| Bankart Suture Repair for Anterior Instability of the Shoulder - Results of Arthroscopic versus Open Repair - |
| Chang-Hyuk Choi, M.D., Koing-Woo Kwun, M.D., Shin-Kun Kim, M.D.,
Sang-Wook Lee, M.D., Dong-Kyu Shin, M.D., Kyung-Min Kim, M.D. |
| Department of Orthopaedic Surgery, School of Medicine,
Catholic University of Taegu, Taegu, Korea. |
| 견관절 전방 재발성 탈구의 치료 - 관절경 및 관혈적 Bankart 병변 수복술의 비교 - |
| 최창혁, 권굉우, 김신근, 이상욱, 신동규, 김경민 |
| 대구가톨릭대학교 의과대학 정형외과학교실 |
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| Abstract |
Purpose
: We evaluated clinical result of arthroscopic and open Bankart repair in anterior shoulder instability to identify factors influencing operative result and prognosis. Materials & Methods : We reviewed 24 patients of anterior shoulder instability treated with arthroscopic Bankart repair in 16 cases and open Bankart repair in 8 cases. Average age was 26 years old and involved in dominant arm in 15 cases. Patients were suffered instability for 3.1 years before operation and mean follow-up was 2 year 9 months (1 year 9 months-4year 10 months). Results : Post operative pain was subsided in 2 weeks in arthroscopic surgery and 3 weeks in open surgery. The final range of motion after arthroscopic repair were flexion in 168。, external rotation in 54。, and internal rotation in T9, and after open repair 168。, 49。, and T8 respectively. In arthroscopic surgery, 2 cases (13%) were redislocated, and 4 cases(25%) showed mild instability. In open case, 1 case (11%) showed mild instability. According to functional result by Rowe grading scale, satisfactory results were 12case (76%) in arthroscopic repair and 7 cases (88%) in open cases. Conclusions : Both arthroscopic or open Bankart could get good results in the treatment of anterior instability of shoulder. In arthroscopic repair, perioperative morbidity was lower than open repair, but it needs careful rehabilitation program to prevent redislocation and to return to sports activity. |
| Key Words:
Shoulder, Anterior recurrent dislocation, Bankart repair |
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