| Suture Anchor Capsulorraphy in the Traumatic Anterior Shoulder Instability: Open Versus Arthroscopic Technique |
| Seung-Ho Kim, Kwon-Ick Ha, Sang-Hyun Kim |
| Department of Orthopaedic Surgery, Sung Kyun Kwan University, Samsung Medical Center |
| 봉합나사를 이용한 Bankart 봉합술의 관절경적 및 개방적 수술의 |
| 김승호, 하권익, 김상현 |
| 성균관대학교 의과대학 삼성서울병원 정형외과학교실 |
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| Abstract |
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Eighty-nine shoulders in eighty-eight patients with traumatic unilateral anterior shoulder instability were evaluated for Rowe and UCLA scores, recurrence, return to activity, and range of motion by an independent examiner at an average of 39 months after either arthroscopic or open Bankart repair using suture anchors. The arthroscopic technique included a minimum of 3 anchors, and a routine incorporation of capsular plication and proximal shift. Twentysix shoulders(86.6%) out of thirty in the open Bankart repair group had excellent or good results while fiftyfour(91.5%) of the fifty-nine shoulders with arthroscopic Bankart repair had excellent or good results. The arthroscopic group revealed significantly better results in the Rowe(p=.041) and UCLA scores(p=.026). Two shoulders in each group developed redislocation. There were no significant differences in the loss of external rotation and return to prior activity between the two groups(p>.05). The residual instability occurred more frequently in the group of patients with lesser anchors. Arthroscopic suture anchor capsulorraphy has results equal to or better than the open Bankart procedure. |
| Key Words:
Shoulder; Anterior instability; Bankart repair; Suture anchor |
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