Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability

Nam Su Cho, Jin Woong Yi, Bong Gun Lee, Yong Girl Rhee

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Background: Only a few studies have provided homogeneous analysis of open revision surgery after a failed arthroscopic Bankart procedure. Hypothesis: Open Bankart revision surgery will be effective in a failed arthroscopic anterior stabilization but inevitably results in a loss of range of motion, especially external rotation. Study Design: Case series; Level of evidence, 4. Methods: Twenty-six shoulders that went through traditional open Bankart repair as revision surgery after a failed arthroscopic Bankart procedure for traumatic anterior shoulder instability were enrolled for this study. The mean patient age at the time of revision surgery was 24 years (range, 16-38 years), and the mean duration of follow-up was 42 months (range, 25-97 months). Results: The preoperative mean range of motion was 173° in forward flexion and 65° in external rotation at the side. After revision surgery, the ranges measured 164° and 55°, respectively (P =.024 and.012, respectively). At the last follow-up, the mean Rowe score was 81 points, with 88.5% of the patients reporting good or excellent results. After revision surgery, redislocation developed in 3 shoulders (11.5%), all of which had an engaging Hill-Sachs lesion and associated hyperlaxity (2+ or greater laxity on the sulcus sign). Conclusion: Open revision Bankart surgery for a failed arthroscopic Bankart repair can provide a satisfactory outcome, including a low recurrence rate and reliable functional return. In open revision Bankart surgery after failed stabilization for traumatic anterior shoulder instability, the surgeon should keep in mind the possibility of a postoperative loss of range of motion and a thorough examination for not only a Bankart lesion but also other associated lesions, including a bone defect or hyperlaxity, to lower the risk of redislocation.

Original languageEnglish
Pages (from-to)2158-2164
Number of pages7
JournalAmerican Journal of Sports Medicine
Volume37
Issue number11
DOIs
StatePublished - 2009 Dec 2

Fingerprint

Arthroscopy
Reoperation
Articular Range of Motion
Bone and Bones
Recurrence

Keywords

  • Arthroscopic
  • Bankart repair
  • Open revision
  • Shoulder
  • Traumatic anterior instability

Cite this

@article{1fd0ebb5517145fbaf23bcd5f690e54b,
title = "Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability",
abstract = "Background: Only a few studies have provided homogeneous analysis of open revision surgery after a failed arthroscopic Bankart procedure. Hypothesis: Open Bankart revision surgery will be effective in a failed arthroscopic anterior stabilization but inevitably results in a loss of range of motion, especially external rotation. Study Design: Case series; Level of evidence, 4. Methods: Twenty-six shoulders that went through traditional open Bankart repair as revision surgery after a failed arthroscopic Bankart procedure for traumatic anterior shoulder instability were enrolled for this study. The mean patient age at the time of revision surgery was 24 years (range, 16-38 years), and the mean duration of follow-up was 42 months (range, 25-97 months). Results: The preoperative mean range of motion was 173° in forward flexion and 65° in external rotation at the side. After revision surgery, the ranges measured 164° and 55°, respectively (P =.024 and.012, respectively). At the last follow-up, the mean Rowe score was 81 points, with 88.5{\%} of the patients reporting good or excellent results. After revision surgery, redislocation developed in 3 shoulders (11.5{\%}), all of which had an engaging Hill-Sachs lesion and associated hyperlaxity (2+ or greater laxity on the sulcus sign). Conclusion: Open revision Bankart surgery for a failed arthroscopic Bankart repair can provide a satisfactory outcome, including a low recurrence rate and reliable functional return. In open revision Bankart surgery after failed stabilization for traumatic anterior shoulder instability, the surgeon should keep in mind the possibility of a postoperative loss of range of motion and a thorough examination for not only a Bankart lesion but also other associated lesions, including a bone defect or hyperlaxity, to lower the risk of redislocation.",
keywords = "Arthroscopic, Bankart repair, Open revision, Shoulder, Traumatic anterior instability",
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Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability. / Cho, Nam Su; Yi, Jin Woong; Lee, Bong Gun; Rhee, Yong Girl.

In: American Journal of Sports Medicine, Vol. 37, No. 11, 02.12.2009, p. 2158-2164.

Research output: Contribution to journalArticle

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T1 - Revision open Bankart surgery after arthroscopic repair for traumatic anterior shoulder instability

AU - Cho, Nam Su

AU - Yi, Jin Woong

AU - Lee, Bong Gun

AU - Rhee, Yong Girl

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N2 - Background: Only a few studies have provided homogeneous analysis of open revision surgery after a failed arthroscopic Bankart procedure. Hypothesis: Open Bankart revision surgery will be effective in a failed arthroscopic anterior stabilization but inevitably results in a loss of range of motion, especially external rotation. Study Design: Case series; Level of evidence, 4. Methods: Twenty-six shoulders that went through traditional open Bankart repair as revision surgery after a failed arthroscopic Bankart procedure for traumatic anterior shoulder instability were enrolled for this study. The mean patient age at the time of revision surgery was 24 years (range, 16-38 years), and the mean duration of follow-up was 42 months (range, 25-97 months). Results: The preoperative mean range of motion was 173° in forward flexion and 65° in external rotation at the side. After revision surgery, the ranges measured 164° and 55°, respectively (P =.024 and.012, respectively). At the last follow-up, the mean Rowe score was 81 points, with 88.5% of the patients reporting good or excellent results. After revision surgery, redislocation developed in 3 shoulders (11.5%), all of which had an engaging Hill-Sachs lesion and associated hyperlaxity (2+ or greater laxity on the sulcus sign). Conclusion: Open revision Bankart surgery for a failed arthroscopic Bankart repair can provide a satisfactory outcome, including a low recurrence rate and reliable functional return. In open revision Bankart surgery after failed stabilization for traumatic anterior shoulder instability, the surgeon should keep in mind the possibility of a postoperative loss of range of motion and a thorough examination for not only a Bankart lesion but also other associated lesions, including a bone defect or hyperlaxity, to lower the risk of redislocation.

AB - Background: Only a few studies have provided homogeneous analysis of open revision surgery after a failed arthroscopic Bankart procedure. Hypothesis: Open Bankart revision surgery will be effective in a failed arthroscopic anterior stabilization but inevitably results in a loss of range of motion, especially external rotation. Study Design: Case series; Level of evidence, 4. Methods: Twenty-six shoulders that went through traditional open Bankart repair as revision surgery after a failed arthroscopic Bankart procedure for traumatic anterior shoulder instability were enrolled for this study. The mean patient age at the time of revision surgery was 24 years (range, 16-38 years), and the mean duration of follow-up was 42 months (range, 25-97 months). Results: The preoperative mean range of motion was 173° in forward flexion and 65° in external rotation at the side. After revision surgery, the ranges measured 164° and 55°, respectively (P =.024 and.012, respectively). At the last follow-up, the mean Rowe score was 81 points, with 88.5% of the patients reporting good or excellent results. After revision surgery, redislocation developed in 3 shoulders (11.5%), all of which had an engaging Hill-Sachs lesion and associated hyperlaxity (2+ or greater laxity on the sulcus sign). Conclusion: Open revision Bankart surgery for a failed arthroscopic Bankart repair can provide a satisfactory outcome, including a low recurrence rate and reliable functional return. In open revision Bankart surgery after failed stabilization for traumatic anterior shoulder instability, the surgeon should keep in mind the possibility of a postoperative loss of range of motion and a thorough examination for not only a Bankart lesion but also other associated lesions, including a bone defect or hyperlaxity, to lower the risk of redislocation.

KW - Arthroscopic

KW - Bankart repair

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KW - Traumatic anterior instability

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