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11291

Bankart Repair in Traumatic Anterior Shoulder Instability

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Last updated: 24 Dec 2024

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Abstract

Background: Latest studies have shown effective clinical outcomes after arthroscopic Bankart repair (ABR) but have shown some risk factors for re-dislocation after surgery. We assessed whether patients are at a risk for re-dislocation during the first year after ABR, examined the recurrence rate after ABR, and sought to recognize new risk factors. Materials and Methods: We performed ABR utilizing bioabsorbable suture anchors in 51 consecutive shoulders (50 patients) with traumatic anterior shoulder instability. Average patient age was 26.5 (range, 15–40) years. We assessed re-dislocation after ABR using patient telephone interviews (follow-up rate, 100%) and correlated re-dislocation with several risk factors. Results: Re-dislocation after ABR occurred in five shoulders (9.8%), of which 4 sustained re-injuries within the first year with the arm elevated at 90° and externally rotated at 90°. Of the remaining 46 shoulders without re-dislocation, 4 had re-injury under the same conditions within the first year. Consequently, re-injury within the first year was a risk for re-dislocation after ABR (P < 0.001, chi-squared test). Using multivariate analysis, large Hill-Sachs lesions (odds ratio, 6.75; 95% CI, 1.35-64.5) and <4 suture anchors (odds ratio, 9.45; 95% CI, 1.88-72.5) were significant risk factors for re-dislocation after ABR. Conclusion: The recurrence rate after ABR was not associated with the time elapsed and that repair strategies should augment the large humeral bone defect and use >3 anchors during ABR.  

DOI

10.12816/0043805

Keywords

risk factor, Arthroscopic Bankart repair, Re-dislocation

Authors

First Name

Mohammed Saad

Last Name

Alkhathami

MiddleName

-

Affiliation

KAAH , Jeddah

Email

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City

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Orcid

-

First Name

Abdulelah Ahmed

Last Name

AL-Ahdal

MiddleName

-

Affiliation

BMC

Email

-

City

-

Orcid

-

First Name

Mohannad Ali S

Last Name

Alomari

MiddleName

-

Affiliation

Najran University Hospital

Email

-

City

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Orcid

-

First Name

Ziad saleh

Last Name

alhomidan

MiddleName

-

Affiliation

Suliman Alrajhi Colleges

Email

-

City

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Orcid

-

First Name

Mahdi Dhafer M Al-

Last Name

zulayq

MiddleName

-

Affiliation

University of Jeddah

Email

-

City

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Orcid

-

First Name

Mustafa Taher Ali

Last Name

AL Essa

MiddleName

-

Affiliation

Prince Saud bin Jalawy Hospital( Al Ahsa )

Email

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City

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Orcid

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First Name

Abdulrahman Anis

Last Name

Kh. Khan

MiddleName

-

Affiliation

King Abdulaziz hospital Jeddah

Email

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City

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Orcid

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First Name

Abdullah Rashed

Last Name

Alaboudi

MiddleName

-

Affiliation

King Abdulaziz hospital Jeddah

Email

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City

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Orcid

-

First Name

Ahasen Ali Q

Last Name

Aldosary

MiddleName

-

Affiliation

King Khalid University

Email

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City

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Orcid

-

First Name

Faisal Saud

Last Name

Yousuf

MiddleName

-

Affiliation

University of Jeddah

Email

-

City

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Orcid

-

First Name

Mohammed Thamer S

Last Name

Alghalibi

MiddleName

-

Affiliation

Taif university

Email

-

City

-

Orcid

-

First Name

Alyamani, Rakan

Last Name

Ali A

MiddleName

-

Affiliation

PHC Asfaan

Email

-

City

-

Orcid

-

Volume

70

Article Issue

4

Related Issue

2136

Issue Date

2018-01-01

Receive Date

2018-08-17

Publish Date

2018-01-01

Page Start

549

Page End

553

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11291.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=11291

Order

6

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Bankart Repair in Traumatic Anterior Shoulder Instability

Details

Type

Article

Created At

22 Jan 2023