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Clin Shoulder Elbow > Volume 9(1); 2006 > Article
Journal of the Korean Shoulder and Elbow Society 2006;9(1):105-110.
DOI: https://doi.org/10.5397/CiSE.2006.9.1.105    Published online June 30, 2006.
Arthroscopic Bankart Repair in Traumatic Anterior Shoulder Instability with Bio-knotless Anchor (Preliminary and Technical Report)
Jae-Kwang Yum, M.D., Yong-Woon Shin, M.D.*, Ki-Hyuk Sung, M.D.
Department of Orthopedic Surgery
Sanggye Paik Hospital, School of Medicine, Inje Univ., Seoul, Korea.
견관절 외상성 전방 불안정성에 대한 Bio-knotless 봉합 나사못을 이용한 관절경적 Bankart 병변 봉합술 (예비 보고)
염재광,신용운*,성기혁
인제대학교 의과대학 상계백병원 정형외과
Abstract
Purpose
This study reports the clinical results of the arthroscopic Bankart repair in traumatic anterior instability of the shoulder with bio-knotless anchor. Materials and Methods: 21 cases of 21 patients (20 male and 1 female) were included in this study. The average age was 24.8 years old and the period from the first injury to operation was average 37.2 months. All cases had Bankart lesion and 12 cases had Hill-Sachs’lesion. The SLAP lesion was associated in 6 cases. Preoperative Rowe score was average 29.1. Arthroscopic Bankart repair with bio-knotless anchor were performed in all cases; 3 anchors at 3, 4, 5 O clock position of the glenoid were used in 11 cases and 2 anchors at 4, 5 O’clock position were used in 10 cases. All the associated SLAP lesions were repaired arthroscopically with bio-knotless anchor. Thermal capsular shrinkage at the anterior and inferior shoulder capsule after the Bankart repair was performed in 3 cases. The average follow up period was 20.2 months. Results: The Rowe score improved to 92.8, excellent in 17 cases and good in 4 cases, at last follow up period and 20 cases had full range of motion of the shoulder. 1 case had mild limited range of motion of the shoulder (150 degrees in flexion, 60 degrees in external rotation and T12 level in internal rotation) without any problem in normal activity. The arthroscopic revision surgery of the shoulder was performed in 1 case because of multiple traumatic injuries of the shoulder with pain postoperatively. Conclusion: Arthroscopic Bankart repair with bio-knotless anchor in traumatic anterior shoulder instability is one of the good methods because of the good clinical results.
Key Words: Shoulder, Traumatic anterior instability, Arthroscopic Bankart repair, Bio-knotless anchor.


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