Arthroscopic Capsulolabral Repair Using Absorbable Suture-Anchor for the Traumatic Anterior Instability of Shoulder |
Seung-Ki Kim, M.D.,Ph.D., In-Soo Song, M.D., Hyun Mo Seo, M.D.,
Myung-Sang Moon, M.D.,Ph.D., Lin Guang, M.D.* |
Joint center, Sun General Hospital, Dae-jeon, Korea, Jilin City Traumatic Hospital, Jilin City, China* |
흡수성 suture-anchor를 이용한 견관절 전방 불안정성의 재건술 |
김승기, 송인수, 서현모, 문명상, 임광 |
대전 선병원 관절센터, 지린시병원* |
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Abstract |
Purpose The purpose of this study is to evaluate the short-term clinical outcome of the capsulolabral repair using absorbable suture anchor in traumatic anterior instability of shoulder. Materials and Methods: From June 2000 to September 2001, 15 shoulders with recurrent anterior instability were operated with arthroscopic Bankart repair using absorbable suture-anchor “PANALOK”(Mitek, westwood, MA), and were followed up over 1 year (average; 13 months). The mean age was 23-years. There were fourteen males and one female. The mean duration from the initial symptoms to the operation was 24 months. Associated pathologies were Hill-Sachs defect in 12 cases, SLAP in 6 cases, and partial rotator cuff tear in 2 cases. The results were evaluated by patient’s satisfaction, Modified Rowe Score in regard to joint stability, mobility, pain and function in comparison with the preoperative ones, and other complications. Results: At the last follow-up, the total Rowe Score increased from 38 points to 92 points. There were no recurrence and 14 patients among 15 patients gained pre-operative level of sports activity and no other complications. Conclusion: Effective capsulolabral repair could be obtained by the absorbable anchoring without any untoward complications. This procedure is simple and safe one and this system can be a good substitute for the metallic anchor. |
Key Words:
Shoulder, Anterior instability, Absorbable suture anchor |
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