The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

• Published in: Journal of orthopaedic surgery (Hong Kong) Vol. 25; no. 1; p. 2309499016684753
• Main Authors: Kalkar, İsmail, Esenyel, Cem Zeki, Saygılı, Mehmet Selçuk, Esenyel, Ayşın, Gürbüz, Hakan
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01-01-2017; Sage Publications Ltd; SAGE Publishing
• Subjects: Adolescent; Adult; Arthroscopy; Authorship; Bankart Lesions - surgery; Female; Humans; Male; Middle Aged; Pathology; Patient satisfaction; Range of Motion, Articular; Recurrence; Shoulder Dislocation - surgery; Studies; Surgeons; Surgery; Treatment Outcome; Young Adult; capsular plication; arthroscopic Bankart repair; anterior shoulder instability
• ISSN: 1022-5536; 2309-4990
• DOI: 10.1177/2309499016684753

Purpose:
The aim of this study was to evaluate the results of patients with recurrent anterior shoulder dislocation, who had been treated with repair of the Bankart lesion without capsuler plication.
Material and method:
The study included 22 shoulders of 22 patients (16 males and 6 females) with a mean age of 28 years, who underwent Bankart repair between 2011 and 2014. Patients with bilateral shoulder instability, multiple instability, >25% glenoid bone loss, and those with a history of shoulder surgery were not included in the study. The average follow-up time was 21.2 months. Evaluation was made of the preoperative number of dislocations, postoperative recurrence, functional status, and daily activity performance of the patients. Shoulder range of motion was measured. The results were evaluated using the Rowe shoulder score and the Oxford shoulder instability score.
Results:
Recurrence was observed in only one patient who had a shoulder dislocation after trauma, thus giving a recurrence rate of 4.5%. Shoulder range of motion was full in all except that one patient. The mean Rowe shoulder score was 95.5 (excellent) and Oxford shoulder stability score was 44.6 (excellent).
Conclusion:
No recurrent shoulder dislocation was observed in patients who underwent Bankart repair surgery. Plication was not performed with the Bankart repair. Close to full range of motion was obtained in all patients. In conclusion, Bankart repair alone can be considered to be sufficient for the treatment of traumatic recurrent anterior shoulder instability.