Open Bankart Repair for the Treatment of Anterior Shoulder Instability without Substantial Osseous Glenoid Defects: Results After a Minimum Follow-up of Twenty Years

The Journal of Bone and Joint Surgery. American Volume
Philipp MoroderPeter Moroder

Abstract

Neglected osseous glenoid defects are thought to be one of the reasons for the reported high rates of recurrent instability at long-term follow-up after Bankart repair. We hypothesized that open Bankart repair for the treatment of anterior glenohumeral instability in the absence of a substantial osseous glenoid defect would result in a lower long-term recurrence rate than has been reported in previous long-term studies. Forty-seven patients were treated with a primary modified open Bankart repair for recurrent anterior shoulder instability between 1989 and 1994. Double-contrast computed tomography scanning was used to exclude patients with a substantial osseous glenoid defect. Forty patients (85.1%) were available for subjective and objective follow-up at a minimum of twenty years (maximum, twenty-five years). Twenty-six patients (65%) underwent clinical examination as well as bilateral shoulder radiography, and fourteen (35%) completed a self-assessment questionnaire and were interviewed by telephone. Seven patients (17.5%) had a recurrence of instability, and six of them had the instability occur after more than eight years without symptoms. The mean Western Ontario Shoulder Instability Index score (and standard deviation) wa...Continue Reading

Citations

Mar 18, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tapio FlinkkiläJuhana Leppilahti
Feb 2, 2018·The American Journal of Sports Medicine·Rachel M FrankMatthew T Provencher
Jul 31, 2018·Sports Medicine and Arthroscopy Review·Edward Lyle Cain, Michael K Ryan
Jun 5, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Fabian PlachelAndreas Traweger
Jul 16, 2020·The American Journal of Sports Medicine·Philipp MoroderVictor Danzinger
Sep 17, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lukas P E VerweijMichel P J van den Bekerom
Jul 12, 2017·Orthopaedic Journal of Sports Medicine·Nicholas A BonazzaAman Dhawan
Nov 22, 2016·The Journal of Bone and Joint Surgery. American Volume·Aaron M ChamberlainJay D Keener
Mar 8, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Robert J NeviaserAndrew S Neviaser
Aug 19, 2021·Archives of Orthopaedic and Trauma Surgery·Fabian PlachelPhilipp Moroder

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