Arthroscopic Bankart Repair Using a Lasso-Loop Stitch

Mapping Intimacies ◽

10.5772/intechopen.99593 ◽

2021 ◽

Author(s):

Christian Konrads ◽

Stefan Döbele

Keyword(s):

Conservative Treatment ◽

Shoulder Dislocation ◽

Standard Procedure ◽

Bankart Repair ◽

Bony Defect ◽

Suture Anchors ◽

Arthroscopic Stabilization ◽

Arthroscopic Bankart Repair ◽

Arthroscopic Refixation ◽

Very High

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.

Download Full-text

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

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2006.01.024 ◽

2007 ◽

Vol 23 (6) ◽

pp. 677.e1-677.e4 ◽

Cited By ~ 23

Author(s):

Yu Mochizuki ◽

Hiroki Hachisuka ◽

Kenji Kashiwagi ◽

Hiromichi Oomae ◽

Shin Yokoya ◽

...

Keyword(s):

Bone Graft ◽

Shoulder Dislocation ◽

Autologous Bone Graft ◽

Bankart Repair ◽

Bony Defect ◽

Arthroscopic Bankart Repair ◽

Recurrent Shoulder Dislocation ◽

Autologous Bone

Download Full-text

Evaluation of arthroscopic Bankart repair in recurrent shoulder dislocation

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20192683 ◽

2019 ◽

Vol 5 (4) ◽

pp. 675

Author(s):

R. G. Asutosh Mohapatra ◽

Jitendra Kumar

Keyword(s):

Shoulder Dislocation ◽

External Rotation ◽

Recurrent Dislocation ◽

Bankart Repair ◽

X Rays ◽

Suture Anchors ◽

Anterior Shoulder Dislocation ◽

Range Of Movement ◽

Arthroscopic Bankart Repair ◽

The Mean

Background: Our aim was to study the surgical and functional outcome and postoperative shoulder motion following, arthroscopic repair of the Bankart lesion of the shoulder with suture anchors.Methods: This was a study of arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors in 20 patients. Most of patients had symptoms for a period ranging from 1 to 2 years and 1- 4 recurrent dislocation episodes preoperatively. Necessary radiological and haematological investigations were done. The post-operative x-rays were evaluated and the post-operative rehabilitation evaluation done at 3 weeks, 6 weeks, 12 weeks, 6 months and 1 year, for any recurrence of symptoms.Results: In our study of 20 patients, with the mean follow up period of 12 months, the mean Rowe score post-operatively improved to 94 from a pre-operative mean score of 56.25. Out of 20 patients none had episodes of recurrent dislocation. In 15 patients 3 suture anchors were used and in 5 patients 2 suture anchors used intra operatively. The range of movement – external rotation in 90º of abduction improved in 17 patients (85%).Conclusions: We concluded that arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors is effective in providing better shoulder function with range of movement and lower rate of recurrence.

Download Full-text

Arthroscopic Bankart repair using suture anchors

Operative Techniques in Orthopaedics ◽

10.1016/s1048-6666(05)80030-8 ◽

1991 ◽

Vol 1 (2) ◽

pp. 184-191 ◽

Cited By ~ 112

Author(s):

Eugene M. Wolf ◽

Richard M. Wilk ◽

John C. Richmond

Keyword(s):

Bankart Repair ◽

Suture Anchors ◽

Arthroscopic Bankart Repair

Download Full-text

Latarjet procedure for failed arthroscopic Bankart repair: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20201952 ◽

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.

Download Full-text

Arthroscopic Bankart repair with knotless suture anchors: A comparison of the permanent and absorbable types

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1177/2210491720953595 ◽

2020 ◽

Vol 27 (2) ◽

pp. 202-207

Author(s):

Abdulrahman D Algarni

Keyword(s):

External Rotation ◽

Shoulder Function ◽

Bankart Repair ◽

Suture Anchors ◽

Glenohumeral Instability ◽

Arthroscopic Bankart Repair ◽

Significant Difference ◽

Functional Scores ◽

Group 2 ◽

Group 1

Aim: The aim of this study was to compare the clinical outcomes of arthroscopic Bankart repair (ABR) using two types of knotless suture anchors (KSAs) in patients with post-traumatic recurrent anterior glenohumeral instability (AGHI). Methods: Thirty-two patients underwent an ABR using KSAs: a permanent KSA (PushLock) and an absorbable counterpart (BioKnotless). There were 16 patients in each group. Pre-and post-operative assessment for shoulder function using the American Shoulder and Elbow Surgeons and Constant–Murley scores, recurrence of instability, post-operative limitation of external rotation (ER) and ability to return to pre-injury level were recorded in both groups. Results: Both groups displayed significant improvements in functional scores ( p < 0.0001) without a significant difference between the groups. Of the 32 patients, 9.4% had recurrence of instability (one re-dislocation in group 1 and two symptomatic subluxations in group 2). Return to pre-injury level occurred in 87.5% and 81.3% of group 1 and group 2, respectively. There was 2° to 3° loss of ER after ABR in both groups; the difference between the groups was not significant ( p = 0.45). Conclusion: ABR for recurrent AGHI using a permanent or absorbable KSA offers comparable successful outcomes; no significant statistical difference was found.

Download Full-text