| The Results of Bankart Repair for Anterior Instability of the Shoulder -Arthroscopic versus Open Bankart Procedure- |
| Yong Girl Rhee, Jae Young Park |
| Department of Orthopedic Surgery, College of Medicine,
Kyung Hee University, Seoul, Korea |
| 견관절 전방 불안정성에 대한 Bankart 술식의 결과 -관절경적 술식과 관혈적 술식의 결과 비교-
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| 이용걸, 박재영 |
| 경희대학교 의과대학 정형외과학교실 |
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| Abstract |
Purpose
The purpose of this study was to compare patients with anterior shoulder
instability who were treated with an open Bankart procedure with those treated with an
arthroscopic procedure, and to evaluate factors influencing the final outcomes and
recurrence.
Materials & Methods One hundred seven shoulders underwent open Bankart repair,
and fifty-one shoulders were treated arthroscopically. Average follow up for open group
was 34 months, and for arthroscopy group was 25 months. The Bankart Rating System
by Rowe was used to evaluate the clinical outcome of the procedure. And, the patients
were asked about any changes concerning their sports and professional activities.
Results
: According to Bankart Rating system by Rowe, open group had 979o fair to
excellent results with 2 recurrent dislocation(1.8%) and 4 recurrent subluxation(3.6%),
and arthroscopy group had 94% fair to excellent results with 3 recurrent
dislocation(5.8%) and 4 recurrent subluxation(8%). In open group,9 shoulders(8.4%) had
the mild limitation of range of motion at the time of follow up, and 2 shoulders(3.9%) in
arthroscopy group. Age and gender do not seem to be a significant factor contributing
to an increased re-recurrence rate. The incidence of re-recurrence seems to be affected
by dominance, frequency, and patient's activity. The size of Bankart lesion might be
also considered as a contributing factor.
Conclusion
: Either open or arthroscopic Bankart procedures are safe and effective
methods
with acceptable results if an adequate patient's selection, precise surgical
technique and proper postoperative care are done. And arthroscopic surgery could be
considered if the anterior instability is non-dominant, non-athlete, traumatic
unidirectional and Bankart lesion has minimal erosion of the glenoid and it has thick and
mobile labrum. |
| Key Words:
Shoulder, Anterior instability, Bankart repair, |
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