Open Capsular Shift versus Arthroscopic Bankart Repair for Recurrent Dislocation of Shoulder |
Jung Man Kim, Jeong Tae Seo, Cheong Ho Chang, Tac Soo Kim |
Department of Orthopaedic Surgery, Kang-Nam St. Mary’s Hospital,
The Catholic University of Korea, College of Medicine, Seoul, Korea |
견관절 습관성 탈구의 관혈적 관절막 전위술과 관절경적 Bankart 병변 수복술
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김정만, 서정태, 장정호, 김택수 |
가톨릭대학교 의과대학 강남성모병원 정형외과학교실 |
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Abstract |
The results of open capsular shift(Group 1) and arthroscopic transglenoid Bankart
repair(Group 2) for the recurrent anterior dislocation of the shoulder were compared.
During a 4-year period, 25 patients were surgically treated. Fourteen shoulders had open
Bankart procedure and capsular shift, and 11 shoulders were treated arthroscopically. A
Bankart lesion was Pound in 12 out of 14 patients in Croup 1 and all 11 patients in
Group 2. Average follow-up period was 46 months for Group 1 and 23.4 months for
Group 2. Group 1 showed 71.4% good to excellent results with 1 recurrent dislocation.
Group 2 showed 90.9% good to excellent results with no recurrent dislocation. The
cause of less favorable results of Group 1 compared with Group 2 was loss of external
rotation postoperatively. The study showed that the results of arthroscopic Bankart
repair was comparable to the open capsular shift in terms of stability, and the
postoperative function was better than open capsular shift.
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Key Words:
Shoulder, Recurrent dislocation, Open capsular shift, Arthroscopic Bankart repair,
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