Long-Term Results of Arthroscopic Bankart Repair for Anterior Glenohumeral Instability: Does Associated Postero-inferior Capsulolabral Repair Still Have a Role?,Indian Journal of Orthopaedics

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Long-Term Results of Arthroscopic Bankart Repair for Anterior Glenohumeral Instability: Does Associated Postero-inferior Capsulolabral Repair Still Have a Role?
Indian Journal of Orthopaedics ( IF 1.1 ) Pub Date : 2022-07-22 , DOI: 10.1007/s43465-022-00701-9
Pablo Carnero-Martín de Soto _{1,

2} , Néstor Zurita-Uroz ₃ , Iskandar Tamimi-Mariño ₄ , Ángel Calvo-Díaz ₁

Affiliation

Purpose

To compare the outcomes of arthroscopic anterior Bankart repair with and without associated postero-inferior capsulolabral repair as treatment of anterior glenohumeral instabiliy at minimun 10 year follow-up.

Methods

A retrospective comparative study including patients who underwent arthroscopic anterior Bankart repair to treat anterior glenohumeral instability with glenoid bone-loss < 15% between January 2000 and February 2010 was performed. Outcomes were reported as recurrence rate, type of recurrence (dislocation or subluxation), need for revision surgery, range of motion, complications, and functional status. Outcomes were compared depending on whether a postero-inferior capsulolabral repair was added to the anterior Bankart repair.

Results

70 shoulders [59 males, mean age 28.2 (range 14–56), mean follow-up 146.1 (range 120–208) months] were included. Recurrence occurred in 9 cases (12.8%), including 3 dislocations and 6 subluxations. Revision surgery was needed in 8 (11.4%). Mean Rowe score improved from 29.7 (11.6) preoperatively to 87.1 (12.3) postoperatively. 83.3% returned to previous sports activities. Mean forward flexion changed from 173.5° (19.2) to 168.4º(10.4) (P < 0.01), external rotation from 81.4° (18) to 75.7° (10.5) (P < 0.01), and internal rotation decreased from 66.2% reaching T12 to 14.1% (P < 0.01). Addition of postero-inferior capsulolabral repair did not influence any of the outcomes significantly.

Conclusion

Postero-inferior capsulolabral repair added to anterior Bankart repair as treatment of anterior glenohumeral instability in abscence of significant glenoid bone-loss did not influence the outcomes in terms of recurrence, range of motion, return to sports, or functional status, compared to isolated anterior Bankart repair at 12.2 year follow-up.

Level of Evidence

Level III.

中文翻译：

关节镜下 Bankart 修复盂肱关节前不稳定性的长期结果：相关的后下囊唇修复仍然有作用吗？

目的

比较关节镜下前 Bankart 修复术联合或不联合后下囊膜修复术治疗盂肱关节前不稳定的至少 10 年随访结果。

方法

一项回顾性比较研究纳入了 2000 年 1 月至 2010 年 2 月期间接受关节镜前 Bankart 修复术治疗盂肱关节前不稳定且关节盂骨丢失 < 15% 的患者。结果报告为复发率、复发类型（脱位或半脱位）、翻修手术的需要、活动范围、并发症和功能状态。根据是否在前 Bankart 修复中添加后下囊膜修复来比较结果。

结果

包括 70 个肩膀[59 名男性，平均年龄 28.2 岁（范围 14-56），平均随访时间 146.1（范围 120-208）个月]。复发9例（12.8%），其中脱位3例，半脱位6例。8 例（11.4%）需要进行修复手术。平均 Rowe 评分从术前的 29.7 (11.6) 提高到术后的 87.1 (12.3)。83.3%恢复了以前的体育活动。平均前屈从 173.5° (19.2) 变为 168.4°(10.4) ( P < 0.01)，外旋从 81.4° (18) 变为 75.7° (10.5) ( P < 0.01)，内旋从 66.2% 下降到T12 至 14.1%（P < 0.01）。添加后下囊膜修复术不会对任何结果产生显着影响。