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Evaluation of Factors Affecting Outcomes in Arthroscopic Bankart Repair
Ahmet Öztermeli1, Özgün Karakuş2, Özgür Karaman3
1Department of Orthopedic Surgery, Gebze Fatih State Hospital, Kocaeli, Türkiye.
Objective:
This study aims to investigate the factors that affect the functional outcomes of patients undergoing arthroscopic Bankart repair.
Materials And Methods:
We evaluated patients undergoing Bankart lesion repair in this study, which involved a total of 68 patients. For each patient, we identified the number of dislocations, Constant scores, number of sutures, and arthroscopic classification (Type 1 to 5).
Results:
The postoperative Constant scores of patients with more than one preoperative dislocation were statistically lower than those of patients with only one dislocation (p=0.043). The ABC Type 1 group exhibited significantly better postoperative scores compared to patients in the Type 2 and Type 3 groups (p=0.001; p=0.006). The postoperative Constant scores of patients with ≥3 anchor sutures were determined to be statistically higher than those with <3 sutures (p=0.001). All recurrence cases involved young males with inferior glenohumeral ligament (IGHL) tears, and three out of four recurrences were observed in patients with more than one preoperative dislocation.
Conclusion:
Constant scores improved in all groups compared to the preoperative evaluation. Better functional outcomes were observed in patients with ABC Type 1, patients with only one dislocation, and patients who underwent labral repair with three or more anchor sutures.