Arthroscopic Removal of Metallic Suture Anchors Placed after Bankart Repair

Olcay Guler,Halis Cerci,Mahir Mahirogullari,Selami Cakmak,Mehmet Isyar,Melih Malkoc

doi:10.4236/ijcm.2019.1010044

Olcay Guler, Halis Cerci + Show 4 more

Open Access

https://doi.org/10.4236/ijcm.2019.1010044

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Abstract

Purpose: The aim of this study was to present our surgical outcomes in patients who underwent arthroscopic removal of poorly positioned and/or proud metallic suture anchors applied during or after Bankart repair. Methods: A total of 14 patients who underwent open or arthroscopic Bankart repair with an initial presentation of traumatic shoulder instability between January 2010 and January 2017 and admitted to our center with complaints due to poorly positioned and/or proud metallic suture anchors were enrolled. Pre- and intraoperative findings, surgical outcomes and complications were reviewed. Diagnosis of proud or poorly positioned suture anchors was established using magnetic resonance imaging (MRI) of shoulder in five cases, and with shoulder arthroscopy in nine patients. Outcomes were measured by the use of the CONSTANT score and American Shoulder and Elbow Society (ASES) score. Results: Eleven male and three female patients with an average age of 29.21 ± 5.78 (range, 20 to 42) were enrolled in the present study. Revision Bankart repair was performed arthroscopically in all patients. The mean follow-up period was 40.4 months, ranging from 18 to 64 months. The preoperative Constant and ASES scores were 68.43 ± 7.05 and 38.3 ± 19.4, respectively. Postoperatively, the scores were 89.64 ± 5.39 and 89.07 ± 3.89, respectively (p < 0.01). Conclusion: To conclude, arthroscopy may yield an effective surgical option for removal of poorly positioned and/or proud metallic suture anchors after Bankart repair. However, further clinical reports on larger series are warranted to document the efficacy of this procedure in selected cases.

Highlights

Arthroscopy of shoulder joint is been used commonly for diagnosis and treatment of glenohumeral joint pathologies
Further clinical reports on larger series are warranted to document the efficacy of this procedure in selected cases
Eleven cases had undergone primary arthroscopic Bankart repair, while three patients had been operated with open Bankart repair

Summary

Introduction

Arthroscopy of shoulder joint is been used commonly for diagnosis and treatment of glenohumeral joint pathologies. Arthroscopic Bankart repair surgery using suture anchors has become the most common surgery for management of post-traumatic anteroinferior instability of the shoulder joint It mostly provides satisfactory outcomes; recurrence rates of instability may be more than expected rising up to rates of 35% - 40% especially in patients younger than 25 years of age. Since patients suffering from failed Bankart repair are generally young and active people, necessity for revision stabilization surgery often arises. In this purpose, open Bankart operation, revision arthroscopic Bankart operation or glenoid rim reconstruction with bone grafting can be used for restoration of joint stability [4] [5]. The optimal technique for revision has not been well defined yet in the literature

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