AJSM signin
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
First published on March 28, 2008, doi:10.1177/0363546508314403
This version was published on July 1, 2008
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
36/7/1330    most recent
0363546508314403v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Google Scholar
Right arrow Articles by Franceschi, F.
Right arrow Articles by Denaro, V.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Franceschi, F.
Right arrow Articles by Denaro, V.
The American Journal of Sports Medicine 36:1330-1336 (2008)
© 2008 American Orthopaedic Society for Sports Medicine

Arthroscopic Salvage of Failed Arthroscopic Bankart Repair

A Prospective Study With a Minimum Follow-up of 4 Years

Francesco Franceschi, MD*, Umile Giuseppe Longo, MD*, Laura Ruzzini, MD*, Giacomo Rizzello, MD*, Nicola Maffulli, MD, PhD, FRCS (Orth){ddagger},{dagger} and Vincenzo Denaro, MD*

From the * Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italy, and {ddagger} Keele University School of Medicine, Stoke on Trent, United Kingdom

{dagger} Address correspondence to Nicola Maffulli, MD, PhD, FRCS (Orth), Thornburrow Drive, Hartshill, Stoke on Trent, St, United Kingdom, ST4 7QB (e-mail: osa14{at}keele.ac.uk).

Background: Data on arthroscopic salvage of failed arthroscopic Bankart repair are lacking.

Purpose: To prospectively evaluate the surgical outcome of arthroscopic salvage of failed arthroscopic Bankart repair.

Study Design: Case series; Level of evidence, 4.

Methods: Operations were performed on 10 patients (8 male and 2 female; mean age at revision, 25.6 years; range, 18–41 years). The mean interval from the time of the revision surgery to the final follow-up was 68 months (range, 46–83 months). Objective testing included preoperative and postoperative range of motion. Outcome measures included the rating system of the University of California at Los Angeles. The surgical procedure was performed in a consistent manner: capsular plications, suture anchor repair of the displaced labrum, and, when indicated, rotator interval closure.

Results: The University of California at Los Angeles rating system showed a statistically significant improvement from a preoperative mean rating of 11.7 (range, 6–14) to a mean of 31.7 (range, 29–35) postoperatively (P < .05). All patients had a full and equal postoperative range of motion compared with the preoperative range of motion. One patient experienced recurrent dislocations after the salvage procedure. None of the other 9 patients experienced a recurrent dislocation, with all returning to their previous sports levels.

Conclusion: Arthroscopic Bankart revision surgery is a reliable procedure with respect to recurrence rate, range of motion, and shoulder function in carefully selected patients.

Key Words: instability • Bankart • revision surgery • shoulder • arthroscopy






HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2008 by the American Orthopaedic Society for Sports Medicine.