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Arthroscopic double-loaded single-row repair in chronic traumatic anterior shoulder dislocation

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Purpose

We evaluated the clinical results of arthroscopic double-loaded single-row repair for chronic anterior shoulder dislocation.

Methods

From January 2007 to December 2008, of the 47 shoulders with chronic anterior shoulder dislocation that consecutively underwent arthroscopic double-loaded single-row repair using bio-absorbable suture anchors containing two non-absorbable braided sutures, 45 shoulders (95.7 %) had successful follow-up for a minimum of 2 years. The mean age of patients was 23.7 years, the mean frequency of dislocations before surgery was 6.8 events, and the mean interval between the initial dislocation and surgery was 47.9 months. Clinical results were evaluated using ASES, Rowe, VAS score, and range of motion before surgery and at the final follow-up.

Results

The mean number of suture anchors was 3.38 (range 2–6) and the mean number of stitches was 6.32 (range 4–10). Four of the 45 cases had recurrence (8.9 %). Of these four, three cases underwent re-operation using the same method and the other one case showed no specific discomfort except a one-time dislocation that underwent conservative treatment. The preoperative and the final follow-up ASES and Rowe scores were statistically significantly improved (P < 0.001, each) and instability VAS score was significantly decreased (P < 0.001). No significant difference in forward flexion, extension, abduction, or internal rotation was found (P > 0.05), but external rotation at the side was significantly decreased (P = 0.001).

Conclusions

Arthroscopic double-loaded single-row repair using suture anchors, containing two sutures in chronic anterior shoulder dislocation, is a reliable procedure with respect to recurrence rate, range of motion, and shoulder function.

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References

  1. Boileau P, Bicknell RT, El Fegoun AB, Chuinard C (2007) Arthroscopic Bristow procedure for anterior instability in shoulders with a stretched or deficient capsule: the ‘‘belt-and-suspenders’’operative technique and preliminary results. Arthroscopy 23(6):593–601

    Article  PubMed  Google Scholar 

  2. Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L (2006) Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 88(8):1755–1763. doi:10.2106/JBJS.E.00817

    Article  PubMed  Google Scholar 

  3. Carreira DS, Mazzocca AD, Oryhon J, Brown FM, Hayden JK, Romeo AA (2006) A prospective outcome evaluation of arthroscopic Bankart repairs: minimum 2-year follow-up. Am J Sports Med 34(5):771–777. doi:10.1177/0363546505283259

    Article  PubMed  Google Scholar 

  4. Castagna A, Markopoulos N, Conti M, Rose GD, Papadakou E, Garofalo R (2010) Arthroscopic Bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med 38(10):2012–2016. doi:10.1177/0363546510372614

    Article  PubMed  Google Scholar 

  5. Cho NS, Hwang JC, Rhee YG (2006) Arthroscopic stabilization in anterior shoulder instability: collision athletes versus noncollision athletes. Arthroscopy 22(9):947–953. doi:10.1016/j.arthro.2006.05.015

    Article  PubMed  Google Scholar 

  6. Cole BJ, L’Insalata J, Irrgang J, Warner JJ (2000) Comparison of arthroscopic and open anterior shoulder stabilization: a two- to six-year follow-up study. J Bone Joint Surg Am 82:1108–1114

    Article  PubMed  Google Scholar 

  7. Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD (2004) Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy 20(5):456–462. doi:10.1016/j.arthro.2004.03.001

    Article  PubMed  Google Scholar 

  8. Freedman KB, Smith AP, Romeo AA, Cole BJ, Bach BR (2004) Open Bankart repair versus arthroscopic repair with transglenoid sutures or bioabsorbable tacks for recurrent anterior instability of the shoulder: a meta-analysis. Am J Sports Med 32:1520–1527. doi:10.1177/0363546504265188

    Article  PubMed  Google Scholar 

  9. Green MR, Christensen KP (1995) Arthroscopic Bankart procedure: two- to five-year followup with clinical correlation to severity of glenoid labral lesion. Am J Sports Med 23:276–281. doi:10.1177/036354659502300304

    Article  PubMed  CAS  Google Scholar 

  10. Hantes ME, Venouziou AI, Liantsis AK, Dailiana ZH, Malizos KN (2009) Arthroscopic repair for chronic anterior shoulder instability: a comparative study between patients with Bankart lesions and patients with combined Bankart and superior labral anterior posterior lesions. Am J Sports Med 37(6):1093–1098. doi:10.1177/0363546508331139

    Article  PubMed  Google Scholar 

  11. Hobby J, Griffin D, Dunbar M, Boileau P (2007) Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? J Bone Joint Surg Br 89:1188–1196. doi:10.1302/0301-620X.89B9.18467

    Article  PubMed  CAS  Google Scholar 

  12. Kim KC, Rhee KJ, Shin HD (2009) Arthroscopic three-point double-row repair for acute bony Bankart lesions. Knee Surg Sports Traumatol Arthrosc 17(1):102–106. doi:10.1007/s00167-008-0659-y

    Article  PubMed  Google Scholar 

  13. Kim KC, Rhee KJ, Shin HD, Kim YM (2008) Arthroscopic separate labral repair and capsular plication with a suture anchor. Arch Orthop Trauma Surg 128(5):535–538. doi:10.1007/s00402-007-0406-8

    Article  PubMed  Google Scholar 

  14. Kim SH, Ha KI, Cho YB, Ryu BD, Oh I (2003) Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J Bone Joint Surg Am 85(8):1511–1518

    PubMed  Google Scholar 

  15. Kim SH, Ki Ha, Kim SH (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18(7):755–763. doi:10.1053/jars.2002.31701

    Article  PubMed  Google Scholar 

  16. Marquardt B, Witt KA, Liem D, Steinbeck J, Pötzl W (2006) Arthroscopic Bankart repair in traumatic anterior shoulder instability using suture anchor technique. Arthroscopy 22(9):931–936. doi:10.1016/j.arthro.2006.04.105

    Article  PubMed  Google Scholar 

  17. Mazzocca AD, Brown FM Jr, Carreira DS, Hayden J, Romeo AA (2005) Arthroscopic anterior shoulder stabilization of collision and contact athletes. Am J Sports Med 33(1):52–60. doi:10.1177/0363546504268037

    Article  PubMed  Google Scholar 

  18. Voos JE, Livermore RW, Feeley BT, Altchek DW, Williams RJ, Warren RF, Cordasco FA, Allen AA (2010) Prospective evaluation of arthroscopic Bankart repairs for anterior instability. Am J Sports Med 38(2):302–307. doi:10.1177/0363546509348049

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Chungnam National University Hospital, Chungnam National University College of Medicine, 640 Daesa-Dong, Jung-Gu, Daejeon, 301-721, South Korea

    Kyung Cheon Kim, Hyun Dae Shin, Soo Min Cha & Joung Hun Kim

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  1. Kyung Cheon Kim
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  2. Hyun Dae Shin
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Correspondence to Kyung Cheon Kim.

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Kim, K.C., Shin, H.D., Cha, S.M. et al. Arthroscopic double-loaded single-row repair in chronic traumatic anterior shoulder dislocation. Arch Orthop Trauma Surg 132, 1515–1520 (2012). https://doi.org/10.1007/s00402-012-1571-y

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  • DOI: https://doi.org/10.1007/s00402-012-1571-y

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