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[Arthroscopic assisted Bankart repair with bio-absorbable fixation tacks]
Yu-jie Liu1, Xu Cai, Zhi-gang Wang
1Department of Orthopaedic Surgery, General Hospital of People's Liberation Army, Beijing 100853, China. liuyj301yy@yahoo.com.cn
Objective:
To evaluated the curative effect of arthroscopic Bankart repair with use of bio-absorbable fixation tacks.
Methods:
Sixteen patients were with traumatic recurrent anterior instability of the shoulder. Twelve were males, and 4 were females. Nine were in left shoulder, and 7 in right shoulder. The mean age at the time of the operation was 25 years. The average time from injury to operation was six months. Before operation the shoulder image had been done, in which X-ray film in 16, MRA in 7, CTA in 6 and MRI in 5. The arthroscopic technique included of debridement and Bankart repair using 2 to 3 bio-absorbable fixation tacks underwent arthroscopic.
Results:
All of the patients were followed up, average time 11 months, no redislocation and instability. According to the UCLA (University of California at Los Angeles) score showed all shoulder scores improved after surgery, preoperative (22.5 +/- 5.6) and postoperative (31.4 +/- 5.8), excellent score in 9, good score in 5 and fair score in 2; no poor score.
Conclusion:
Arthroscopic capsulolabral repair with use of bio-absorbable fixation tacks has provided a satisfactory outcomes in function, stability and range of motion. The procedure has many advantages, such as the operation convenient, fixation safety, mini-invasion, rapid recovery and early rehabilitation.