Beta
ManageSearchChatDiscover
27417

Arthroscopic Bankart Repair with Subscapularis Augmentation in The Treatment of Recurrent Anterior Shoulder Instability with Bone Loss

Article

Last updated: 30 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

-

Abstract

Background: In this study, we focused on the analysis of new published surgical technique in the management of recurrent anterior shoulder dislocation in presence of glenoid bone defect using traditional Bankart repair augmented with subscapularis tendon. Method: This prospective study was performed on 30 patients having recurrent anterior shoulder dislocation; these patients were managed between January 2016 and December 2018, Thirty-one shoulders in thirty-one patients had arthroscopic Bankart repair and subscapularis augmentation. One patient was lost to follow up; thirty patients with thirty shoulders were evaluated using American shoulder and elbow surgeons score, the percentage of glenoid bone defect was evaluated using PICO method. Results: 30 patients were followed for 22.03 Months range 16 – 24 Months. Only one patient had recurrent dislocation after significant trauma. The American Shoulder and Elbow Surgeon Score (ASES) shows significant improvement in score from Mean ± SD 13.27 ± 3.24 to 23.47 ± 3.14 after, function Mean ± SD from 6.23 ± 2.01 to 8.83 ± 0.75 and pain decrease from Mean ± SD 6.17 ± 1.53 to1.33 ± 0.80, with no significant functional changes in ROM even ER at 90 abduction Mean ± SD changes from 79.00 ± 9.95 to 77.33 ± 7.85 or ER at side Mean ± SD changes from 68.67 ± 18.14to 66.33 ± 15.31.
Conclusion: The procedure of Bankart repair with Arthroscopic Subscapularis Augmentation (ASA) is an effective procedure in the management of recurrent anterior shoulder dislocation associated with GBD ≤ 25% with good results.

DOI

10.21608/ejhm.2019.27417

Keywords

Bankart repair, Subscapularis augmentation, recurrent anterior shoulder dislocation, and glenoid bone loss

Authors

First Name

Ibrahem A.

Last Name

Hussein

MiddleName

-

Affiliation

Orthopedic Department, Faculty of Medicine, Al-Azhar University, Cairo

Email

-

City

-

Orcid

-

First Name

Mohamed Abdel-Aziz

Last Name

Hassan

MiddleName

-

Affiliation

Orthopedic Department, Faculty of Medicine, Al-Azhar University, Cairo

Email

-

City

-

Orcid

-

First Name

Samir A.

Last Name

Nematallah

MiddleName

-

Affiliation

Orthopedic Department, Faculty of Medicine, Al-Azhar University, Cairo

Email

drsamirortho@azhar.edu.eg

City

-

Orcid

-

Volume

74

Article Issue

7

Related Issue

4924

Issue Date

2019-01-01

Receive Date

2019-02-18

Publish Date

2019-01-01

Page Start

1,473

Page End

1,480

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 74_Issue 7_Pages 1473-1480.pdf

PDF . 559.8kB

Link

https://ejhm.journals.ekb.eg/article_27417.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=27417

Order

4

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

-

Details

Type

Article

Created At

22 Jan 2023