A study of management of recurrent dislocation of shoulder by arthroscopic bankart’s repair
Journal Title: Asian Pacific Journal of Health Sciences - Year 2016, Vol 3, Issue 3
Abstract
Aim: Descriptive, Retrospective and Prospective study of surgical and functional outcome following, arthroscopic repair of the Bankart lesion of the shoulder with suture anchors. Materials and Methods: This is a study of surgical and functional outcome of Arthroscopic Bankart Repair in recurrent anterior shoulder dislocation with suture anchors. Most patients are in the age group between 21-25 years. 90% of the patients were males 10% were females. 60% of the patients were involved in occupation of high demand. Majority of patients had symptoms for a period ranging from 1 to 2 years. 14 (70%) patients had their Right shoulder involved 6 (30%) patients had their left shoulder involved.10 patients (50%) patients had 1- 4 recurrent dislocation episodes preoperatively. Necessary radiological investigations and hematology have been done on admission. Details of the surgery will be noted. The immediate post-operative x-rays have been evaluated. The post-operative rehabilitation evaluation done at 3 weeks, 6 weeks, 12 weeks, 6 months and 1 year, for any recurrence of symptoms and morbidity. Results: In our study of 20 patients, with the mean follow up period of 12 months, the mean Rowe score post-operatively improved to 92.75 from a pre-operative mean score of 45.50, Out of 20 patients none had episodes of recurrent dislocation and anterior translation or apprehension, in the Range of motion-external rotation in 90º of abduction improved in 17 patients (85%). Mean pre operative Rowe score was 45.50. In 12 (60%) patients 3 suture anchors were used and in 8 (40%) patients 2 suture anchors used intra operatively. The mean post-operative Rowe score improved to 92.75. Range of movement – external rotation in 90º of abduction improved in 17 patients (85%). Conclusion: We conclude that Arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors is an effective procedure with respect to shoulder function, rate of recurrence and range of movement.
Authors and Affiliations
Dr. G. Ramesh,
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