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Related Experiment Videos

Recurrent post-traumatic anterior shoulder dislocation--open versus arthroscopic repair.

U Jørgensen1, H Svend-Hansen, K Bak

  • 1Department of Orthopedic Surgery, Gentofte Hospital, University of Copenhagen, Hellerup, Denmark.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|May 1, 1999
PubMed
Summary

Both arthroscopic and open Bankart repair methods show similar outcomes for recurrent anterior shoulder dislocation. Open repair resulted in longer hospital stays and more cosmetic concerns, but no significant differences in shoulder laxity or overall results were observed.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability

Background:

  • Recurrent anterior shoulder dislocation is a common issue following trauma.
  • Bankart lesions frequently accompany shoulder dislocations, necessitating surgical repair.
  • Previous studies have compared arthroscopic and open Bankart repair, with varying results.

Purpose of the Study:

  • To compare the outcomes of arthroscopic Bankart repair with capsular plication versus open Bankart repair using Mitec anchors.
  • To evaluate long-term functional and subjective results in patients with recurrent anterior shoulder dislocation.

Main Methods:

  • A prospective study of 41 patients with unilateral, isolated, posttraumatic, recurrent anterior shoulder dislocation and a Bankart lesion.
  • Patients underwent either arthroscopic repair with capsular plication or open repair with Mitec anchors.

Related Experiment Videos

  • Follow-up was conducted by a blinded observer at a median of 36 months, assessing laxity, range of motion, and patient-reported outcomes.

    • Main Results:

    • Both groups showed comparable rates of excellent or good results (19 patients each).
    • No significant difference in objective anterior-posterior shoulder laxity was found.
    • The open repair group experienced significantly longer hospitalization, a decrease in external range of motion, and more cosmetic complaints.

    Conclusions:

    • Arthroscopic and open Bankart repair techniques yield similar clinical outcomes for recurrent anterior shoulder instability in the long term.
    • Open repair is associated with increased hospitalization and aesthetic concerns.
    • Both methods are effective in managing longstanding shoulder instability, with patient selection being a key consideration.