Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience

Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arth...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Ehrendorfer, Stefan [verfasserIn] Sethi, Anil Jamal, Bimal Albadran, Leith Weinand, Christian Drobetz, Herwig

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	Mini-invasive open surgery Bankart repair Traumatic recurrent shoulder instability

Anmerkung:	© EFORT 2012

Übergeordnetes Werk:	Enthalten in: European orthopaedics and traumatology - Berlin : Springer, 2010, 3(2012), 1 vom: März, Seite 73-76
Übergeordnetes Werk:	volume:3 ; year:2012 ; number:1 ; month:03 ; pages:73-76

Links:	Volltext

DOI / URN:	10.1007/s12570-012-0097-7

Katalog-ID:	SPR026141213

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520			\|a Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise.
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allfields	10.1007/s12570-012-0097-7 doi (DE-627)SPR026141213 (SPR)s12570-012-0097-7-e DE-627 ger DE-627 rakwb eng Ehrendorfer, Stefan verfasserin aut Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EFORT 2012 Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. Mini-invasive open surgery (dpeaa)DE-He213 Bankart repair (dpeaa)DE-He213 Traumatic recurrent shoulder instability (dpeaa)DE-He213 Sethi, Anil aut Jamal, Bimal aut Albadran, Leith aut Weinand, Christian aut Drobetz, Herwig aut Enthalten in European orthopaedics and traumatology Berlin : Springer, 2010 3(2012), 1 vom: März, Seite 73-76 (DE-627)624826325 (DE-600)2550413-7 1867-4577 nnns volume:3 year:2012 number:1 month:03 pages:73-76 https://dx.doi.org/10.1007/s12570-012-0097-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_150 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 AR 3 2012 1 03 73-76
spelling	10.1007/s12570-012-0097-7 doi (DE-627)SPR026141213 (SPR)s12570-012-0097-7-e DE-627 ger DE-627 rakwb eng Ehrendorfer, Stefan verfasserin aut Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EFORT 2012 Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. Mini-invasive open surgery (dpeaa)DE-He213 Bankart repair (dpeaa)DE-He213 Traumatic recurrent shoulder instability (dpeaa)DE-He213 Sethi, Anil aut Jamal, Bimal aut Albadran, Leith aut Weinand, Christian aut Drobetz, Herwig aut Enthalten in European orthopaedics and traumatology Berlin : Springer, 2010 3(2012), 1 vom: März, Seite 73-76 (DE-627)624826325 (DE-600)2550413-7 1867-4577 nnns volume:3 year:2012 number:1 month:03 pages:73-76 https://dx.doi.org/10.1007/s12570-012-0097-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_150 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 AR 3 2012 1 03 73-76
allfields_unstemmed	10.1007/s12570-012-0097-7 doi (DE-627)SPR026141213 (SPR)s12570-012-0097-7-e DE-627 ger DE-627 rakwb eng Ehrendorfer, Stefan verfasserin aut Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EFORT 2012 Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. Mini-invasive open surgery (dpeaa)DE-He213 Bankart repair (dpeaa)DE-He213 Traumatic recurrent shoulder instability (dpeaa)DE-He213 Sethi, Anil aut Jamal, Bimal aut Albadran, Leith aut Weinand, Christian aut Drobetz, Herwig aut Enthalten in European orthopaedics and traumatology Berlin : Springer, 2010 3(2012), 1 vom: März, Seite 73-76 (DE-627)624826325 (DE-600)2550413-7 1867-4577 nnns volume:3 year:2012 number:1 month:03 pages:73-76 https://dx.doi.org/10.1007/s12570-012-0097-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_150 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 AR 3 2012 1 03 73-76
allfieldsGer	10.1007/s12570-012-0097-7 doi (DE-627)SPR026141213 (SPR)s12570-012-0097-7-e DE-627 ger DE-627 rakwb eng Ehrendorfer, Stefan verfasserin aut Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EFORT 2012 Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. Mini-invasive open surgery (dpeaa)DE-He213 Bankart repair (dpeaa)DE-He213 Traumatic recurrent shoulder instability (dpeaa)DE-He213 Sethi, Anil aut Jamal, Bimal aut Albadran, Leith aut Weinand, Christian aut Drobetz, Herwig aut Enthalten in European orthopaedics and traumatology Berlin : Springer, 2010 3(2012), 1 vom: März, Seite 73-76 (DE-627)624826325 (DE-600)2550413-7 1867-4577 nnns volume:3 year:2012 number:1 month:03 pages:73-76 https://dx.doi.org/10.1007/s12570-012-0097-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_150 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 AR 3 2012 1 03 73-76
allfieldsSound	10.1007/s12570-012-0097-7 doi (DE-627)SPR026141213 (SPR)s12570-012-0097-7-e DE-627 ger DE-627 rakwb eng Ehrendorfer, Stefan verfasserin aut Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EFORT 2012 Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. Mini-invasive open surgery (dpeaa)DE-He213 Bankart repair (dpeaa)DE-He213 Traumatic recurrent shoulder instability (dpeaa)DE-He213 Sethi, Anil aut Jamal, Bimal aut Albadran, Leith aut Weinand, Christian aut Drobetz, Herwig aut Enthalten in European orthopaedics and traumatology Berlin : Springer, 2010 3(2012), 1 vom: März, Seite 73-76 (DE-627)624826325 (DE-600)2550413-7 1867-4577 nnns volume:3 year:2012 number:1 month:03 pages:73-76 https://dx.doi.org/10.1007/s12570-012-0097-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_150 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 AR 3 2012 1 03 73-76
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Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. 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author	Ehrendorfer, Stefan
spellingShingle	Ehrendorfer, Stefan misc Mini-invasive open surgery misc Bankart repair misc Traumatic recurrent shoulder instability Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience
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topic_title	Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience Mini-invasive open surgery (dpeaa)DE-He213 Bankart repair (dpeaa)DE-He213 Traumatic recurrent shoulder instability (dpeaa)DE-He213
topic	misc Mini-invasive open surgery misc Bankart repair misc Traumatic recurrent shoulder instability
topic_unstemmed	misc Mini-invasive open surgery misc Bankart repair misc Traumatic recurrent shoulder instability
topic_browse	misc Mini-invasive open surgery misc Bankart repair misc Traumatic recurrent shoulder instability
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title	Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience
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title_full	Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience
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author_browse	Ehrendorfer, Stefan Sethi, Anil Jamal, Bimal Albadran, Leith Weinand, Christian Drobetz, Herwig
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title_sort	mini-invasive open surgery bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience
title_auth	Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience
abstract	Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. © EFORT 2012
abstractGer	Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. © EFORT 2012
abstract_unstemmed	Background Primary traumatic anterior dislocations of the shoulder are common injuries which are complicated by persistent instability in a high proportion of patients. Surgery is successful and has been well described in the literature. Current scientific debate centres on the role of open and arthroscopic techniques. We describe the outcomes of a mini-invasive open surgery modified Bankart technique which was developed within our institution. Methods Twenty-six patients with traumatic shoulder instability (one bilateral) were prospectively entered into a database between June 1998 and March 2008. The mean age was 28 years, and the mean follow-up period was 58 months. Twenty-seven shoulders underwent shoulder arthroscopy and mini-invasive open surgery using a delto-pectoral approach with subscapularis muscle split and three bio-absorbable anchor-fixations of the avulsed Bankart–labrum–capsule complex. Results Patients reported no re-dislocation in 24 shoulders (89 %). Three shoulders re-dislocated with additional trauma. Satisfaction was very good in 16 and good in nine shoulders (93 %). Nineteen patients had minimal or no pain. Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. We feel that long-term outcomes are needed using larger cohorts of patients to identify if this technique will fulfil its promise. © EFORT 2012
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title_short	Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience
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author2	Sethi, Anil Jamal, Bimal Albadran, Leith Weinand, Christian Drobetz, Herwig
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up_date	2024-07-03T19:06:19.745Z
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Seven patients experienced moderate shoulder pain, and none complained of severe pain. VAS and QuickDASH (Disability Arm Shoulder Hand) scores were encouraging. Conclusions Our technique combines the ability to appreciate all shoulder pathology arthroscopically with the visualisation and operative tissue handling gained in open Bankart surgery. This technique facilitates to judge the need for anterior capsular shift and perform it in an open procedure without detachment of subscapularis muscle. Functionally, patients do well. The low re-dislocation rate, only reported after significant additional trauma, is encouraging. 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Mini-invasive open surgery Bankart repair for recurrent traumatic shoulder instability: a single surgeon/single institution's experience

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