scholarly journals The “Purse String” Procedure for Recurrent Anterior Glenohumeral Instability: A Simple Technique to Achieve Bankart Repair, Capsular Shift, and a Good Labral Bumper

2017 ◽  
Vol 6 (4) ◽  
pp. e1245-e1251 ◽  
Author(s):  
Luis Gerardo Natera ◽  
Paolo Consigliere ◽  
Caroline Witney-Lagen ◽  
Juan Bruguera ◽  
Giuseppe Sforza ◽  
...  
Keyword(s):  
Simple Technique ◽  
Bankart Repair ◽  
Glenohumeral Instability ◽  
Purse String ◽  
Capsular Shift ◽  
Anterior Glenohumeral Instability

Glenoid Morphology after Arthroscopic Osseous Bankart Repair for Recurrent Anterior Glenohumeral Instability: A 5- to 8-Year Follow-up

2013 ◽  
Vol 29 (10) ◽  
pp. e150-e151 ◽  
Author(s):  
Souichirou Kitayama ◽  
Hiroyuki Sugaya ◽  
Norimasa Takahashi ◽  
Nobuaki Kawai ◽  
Motoki Tanaka ◽  
...  
Keyword(s):  
Bankart Repair ◽  
Glenohumeral Instability ◽  
Glenoid Morphology ◽  
Anterior Glenohumeral Instability

Open Reconstruction of Large Bony Glenoid Erosion with Allogeneic Bone Graft for Recurrent Anterior Shoulder Dislocation

2009 ◽  
Vol 37 (9) ◽  
pp. 1792-1797 ◽  
Author(s):  
Pei-Wei Weng ◽  
Hsain-Chung Shen ◽  
Hsieh-Hsing Lee ◽  
Shing-Sheng Wu ◽  
Chian-Her Lee
Keyword(s):  
Case Series ◽  
Anterior Shoulder Instability ◽  
Bony Union ◽  
Allogeneic Bone ◽  
Glenohumeral Instability ◽  
Capsular Shift ◽  
Open Reconstruction ◽  
The Mean ◽  
Anterior Glenohumeral Instability ◽  
Glenoid Erosion

Background Severe glenoid bone loss in recurrent anterior glenohumeral instability is rare and difficult to treat. Purpose The authors present a surgical technique using allogeneic bone grafting for open anatomic glenoid reconstruction in addition to the capsular shift procedure. Study Design Case series; Level of evidence, 4. Methods Nine consecutive patients with a history of recurrent anterior shoulder instability underwent reconstruction of large bony glenoid erosion with a femoral head allograft combined with an anteroinferior capsular shift procedure. Preoperative computed tomographic and arthroscopic evaluation was performed to confirm a ≥120° osseous defect of the anteroinferior quadrant of the glenoid cavity, which had an “inverted-pear” appearance. Patients were followed for at least 4.5 years (range, 4.5-14). Serial postoperative radiographs were evaluated. Functional outcomes were assessed using Rowe scores. Results All grafts showed bony union within 6 months after surgery. The mean Rowe score improved to 84 from a preoperative score of 24. The mean loss of external rotation was 7° compared with the normal shoulder. One subluxation and 1 dislocation occurred after grand mal seizures during follow-up. These 2 patients regained shoulder stability after closed reduction. The remaining patients did not report recurrent instability. All patients resumed daily activities without restricted motion. Conclusion This technique for open reconstruction is viable for the treatment of recurrent anterior glenohumeral instability with large bony glenoid erosion.

scholarly journals Recurrent Anterior Glenohumeral Instability-Arthroscopic Results of Bankart Repair

2014 ◽  
Vol 2 (3 Suppl) ◽  
Author(s):  
A. Guney ◽  
I. Karaman ◽  
M. Kahraman ◽  
M. Oner ◽  
E. Uzun ◽  
...  
Keyword(s):  
Bankart Repair ◽  
Glenohumeral Instability ◽  
Anterior Glenohumeral Instability

scholarly journals Postoperative Recovery Comparisons of Arthroscopic Bankart to Open Latarjet for the Treatment of Anterior Glenohumeral Instability

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0027
Author(s):  
Jarret Murray Woodmass ◽  
Eric Wagner ◽  
Jennifer Smith ◽  
Jon J.P. Warner ◽  
Laurence D. Higgins
Keyword(s):  
Shoulder Function ◽  
Postoperative Recovery ◽  
Bankart Repair ◽  
Latarjet Procedure ◽  
Function Score ◽  
Medium Term ◽  
Glenohumeral Instability ◽  
Vas Scores ◽  
Operative Recovery ◽  
Anterior Glenohumeral Instability

Objectives: Recurrent anterior glenohumeral instability is a disabling pathology that can be successfully treated by arthroscopic Bankart repair or an open Latarjet procedure. Long-term outcomes have shown lower rates of apprehension, recurrent dislocation and operative revision following Latarjet when compared to Bankart repair. However, there is a paucity of studies comparing the short-term post-operative recovery of arthroscopic Bankart versus open Latarjet. The purpose of this study is to evaluate the post-operative recovery following Bankart and the open Latarjet procedure. Methods: The surgical outcomes system (SOS) database (Arthrex Inc., Naples, FL) was used to compare the post-operative recovery outcomes after either a primary or revision arthroscopic Bankart and an open Latarjet procedure. Patients were included who had a minimum of 1 year follow-up. Preoperative and postoperative (2 weeks, 6 weeks, 3 months, 6 months, 1 year and 2 year) time points were evaluated. Outcomes measures included Visual Analog Pain Scale (VAS), American Shoulder and Elbow Surgeons (ASES) Shoulder Function Score, ASES Shoulder Index Score, and SANE Score. Overall, 787 patients underwent primary Bankart (518 male, 240 female, 4 not recorded), 36 underwent revision Bankart (24 male, 10 female, 2 not recorded) and 75 underwent an open Latarjet procedure (59 male, 12 female, 4 not recorded). The mean age for primary Bankart, revision Bankart, and open Latarjet was 40.8, 38.6 and 32.8 respectively. Additionally, the average BMI for primary Bankart, revision Bankart, and open Latarjet was 27.2, 28.13, and 25.6, respectively. Results: The postoperative recovery curves are displayed in Figure 1. When compared to primary Bankart, open Latarjet demonstrated significantly lower VAS scores at six weeks (p=0.0272) and at three months (p=0.0094). Medium term outcomes for ASES Shoulder Index Score, ASES Shoulder Function Score, and SANE Score, at 1- and 2-years showed no difference between primary Bankart and Latarjet. For the revision Bankart and open Latarjet procedures, the open Latarjet cohort demonstrated significantly higher ASES Shoulder Index Scores at the 3-months (p= 0.0017), 1-year (p= 0.0021), and 2-years (p= 0.0006) timepoints. Open Latarjet patients also had significantly higher ASES Shoulder Function Scores than revision Bankart at 3-months (p= 0.0162), 1-year (p= 0.0083), and 2-years (p= 0.0013). Revision Bankart repair resulted in significantly higher VAS scores than open Latarjet at 2-weeks (p= 0.0025), 6-weeks (p=0.0114), 3-months (p= 0.0024), 1-year (p= 0.0039), and 2-years (p= 0.0007). Conclusion: When compared to Bankart repair, open Latarjet provides improved pain and functional outcomes during the early recovery phase, 2-weeks, 6-weeks, 3-months, and 6-months, with equivalent medium-term outcomes at 1-2-years. Furthermore, when compared to revision Bankart reconstruction, open Latarjet provides improved ASES Shoulder Index Scores, ASES Shoulder Function Scores and VAS Scores at nearly all timepoints. In the treatment of recurrent anterior glenohumeral instability, open Latarjet is reasonable option in the primary setting and should be favored over Bankart repair for revision cases with improved pain relief and functional scores.

Risk factors for recurrent instability or revision surgery following arthroscopic Bankart repair

2018 ◽  
Vol 100-B (3) ◽  
pp. 324-330 ◽  
Author(s):  
S. A. Mahure ◽  
B. Mollon ◽  
B. M. Capogna ◽  
J. D. Zuckerman ◽  
Y. W. Kwon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Closed Reduction ◽  
Hazard Ratio ◽  
Bankart Repair ◽  
Glenohumeral Instability ◽  
Recurrent Instability ◽  
Arthroscopic Bankart Repair ◽  
Independent Risk Factors ◽  
Anterior Glenohumeral Instability ◽  
Persistent Instability

Aims The factors that predispose to recurrent instability and revision stabilization procedures after arthroscopic Bankart repair for anterior glenohumeral instability remain unclear. We sought to determine the rate and risk factors associated with ongoing instability in patients undergoing arthroscopic Bankart repair for instability of the shoulder. Materials and Methods We used the Statewide Planning and Research Cooperative System (SPARCS) database to identify patients with a diagnosis of anterior instability of the shoulder undergoing arthroscopic Bankart repair between 2003 and 2011. Patients were followed for a minimum of three years. Baseline demographics and subsequent further surgery to the ipsilateral shoulder were analyzed. Multivariate analysis was used to identify independent risk factors for recurrent instability. Results A total of 5719 patients were analyzed. Their mean age was 24.9 years (sd 9.3); 4013 (70.2%) were male. A total of 461 (8.1%) underwent a further procedure involving the ipsilateral shoulder at a mean of 31.5 months (sd 23.8) postoperatively; 117 (2.1%) had a closed reduction and 344 (6.0%) had further surgery. Revision arthroscopic Bankart repair was the most common subsequent surgical procedure (223; 65.4%). Independent risk factors for recurrent instability were: age < 19 years (odds ratio 1.86), Caucasian ethnicity (hazard ratio 1.42), bilateral instability of the shoulder (hazard ratio 2.17), and a history of closed reduction(s) prior to the initial repair (hazard ratio 2.45). Revision arthroscopic Bankart repair was associated with significantly higher rates of ongoing persistent instability than revision open stabilization (12.4% vs 5.1%, p = 0.041). Conclusion The incidence of a further procedure being required in patients undergoing arthroscopic Bankart repair for anterior glenohumeral instability was 8.1%. Younger age, Caucasian race, bilateral instability, and closed reduction prior to the initial repair were independent risk factors for recurrent instability, while subsequent revision arthroscopic Bankart repair had significantly higher rates of persistent instability than subsequent open revision procedures. Cite this article: Bone Joint J 2018;100-B:324–30.

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