Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 6 Issue 8

Assessing the Efficacy of Arthroscopic Bankart Repair for Recurrent Shoulder Dislocation

Md Jillur Hasan1*, Iftekher Ahmed2, Md Towhidul Islam1 and Kazi Shamim Uzzaman3

1Medical Officer, Department of Orthopedic, at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
2Assistant Registrar, Department of Orthopedic, at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh
3Professor and Unit Chief, Department of Orthopedic, at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh

*Corresponding Author: Md Jillur Hasan, Medical Officer, Department of Orthopedic, at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh. Email: hasandrashraful@gmail.com.

Received: July 18, 2023; Published: july 27, 2023

Abstract

Background: Recurrent shoulder dislocation is a common injury with significant functional implications. The shoulder is one of the most common and frequently dislocated joints, accounting for more than 50% of all dislocations. The most common complication of shoulder dislocation is recurrent instability. It accounts for an average of 70-90% recurrence in patients aged 20-40 years. Arthroscopic Bankart repair has emerged as a popular surgical technique for its potential to restore stability and reduce re-dislocation rates.

Aim of the study: This study aims to assess the efficacy of this procedure through a comprehensive analysis of patient outcomes and complication rates.

Methods: This is a descriptive and prospective study, a total of 16 patients were enrolled and analyzed in this study who were undergone arthroscopic Bankart repair for recurrent shoulder dislocation. The study was conducted at the Department of Orthopedic, at National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh. The study duration was one year from January 2020 to December 2020. Every case is thoroughly examined, and a comprehensive study is done concerning anatomical status, hospital stay, functioning results, and complications in a proforma.

Result: The largest proportion of patients (31.25%) fell within the age group of 20-24 years, while 25.00% of patients were aged between 15-20 years. in the study population, with 87% of patients being male and 13% being female. The majority of injuries were attributed to sports activities (81.25%), while 12.50% resulted from falls from heights, and a single patient experienced an accidental road injury. The average surgery duration was 69.87 ± 17.19 minutes, and patients attended follow-up visits for an average of 7.76 ± 2.45 days. The study observed a recurrence rate of 37.50%, but 81.25% of patients expressed satisfaction with the treatment outcome.

Conclusion: In conclusion, this research study provides valuable insights into the efficacy of arthroscopic Bankart repair as a treatment option for recurrent shoulder dislocation. The findings highlight the procedure's effectiveness in reducing the risk of further dislocations and improving functional outcomes, emphasizing its significance in clinical practice.

 Keywords: Efficacy; Arthroscopic; Bankart Repair and Recurrent Shoulder

References

  1. Dickson JW and Devas MB. “Bankart's operation for recurrent dislocation of the shoulder”. The Journal of Bone and Joint Surgery. British volume1 (1957): 114-119.
  2. Adla DN., et al. “Clinical outcome of arthroscopic anterior stabilisation of shoulder using absorbable knotless suture anchors”. In Orthopaedic Proceedings. The British Editorial Society of Bone and Joint Surgery 91.I (2009): 118-118.
  3. Kraeutler MJ., et al. “Descriptive epidemiology of the MOON shoulder instability cohort”. The American journal of sports medicine5 (2018): 1064-1069.
  4. Moroder P., et al. “Characteristics of functional shoulder instability”. Journal of Shoulder and Elbow Surgery1 (2020): 68-78.
  5. Galvin JW., et al. “The epidemiology and natural history of anterior shoulder instability”. Current Reviews in Musculoskeletal Medicine 10 (2017): 411-424.
  6. Bonazza NA., et al. “Trends in surgical management of shoulder instability”. Orthopaedic Journal of Sports Medicine6 (2017): 2325967117712476.
  7. Zimmermann SM., et al. “Long-term restoration of anterior shoulder stability: a retrospective analysis of arthroscopic Bankart repair versus open Latarjet procedure”. JBJS23 (2018): 1954-1961.
  8. Mahure SA., et al. “Risk factors for recurrent instability or revision surgery following arthroscopic Bankart repair”. Bone Joint Journal3 (2018): 324-330.
  9. Hantes ME., et al. “Better knee function after surgical repair of acute quadriceps tendon rupture in comparison to acute patellar tendon rupture”. Orthopaedics and Traumatology: Surgery and Research1 (2019): 119-123.
  10. Foong WS., et al. “Determining the minimal clinically important difference on the Oxford Shoulder Instability Score in patients undergoing arthroscopic Bankart repair for shoulder instability”. Orthopaedic Journal of Sports Medicine1 (2022): 23259671211060023.
  11. Lafosse L., et al. “The arthroscopic Latarjet procedure for the treatment of anterior shoulder instability”. Arthroscopy: The Journal of Arthroscopic and Related Surgery11 (2007): 1242-e1.
  12. Freedman KB., et al. “Open Bankart repair versus arthroscopic repair with transglenoid sutures or bioabsorbable tacks for recurrent anterior instability of the shoulder: a 6-month study”. The American Journal of Sports Medicine 6 (2004): 1520-1527.
  13. Mohtadi NG., et al. “Arthroscopic versus open repair for traumatic anterior shoulder instability: a meta-analysis”. Arthroscopy: The Journal of Arthroscopic and Related Surgery6 (2005): 652-658.
  14. Bacilla P., et al. “Arthroscopic Bankart repair in a high demand patient population”. Arthroscopy: The Journal of Arthroscopic and Related Surgery 1 (1997): 51-60.
  15. Lenters TR., et al. “Arthroscopic compared with open repairs for recurrent anterior shoulder instability: a systematic review and meta-analysis of the literature”. JBJS 2 (2007): 244-254.
  16. Weber SC. “Arthroscopic suture anchor repair versus open Bankart repair in the management of traumatic anterior glenohumeral instability”. Arthroscopy 12 (1996): 382.
  17. Hoffmann F and Reif G. “Arthroscopic shoulder stabilization using Mitek anchors”. Knee Surgery, Sports Traumatology, Arthroscopy 3 (1995): 50-54.
  18. Tan CK., et al. “Arthroscopic stabilization of the shoulder: a prospective randomized study of absorbable versus nonabsorbable suture anchors”. Arthroscopy: The Journal of Arthroscopic and Related Surgery7 (2006): 716-720.
  19. Cho NS., et al. “Arthroscopic stabilization in anterior shoulder instability: collision athletes versus noncollision athletes”. Arthroscopy: The Journal of Arthroscopic and Related Surgery9 (2006): 947-953.
  20. Marquardt B., et al. “Long–term Results of Arthroscopic Bankart Repair with a Bioabsorbable Tack”. The American Journal of Sports Medicine12 (2006): 1906-1910.
  21. Tjoumakaris FP., et al. “Arthroscopic and open Bankart repairs provide similar outcomes”. Clinical Orthopaedics and Related Research® 446 (2006): 227-232.
  22. Hobby J., et al. “Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations”. The Journal of Bone and Joint Surgery. British volume9 (2007): 1188-1196.

Citation

Citation: Md Jillur Hasan., et al. “Assessing the Efficacy of Arthroscopic Bankart Repair for Recurrent Shoulder Dislocation".Acta Scientific Orthopaedics 6.8 (2023): 81-87.

Copyright

Copyright: © 2023 Md Jillur Hasan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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