4) ◽  
pp. 782-787 ◽  
Author(s):  
Mohamed Aboalata ◽  
Johannes E. Plath ◽  
Gernot Seppel ◽  
Julia Juretzko ◽  
Stephan Vogt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Outcome ◽  
Shoulder Instability ◽  
Arthroscopic Repair ◽  
Bankart Repair ◽  
Long Term Results ◽  
Arthroscopic Bankart Repair ◽  
Redislocation Rate

Background: Anterior-inferior shoulder instability is a common injury in young patients, particularly those practicing overhead-throwing sports. Long-term results after open procedures are well studied and evaluated. However, the long-term results after arthroscopic repair and risk factors of recurrence require further assessment. Hypothesis: Arthroscopic Bankart repair results are comparable with those of open repair as described in the literature. Study Design: Case series; Level of evidence, 4. Methods: A total of 180 shoulders with anterior-inferior shoulder instability were stabilized arthroscopically, met the inclusion criteria and the patients were able to be contacted at a minimum of 10-year follow-up. Of these patients, 143 agreed to participate in the study. Assessment was performed clinically in 104 patients using the American Shoulder and Elbow Surgeons score, Constant score, American Academy of Orthopaedic Surgeons score, Rowe score, and the Dawson 12-item questionnaire. The Samilson-Prieto score was used to assess degenerative arthropathy in radiographs available for 100 shoulders. Additionally, 15 patients participated through a specific questionnaire and 24 patients through a telephone survey. Results: The overall redislocation rate was 18.18%. Redislocation rates for the different types of fixation devices were as follows: FASTak/Bio-FASTak, 15.1% (17/112); SureTac, 26.3% (5/19); and Panalok, 33.3% (4/12). Concomitant superior labral anterior-posterior repair had no effect on clinical outcome. Redislocation rate was significantly affected by the patient’s age and duration of postoperative rehabilitation. Redislocation rate tended to be higher if there had been more than 1 dislocation preoperatively ( P = .098). Severe dislocation arthropathy was observed in 12% of patients, and degenerative changes were significantly correlated with the number of preoperative dislocations, patient age, and number of anchors. The patient satisfaction rate was 92.3%, and return to the preinjury sport level was possible in 49.5%. Conclusion: Clinical outcome at a mean follow-up of 13 years after arthroscopic repair of anterior-inferior shoulder instability is comparable with the reported results of open Bankart repair in the literature and allows management of concomitant lesions arthroscopically. Modifiable risk factors of postoperative redislocation and arthropathy must be considered. Stabilization after the first-time dislocation achieves better clinical and radiological outcomes than after multiple dislocations.

Long-term Follow-up of Acute Arthroscopic Bankart Repair for Initial Anterior Shoulder Dislocations in Young Athletes

2009 ◽  
Vol 37 (4) ◽  
pp. 669-673 ◽  
Author(s):  
Brett D. Owens ◽  
Thomas M. DeBerardino ◽  
Bradley J. Nelson ◽  
John Thurman ◽  
Kenneth L. Cameron ◽  
...  
Keyword(s):  
Bankart Repair ◽  
Young Athletes ◽  
Arthroscopic Bankart Repair ◽  
Long Term Follow Up

scholarly journals Latarjet procedure for failed arthroscopic Bankart repair: a case report

2020 ◽  
Vol 8 (5) ◽  
pp. 1921
Author(s):  
I. G. N. Wien Aryana ◽  
Rizki Zainuraditya
Keyword(s):  
Shoulder Dislocation ◽  
Coracoid Process ◽  
Bankart Repair ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Recurrence Rates ◽  
Arthroscopic Bankart Repair ◽  
Long Term Follow Up

Arthroscopic Bankart Repair (ABR) provides acceptable results for recurrent anterior shoulder dislocation. However, recent studies have shown recurrent rates of 4-19% or even up to 35-40% in patients aged <25 years, and the results tend to get worse after long-term follow-up. The Latarjet procedure can improve anterior stability by multiple mechanisms, not only can the Bankart lesion be repaired and provide stability, but the transfer of the coracoid process extends the bony articular arc of the glenoid, and the addition of the conjoint tendon may provide dynamic stability as well. The Latarjet procedure for correcting recurrent anterior shoulder dislocation led to good and excellent results in 82.7% of the cases. The Latarjet procedure had the lowest re-dislocation rate, which was significantly lower than the arthroscopic Bankart repair. Latarjet procedure is effective in terms of restoring anteroinferior glenohumeral stability and good option for failed arthroscopic Bankart repair. Recurrence rates of instability are acceptable and re-operation rates were low.

Large Drill Holes Are Still Present in the Long Term After Arthroscopic Bankart Repair With Absorbable Tacks: An 18-Year Randomized Prospective Study

2020 ◽  
Vol 48 (8) ◽  
pp. 1865-1872
Author(s):  
Christina Chrysanthou Constantinou ◽  
Ninni Sernert ◽  
Lars Rostgård-Christensen ◽  
Jüri Kartus
Keyword(s):  
Study Groups ◽  
Drill Hole ◽  
Ct Images ◽  
Bankart Repair ◽  
Plain Radiographs ◽  
Arthroscopic Bankart Repair ◽  
Absorbable Tacks ◽  
Drill Holes

Background: Studies have demonstrated the development of an osseous reaction at the drill sites of anchors after arthroscopic shoulder surgery. Purpose: To investigate the drill-hole size at 18 years after arthroscopic Bankart repair using either fast polygluconate acid (PGA) or slow polylevolactic acid (PLLA) absorbable tacks and to compare the functional outcomes and development of osteoarthritis. Study design: Randomized controlled trial; Level of evidence, 2. Methods: 40 patients with unidirectional anterior shoulder instability, treated with arthroscopic Bankart repair, were randomized into the PGA group (n = 20) or the PLLA group (n = 20). Plain radiographs of both shoulders, as well as computed tomography (CT) images of the operated shoulder, were used to evaluate the drill-hole size, volume, and degenerative changes. Functional outcomes were assessed by use of the Rowe score, Constant score, and Western Ontario Shoulder Instability (WOSI) index. Results: Of the 40 patients, 32 patients returned for the follow-up (15 PGA and 17 PLLA). No significant differences were found in the population characteristics between the study groups. The mean follow-up time was 18 years for both groups. No significant differences were seen in range of motion, strength in abduction, or Constant, Rowe, and WOSI scores between the groups. Recurrence rate was 33% in the PGA group and 6% in the PLLA group during the follow-up period ( P = .07). The drill-hole appearance on plain radiographs (invisible/hardly visible/visible/cystic) was 11/2/2/0 and 6/5/5/1 for the PGA and PLLA groups, respectively ( P = .036). The mean ± SD drill-hole volume as estimated on CT images was 89 ± 94 and 184 ± 158 mm3 in the PGA and PLLA groups, respectively ( P = .051). Degenerative changes (normal/minor/moderate/severe) on plain radiographs were 7/4/4/0 and 3/8/5/1 for the PGA and PLLA groups, respectively ( P = .21), and on CT images were 5/7/3/0 and 2/6/6/3 for the PGA and PLLA groups, respectively ( P = .030). Conclusion: This long-term follow-up study demonstrated that the PLLA group had significantly more visible drill holes than the PGA group on plain radiographs. However, this difference was not evident on CT imaging, with both groups having several visible cystic drill holes and a substantial drill-hole volume defect. No significant differences were found between the study groups in terms of clinical outcomes.

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