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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2002, Number 2

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An Med Asoc Med Hosp ABC 2002; 47 (2)

Arthroscopy reconstruction of the shoulder. Technique utilizing bioabsorbable tacks

Abush TS

Language: Spanish
References: 39
Page: 74-80
PDF size: 91.85 Kb.


ABSTRACT

Arthroscopic reconstruction of the anterior aspect of the labrum-inferior glenohumeral ligament complex with the use of bioabsorbable tacks was performed in 42 consecutive patients who has chronic anterior instability of the shoulder. The average age was 24 years (range: 16 to 45 years). The etiology of the instability was traumatic injury in all patients. Fifteen injuries were sustained during participation in contact sport. Forty shoulders had a Bankart lesion. The patients were evaluated at an average of 42 months (range: 36 to 60 months) after the procedure. The results demonstrated that 35 of the patients (83.33%) were asymptomatic and were able to participate in sports without restriction. The repair was considered to have failed in seven patients (16.66%). In three of them, the failure resulted from a single traumatic reinjury during participation in a contact sport, and two of these patients were treated nonoperatively. The remaining four failures occurred atraumatically. Four patients were treated with a second arthroscopy as a consequence of recurrent instability. At the second procedure, no evidence of the tacks were found in any patient. In three patients, the Bankart lesion had completely healed, and the anteroinferior aspect of the capsule was found to be lax. Anterior stabilization of the shoulder with bioabsorbable tacks is indicated for patients who have anterior instability. However, in those patients in whom the Bankart lesion is accompanied with capsular laxity, capsulorrhaphy or capsular imbrication is indicated to reduce joint volume.


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