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- Title
Bankart Repair in Traumatic Anterior Shoulder Instability.
- Authors
Alkhathami, Mohammed Saad; AL-Ahdal, Abdulelah Ahmed; Alomari, Mohannad Ali S.; alhomidan, Ziad saleh; Al- zulayq, Mahdi Dhafer M.; Essa, Mustafa Taher Ali A. L.; Alaboudi, Abdullah Rashed; Khan, Abdulrahman Anis Kh.; Aldosary, Ahasen Ali Q.; Yousuf, Faisal Saud; Alghalibi, Mohammed Thamer S.; Alyamani, Rakan Ali A.
- Abstract
Background: Latest studies have shown effective clinical outcomes after arthroscopic Bankart repair (ABR) but have shown some risk factors for re-dislocation after surgery. We assessed whether patients are at a risk for re-dislocation during the first year after ABR, examined the recurrence rate after ABR, and sought to recognize new risk factors. Materials and Methods: We performed ABR utilizing bioabsorbable suture anchors in 51 consecutive shoulders (50 patients) with traumatic anterior shoulder instability. Average patient age was 26.5 (range, 15-40) years. We assessed re-dislocation after ABR using patient telephone interviews (follow-up rate, 100%) and correlated re-dislocation with several risk factors. Results: Re-dislocation after ABR occurred in five shoulders (9.8%), of which 4 sustained re-injuries within the first year with the arm elevated at 90° and externally rotated at 90°. Of the remaining 46 shoulders without re-dislocation, 4 had re-injury under the same conditions within the first year. Consequently, re-injury within the first year was a risk for re-dislocation after ABR (P < 0.001, chi-squared test). Using multivariate analysis, large Hill-Sachs lesions (odds ratio, 6.75; 95% CI, 1.35-64.5) and <4 suture anchors (odds ratio, 9.45; 95% CI, 1.88-72.5) were significant risk factors for re-dislocation after ABR. Conclusion: The recurrence rate after ABR was not associated with the time elapsed and that repair strategies should augment the large humeral bone defect and use >3 anchors during ABR.
- Subjects
ORTHOPEDIC surgery; OPERATIVE surgery; FRACTURE fixation; ANTERIOR cruciate ligament; HEALTH outcome assessment
- Publication
Egyptian Journal of Hospital Medicine, 2018, Vol 70, Issue 4, p549
- ISSN
1687-2002
- Publication type
Article
- DOI
10.12816/0043805