Use of the Suture Anchor in Open Bankart Reconstruction

Author:

Levine William N.1,Richmond John C.1,Donaldson William R.1

Affiliation:

1. Department of Orthopaedic Surgery, Tufts University/New England Medical Center, Boston, Massachusetts

Abstract

We previously reported early results of a new technique using a suture anchor to perform a modified Bankart reconstruction. That study included patients from two medical centers and had an average followup of only 1 year. This report includes patients from a single center with followup extended to a mean of 42 months (range, 33 to 61). Between April 1988 and August 1991, 53 patients with recurrent anterior glenohumeral instability underwent modified Bankart reconstruction with the use of a suture anchor. Thirty-two patients met inclusion cri teria (identifiable Bankart lesion, open repair with suture anchors, and minimum followup of 2 years); 4 patients were lost to followup. There have been no complications as a result of this technique. Ninety-three percent of the patients in the study had objectively excellent or good results. There were 2 failures with recurrent anterior dislocation. The use of a suture anchor can simplify the Bankart reconstruction. At average followup of 3 years, 26 pa tients have returned to presurgery activity levels without recurrent dislocation or subluxation. However, careful attention to anchor placement at the junction of articular cartilage and the glenoid neck is necessary to avoid technical failure.

Publisher

SAGE Publications

Subject

Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

Reference17 articles.

1. Adams JC: Recurrent dislocations of the shoulder. J Bone Joint Surg 30B: 26-38, 1948

2. Pull-out strength of five suture anchors

3. Collins KA, Capito C., Cross M.: The use of the Putti-Platt procedure in the treatment of recurrent anterior dislocation. With special reference to the young athlete. Am J Sports Med 14: 380-382, 1986

4. DuToit GT, Roux D.: Recurrent dislocation of the shoulder: A twenty-four year study of the Johannesberg stapling operation. J Bone Joint Surg 38A: 1-12, 1956

5. Capsular ligaments of the shoulder

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3