Revisiting the Open Bankart Experience

American Journal of Sports Medicine - Tập 30 Số 6 - Trang 778-782 - 2002
Lennart Magnusson1, Jüri Kartus2, Lars Ejerhed2, Ingrid Hultenheim3, Ninni Sernert2, Jón Karlsson3
1Department of Orthopaedics, Köping Hospital, Köping
2Department of Orthopaedics, Norra Älvsborg County Hospital, Trollhättan
3Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg, Sweden

Tóm tắt

BackgroundThe open Bankart technique for posttraumatic recurrent anterior instability has become the procedure of choice for patients who do not respond to nonoperative treatment.HypothesisThe open Bankart procedure renders stable and well-functioning shoulders in the long term in a large proportion of patients.Study DesignRetrospective follow-up study with independent reexaminers.MethodsFifty-four patients (54 shoulders) with symptomatic, posttraumatic, recurrent anterior shoulder instability underwent an open Bankart reconstruction procedure with suture anchors. All of the patients had a Bankart lesion. Forty-seven patients (87%) were reexamined by independent observers at a mean follow-up period of 69 months (range, 48 to 114).ResultsThe recurrence rate, including both dislocations and subluxations, was 17% (8 of 47). The median Rowe score was 90 points (range, 24 to 100) at the follow-up, and the median Constant score was 88.5 points (range, 41 to 100). External rotation in abduction was a median of 90° (range, 25° to 125°) in the involved shoulders, as compared with 97.5° (80° to 125°) in the noninjured shoulders (P < 0.0001).ConclusionsWe conclude that, in the long term, the open Bankart procedure resulted in an unexpectedly high number of patients with failure in terms of stability. These results emphasize the importance of performing long-term follow-up studies after surgical reconstruction for unidirectional, posttraumatic, anterior shoulder instability using any type of technique.

Từ khóa


Tài liệu tham khảo

10.1002/bjs.18002610104

Chapnikoff D., 2000, Rev Chir Orthop Reparatrice Appar Mot, 86, 558

Constant CR, 1987, Clin Orthop, 214, 160, 10.1097/00003086-198701000-00023

10.1067/mse.2000.102580

10.2106/00004623-199706000-00008

Hovelius L., 1987, J Bone Joint Surg, 69, 393, 10.2106/00004623-198769030-00011

10.2106/00004623-197961040-00012

10.1111/j.1600-0838.1995.tb00032.x

10.1177/03635465010290050201

10.1007/s001670050096

10.1007/s001670000180

10.2106/00004623-197658020-00017

10.2106/00004623-198062060-00005

10.1177/036354659101900404

10.1177/036354659502300504

RoweCR: Evaluation of the shoulder, in RoweCR (ed): The Shoulder. New York, Churchill Livingstone, 1988, pp 631–637

10.2106/00004623-197860010-00001

10.1067/mse.2001.112019

10.1177/03635465000280060501

Thông tin
Thông tin xuất bản

American Journal of Sports Medicine

Tập 30 Số 6

778-782

Thông tin tác giả