Open Versus Arthroscopic Technique in the Traumatic Recurrent Anterior Dislocation of the Shoulder |
Hee-Soo Kyung, M.D., In-Ho Jeon, M.D., Sung-Jung Kim, M.D. and
Jun-Young Yeo, M.D. |
Department of Orthopaedic Surgery, Kyungpook National University Hospital, Daegu, Korea |
견관절 전방 재발성 탈구에 대한 관혈적 술식과 관절경적 술식의 결과 비교 |
경희수, 전인호, 김성중, 여준영 |
경북대학교 의과대학 정형외과학교실 |
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Abstract |
ic recurrent anterior dislocation of the shoulder. Materials and methods: We analysed 7 cases underwent open Bankart repair (group I) and 13 cases underwent arthroscopic Bankart repair (group II). The average follow-up period was 68.1 months (51~113 months) in group I and 41.1 months (16~57 months) in group II. All patients in group I and II were non-athletes. We analyzed statistically objective evaluation, such as the stability of shoulder joint, the range of motion, pain, impaired throwing, Bankart rating system by Rowe and subjective evaluation, visual analog scale (VAS) between two groups. Results: In terms of dominant and non-dominant shoulders, the age at initial episode of dislocation, the elapsed time from injury to surgery, the number of preoperative dislocations associated with susceptibility to apprehension, respectively, there was no statistically significant differences between two groups. In group I the average Rowe’s scores was 84.3 and 3 cases (43%) had excellent results, 4 cases (57%), good ones. In group II the average Rowe’s scores was 87.3 and 7 cases (54%) had excellent results, 6 cases, good ones. There was tendency to show more excellent results in group II, but there was no statistically significant differences. The average VAS were 90.3 points in group I and 88 points in group II, which showed also no statistically significant differences. Conclusion: Open and arthroscopic Bankart repairs had no significant difference and showed also good results in traumatic recurrent anterior dislocation of shoulder. |
Key Words:
Shoulder, Dislocation, Open, Arthroscopic, Bankart |
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