Bankart Repair in Traumatic Anterior Shoulder Instability
Alkhathami, M., AL-Ahdal, A., Alomari, M., alhomidan, Z., zulayq, M., AL Essa, M., Kh. Khan, A., Alaboudi, A., Aldosary, A., Yousuf, F., Alghalibi, M., Ali A, A. (2018). Bankart Repair in Traumatic Anterior Shoulder Instability. EKB Journal Management System, 70(4), 549-553. doi: 10.12816/0043805
Mohammed Saad Alkhathami; Abdulelah Ahmed AL-Ahdal; Mohannad Ali S Alomari; Ziad saleh alhomidan; Mahdi Dhafer M Al- zulayq; Mustafa Taher Ali AL Essa; Abdulrahman Anis Kh. Khan; Abdullah Rashed Alaboudi; Ahasen Ali Q Aldosary; Faisal Saud Yousuf; Mohammed Thamer S Alghalibi; Alyamani, Rakan Ali A. "Bankart Repair in Traumatic Anterior Shoulder Instability". EKB Journal Management System, 70, 4, 2018, 549-553. doi: 10.12816/0043805
Alkhathami, M., AL-Ahdal, A., Alomari, M., alhomidan, Z., zulayq, M., AL Essa, M., Kh. Khan, A., Alaboudi, A., Aldosary, A., Yousuf, F., Alghalibi, M., Ali A, A. (2018). 'Bankart Repair in Traumatic Anterior Shoulder Instability', EKB Journal Management System, 70(4), pp. 549-553. doi: 10.12816/0043805
Alkhathami, M., AL-Ahdal, A., Alomari, M., alhomidan, Z., zulayq, M., AL Essa, M., Kh. Khan, A., Alaboudi, A., Aldosary, A., Yousuf, F., Alghalibi, M., Ali A, A. Bankart Repair in Traumatic Anterior Shoulder Instability. EKB Journal Management System, 2018; 70(4): 549-553. doi: 10.12816/0043805

Bankart Repair in Traumatic Anterior Shoulder Instability

The Egyptian Journal of Hospital Medicine
Article 6, Volume 70, Issue 4, January 2018, Pages 549-553    PDF (286.49 K)
Document Type: Original Article
DOI: 10.12816/0043805
Authors
Mohammed Saad Alkhathami1; Abdulelah Ahmed AL-Ahdal2; Mohannad Ali S Alomari3; Ziad saleh alhomidan4; Mahdi Dhafer M Al- zulayq5; Mustafa Taher Ali AL Essa6; Abdulrahman Anis Kh. Khan7; Abdullah Rashed Alaboudi7; Ahasen Ali Q Aldosary8; Faisal Saud Yousuf5; Mohammed Thamer S Alghalibi9; Alyamani, Rakan Ali A10
1KAAH , Jeddah
2BMC
3Najran University Hospital
4Suliman Alrajhi Colleges
5University of Jeddah
6Prince Saud bin Jalawy Hospital( Al Ahsa )
7King Abdulaziz hospital Jeddah
8King Khalid University
9Taif university
10PHC Asfaan
Abstract
Background: Latest studies have shown effective clinical outcomes after arthroscopic Bankart repair (ABR) but have shown some risk factors for re-dislocation after surgery. We assessed whether patients are at a risk for re-dislocation during the first year after ABR, examined the recurrence rate after ABR, and sought to recognize new risk factors.
Materials and Methods: We performed ABR utilizing bioabsorbable suture anchors in 51 consecutive shoulders (50 patients) with traumatic anterior shoulder instability. Average patient age was 26.5 (range, 15–40) years. We assessed re-dislocation after ABR using patient telephone interviews (follow-up rate, 100%) and correlated re-dislocation with several risk factors.
Results: Re-dislocation after ABR occurred in five shoulders (9.8%), of which 4 sustained re-injuries within the first year with the arm elevated at 90° and externally rotated at 90°. Of the remaining 46 shoulders without re-dislocation, 4 had re-injury under the same conditions within the first year. Consequently, re-injury within the first year was a risk for re-dislocation after ABR (P < 0.001, chi-squared test). Using multivariate analysis, large Hill-Sachs lesions (odds ratio, 6.75; 95% CI, 1.35-64.5) and <4 suture anchors (odds ratio, 9.45; 95% CI, 1.88-72.5) were significant risk factors for re-dislocation after ABR.
Conclusion: The recurrence rate after ABR was not associated with the time elapsed and that repair strategies should augment the large humeral bone defect and use >3 anchors during ABR.
 
Keywords
risk factor; Arthroscopic Bankart repair; Re-dislocation
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