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Archives of Orthopaedic and Trauma Surgery

, Volume 137, Issue 5, pp 673–677 | Cite as

Rotator interval closure has no additional effect on shoulder stability compared to Bankart repair alone

  • Eran Maman
  • Oleg Dolkart
  • Efi Kazum
  • Noam Rosen
  • Gavriel Mozes
  • Michael Drexler
  • Ofir Chechik
Arthroscopy and Sports Medicine

Abstract

Purpose

Arthroscopic Bankart repair (ABR) provides satisfactory results for recurrent anterior shoulder instability, but the high recurrence rate post-ABR remain a concern. One of the adjunct procedures proposed to improve ABR results is arthroscopic rotator interval closure (ARIC). This study prospectively evaluated the outcomes of ABRs alone compared to combined ABR + ARIC and identified risk factors related to failure of each procedure.

Methods

Thirty-nine consecutive patients (mean age 23.1 (18.3–37.5) years; 37 males) underwent arthroscopic stabilization for recurrent anterior traumatic shoulder instability. Twenty patients underwent ABR alone and 19 underwent ABR + ARIC. Remplissage was added when glenoid engagement was observed during surgery. All patients were prospectively followed, and their postoperative courses were reviewed and functionally assessed at the last visit.

Results

The re-dislocation rate was higher in the ABR + ARIC group compared to the ABR only group at a mean follow-up of 4.2 (2–5.6) years (3 vs. 0, P = 0.06). More subluxations were found in the ABR only group (2 vs. 1, respectively; P = 0.58). The final limitation of range of motion (ROM) compared with the preoperative ROM was similar in both groups. Remplissage procedures were performed more often in the ABR only group [12 (60%) vs. 4 (21%), P = 0.013].

Conclusions

ARIC performed as an adjunct to ABR showed no superiority in attaining value-added stability compared to ABR alone. Adding a remplissage procedure may achieve better stability.

Level of evidence

Level 2.

Keywords

Shoulder dislocation Bankart repair Arthroscopy Rotator interval Hyperlaxity Remplissage 

Notes

Acknowledgements

Esther Eshkol is thanked for editorial assistance.

Compliance with ethical standards

Conflict of interest

None.

IRB approval

The study was approved by the Tel Aviv Sourasky Medical Center Ethical Committee: Study number: TLV-0256-09.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Eran Maman
    • 1
  • Oleg Dolkart
    • 1
  • Efi Kazum
    • 1
  • Noam Rosen
    • 1
  • Gavriel Mozes
    • 1
  • Michael Drexler
    • 1
  • Ofir Chechik
    • 1
  1. 1.Shoulder Unit, Division of Orthopaedic Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael

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