Revision of Failed Artroscopic Bankart Repairs

OBJECTIVES: To present our functional outcomes from patients treated arthroscopically for a failed Bankart repair, using suture anchors and capsulolabral tissue only. METHODS: Series of 22 patients presented with a recurrence of instability after a previous stabilization surgery (3 Latarjet, Bankart...

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Autores principales: Muiño, José María Silberberg, Gimenez, Martín Alejandro, Salvucci, Mauro Gabriel Maroa, Ferro, Diego, Rullan, Ramón Muiña
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318833/
http://dx.doi.org/10.1177/2325967117S00005
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author Muiño, José María Silberberg
Gimenez, Martín Alejandro
Salvucci, Mauro Gabriel Maroa
Ferro, Diego
Rullan, Ramón Muiña
author_facet Muiño, José María Silberberg
Gimenez, Martín Alejandro
Salvucci, Mauro Gabriel Maroa
Ferro, Diego
Rullan, Ramón Muiña
author_sort Muiño, José María Silberberg
collection PubMed
description OBJECTIVES: To present our functional outcomes from patients treated arthroscopically for a failed Bankart repair, using suture anchors and capsulolabral tissue only. METHODS: Series of 22 patients presented with a recurrence of instability after a previous stabilization surgery (3 Latarjet, Bankart 19). We treated them by a an all-arthroscopic procedure, avoiding bone grafts, when glenoid track was found to be enough to proceed. The failure was associated with trauma in 11 patients, a non-anatomic repair in 6 patients, capsular laxity in 4 patients and a non-union of the coracoid graft in 1 patient. Revision surgery included: Bankart repair with anchors in 17 cases, a posterior-inferior capsulo-labral plication in one case, and 5 remplissages. In 4 cases subscapularis augmentation was used because of poor capsular quality. Screw removal was necessary when treating the non-union case. Patients were followed-up by a minimum of 23 months (range 23-26), and evaluated by the UCLA Test, SS test and Rowe score. RESULTS: Thirteen patients had an excellent result, 6 good, 2 satisfactory and one bad result, according to UCLA score. The mean Rowe score was 90.4, at final follow up. The Simple Shoulder Test went from an 8 preoperative to an 11 postoperative, mean scores. 19 of 22 patients returned to the same level of activity prior to the injury. Complications: recurrence in 2 cases, subluxation in 2 and one shoulder stiffness that required an arthrolysis. CONCLUSION: An arthroscopic revision surgery, after a failed Bankart repair, presents satisfactory results in selected patients. Arthroscopic vision allows a correct diagnosis of injuries as possible causes of failure and subsequent treatment.
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spelling pubmed-53188332017-03-01 Revision of Failed Artroscopic Bankart Repairs Muiño, José María Silberberg Gimenez, Martín Alejandro Salvucci, Mauro Gabriel Maroa Ferro, Diego Rullan, Ramón Muiña Orthop J Sports Med Article OBJECTIVES: To present our functional outcomes from patients treated arthroscopically for a failed Bankart repair, using suture anchors and capsulolabral tissue only. METHODS: Series of 22 patients presented with a recurrence of instability after a previous stabilization surgery (3 Latarjet, Bankart 19). We treated them by a an all-arthroscopic procedure, avoiding bone grafts, when glenoid track was found to be enough to proceed. The failure was associated with trauma in 11 patients, a non-anatomic repair in 6 patients, capsular laxity in 4 patients and a non-union of the coracoid graft in 1 patient. Revision surgery included: Bankart repair with anchors in 17 cases, a posterior-inferior capsulo-labral plication in one case, and 5 remplissages. In 4 cases subscapularis augmentation was used because of poor capsular quality. Screw removal was necessary when treating the non-union case. Patients were followed-up by a minimum of 23 months (range 23-26), and evaluated by the UCLA Test, SS test and Rowe score. RESULTS: Thirteen patients had an excellent result, 6 good, 2 satisfactory and one bad result, according to UCLA score. The mean Rowe score was 90.4, at final follow up. The Simple Shoulder Test went from an 8 preoperative to an 11 postoperative, mean scores. 19 of 22 patients returned to the same level of activity prior to the injury. Complications: recurrence in 2 cases, subluxation in 2 and one shoulder stiffness that required an arthrolysis. CONCLUSION: An arthroscopic revision surgery, after a failed Bankart repair, presents satisfactory results in selected patients. Arthroscopic vision allows a correct diagnosis of injuries as possible causes of failure and subsequent treatment. SAGE Publications 2017-01-31 /pmc/articles/PMC5318833/ http://dx.doi.org/10.1177/2325967117S00005 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/3.0/ This open-access article is published and distributed under the Creative Commons Attribution - NonCommercial - No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For reprints and permission queries, please visit SAGE’s Web site at http://www.sagepub.com/journalsPermissions.nav.
spellingShingle Article
Muiño, José María Silberberg
Gimenez, Martín Alejandro
Salvucci, Mauro Gabriel Maroa
Ferro, Diego
Rullan, Ramón Muiña
Revision of Failed Artroscopic Bankart Repairs
title Revision of Failed Artroscopic Bankart Repairs
title_full Revision of Failed Artroscopic Bankart Repairs
title_fullStr Revision of Failed Artroscopic Bankart Repairs
title_full_unstemmed Revision of Failed Artroscopic Bankart Repairs
title_short Revision of Failed Artroscopic Bankart Repairs
title_sort revision of failed artroscopic bankart repairs
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318833/
http://dx.doi.org/10.1177/2325967117S00005
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