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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2011, Number 6

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Acta Ortop Mex 2011; 25 (6)

Medium-term results or arthroscopic repair of relapsing anteroinferior glenohumeral instability

García-Rodríguez R, Díez-Nicolás E, Vilá-y-Rico J, Martín-López CM, Cano-Egea JM

Language: Spanish
References: 38
Page: 346-352
PDF size: 68.18 Kb.


ABSTRACT

Objectives: Arthroscopic repair of Bankart lesion has become the treatment of choice of anterior shoulder instability. Our objective is to analyze the medium-term results of arthroscopic Bankart repair. Material and methods: Between January 1999 and November 2007, 86 shoulders of 85 patients with diagnosis of relapsing shoulder dislocation were treated arthroscopically. After a mean 62-month follow-up (minimum 24 months) the results obtained were retrospectively assessed according the Rowe and Constant functional scales. A statistical analysis was done of the relation between functional results and age, sex, the side operated, capsulorrhaphy, rehabilitation and postoperative immobilization in our series. Moreover, the validity of MRI for diagnosing Bankart lesion was assessed. Results: Eighty-five percent of patients had good or excellent results according to the Rowe scale. The mean Constant scale score was 90.6. The re-dislocation rate in our series was 9%. The statistical analysis showed that female sex and immobilization time were related with worse results according to the Constant scale. Conclusions: In our hands, arthroscopic Bankart repair provides results similar to those in other published series. MRI is a useful diagnostic test in our setting, albeit its important implications for the diagnosis of Bankart lesion. Female sex and prolonged immobilization were related with worse functional results.


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