| One Anchor Double Fixation (OADF) Technique for Arthroscopic Bony Bankart Repair |
| Eui Sung Choi, Kyoung Jin Park, Yong Min Kim, Dong Soo Kim, Hyun Chul Shon, Byung Ki Cho, Seung Hwan Bae |
| Department of Orthopedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. oslion@chungbuk.ac.kr |
| 두가닥의 봉합사를 가진 봉합나사못을 이용한 새로운 관절경적 골성 방카르트 병변 봉합술 |
| 최의성·박경진·김용민·김동수·손현철·조병기·배승환 |
| 충북대학교 의과대학 정형외과학교실 |
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| Abstract |
PURPOSE
The aim of this study was to evaluate the usefulness of arthroscopic Bony Bankart repair using a One Anchor Double Fixation Technique.
MATERIALS AND METHODS: Seventeen patients with a Bony Bankart lesion were treated using the One Anchor Double Fixation Technique (OADF Technique). There were 13 males and 4 females. The average age was 24 years (range 17-42). The average follow-up period was 22.3 months. One 3.0 mm suture anchor with doubly loaded sutures was inserted into the glenoid rim. One suture strand was passed the around the small bony fragment and tied first. Another suture strand was passed through the capsule and tied over the bony fragment. The result was measured using Rowe's evaluation index & KSS score. The glenoid defect & bony fragment were measured by 3D-CT scan.
RESULTS
Rowe's evaluation index on the final follow-up showed an overall improvement from an average of 54 (range, 23-71) to 83.4 (range 71-90). Of the 17 cases, 13 were excellent, 3 were good, and 1 was fair. KSS scores showed improvement from an average of 71 (range 49-82) to 92.5 (range 82-94). There were no cases where pain continued to the final follow-up, and no cases being re-dislocated during the follow-up period. For six cases, we confirmed the bony healing of the bony Bankart lesion by CT.
CONCLUSION
Bony Bankart lesion repair using this new method achieves excellent clinical results with low recurrence rates and is considered another choice for bony Bankart lesions. |
| Key Words:
Shoulder; Traumatic anterior shoulder instability; Bony Bankart lesion; Arthroscopic repair; Bio-absorbable anchor with two strandsBio-absorbable anchor with two strands |
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