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.

Arthroscopic Salvage of FailedArthroscopic Bankart RepairA Prospective Study With a Minimum Follow-up of 4 YearsFrancesco Franceschi,* MD, Umile Giuseppe Longo,* MD, Laura Ruzzini,* MD,Giacomo Rizzello,* MD, Nicola Maffulli,†‡ MD, PhD, FRCS (Orth), and Vincenzo Denaro,* MDFrom the *Department of Orthopaedic and Trauma Surgery, Campus Biomedico University,Rome, Italy, and ‡Keele University School of Medicine, Stoke on Trent, United KingdomBackground: 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). Objectivetesting included preoperative and postoperative range of motion. Outcome measures included the rating system of the Universityof California at Los Angeles. The surgical procedure was performed in a consistent manner: capsular plications, suture anchorrepair 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 preoperativemean rating of 11.7 (range, 6-14) to a mean of 31.7 (range, 29-35) postoperatively (P < .05). All patients had a full andequal postoperative range of motion compared with the preoperative range of motion. One patient experienced recurrent dislocationsafter the salvage procedure. None of the other 9 patients experienced a recurrent dislocation, with all returning to theirprevious sports levels.Conclusion: Arthroscopic Bankart revision surgery is a reliable procedure with respect to recurrence rate, range of motion, andshoulder function in carefully selected patients.Keywords: instability; Bankart; revision surgery; shoulder; arthroscopy

Arthroscopic salvage of failed Arthroscopic Bankart repair - A prospective study with a minimum follow-up of 4 years

Franceschi F;Longo UG;Rizzello G;Denaro V
2008-01-01

Abstract

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.
Arthroscopic Salvage of FailedArthroscopic Bankart RepairA Prospective Study With a Minimum Follow-up of 4 YearsFrancesco Franceschi,* MD, Umile Giuseppe Longo,* MD, Laura Ruzzini,* MD,Giacomo Rizzello,* MD, Nicola Maffulli,†‡ MD, PhD, FRCS (Orth), and Vincenzo Denaro,* MDFrom the *Department of Orthopaedic and Trauma Surgery, Campus Biomedico University,Rome, Italy, and ‡Keele University School of Medicine, Stoke on Trent, United KingdomBackground: 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). Objectivetesting included preoperative and postoperative range of motion. Outcome measures included the rating system of the Universityof California at Los Angeles. The surgical procedure was performed in a consistent manner: capsular plications, suture anchorrepair 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 preoperativemean rating of 11.7 (range, 6-14) to a mean of 31.7 (range, 29-35) postoperatively (P &lt; .05). All patients had a full andequal postoperative range of motion compared with the preoperative range of motion. One patient experienced recurrent dislocationsafter the salvage procedure. None of the other 9 patients experienced a recurrent dislocation, with all returning to theirprevious sports levels.Conclusion: Arthroscopic Bankart revision surgery is a reliable procedure with respect to recurrence rate, range of motion, andshoulder function in carefully selected patients.Keywords: instability; Bankart; revision surgery; shoulder; arthroscopy
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.12610/141
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