Abstract
The aim of the study was to perform an independent long-term evaluation after arthroscopic Bankart repair using absorbable tacks. We hypothesise that arthroscopic Bankart repair using absorbable tacks will result in stable shoulders. Eighty-one consecutive patients (84 shoulders) with symptomatic, recurrent, anterior, post-traumatic shoulder instability were included in the study. All the patients had a Bankart lesion. The age of the patients was 28 (15–62) years. The number of dislocations prior to surgery was five (sublux-50). The operation was performed 28 (3–360) months after the index injury by one of three surgeons with a special interest in shoulder surgery using an intra-articular arthroscopic Bankart procedure involving absorbable Suretac® fixators. Seventy-six/84 (90%) of the shoulders (50 male, 23 female patients) were re-examined by two independent observers, after a follow-up period of 98 (46–129) months. In the long-term, the failure rate in terms of stability was 8/76 (11%) dislocations and a further 6/76 (8%) had experienced or had clinical signs of subluxation. The Rowe score was 91 (38–98) points at follow-up and the Constant score was 90 (56–100) points. The Constant score for the contralateral shoulder was 93 (69–100) points (P < 0.001). In the long-term, the arthroscopic Bankart procedure using Suretac® fixators resulted in stable, well-functioning shoulders in the majority of patients. Eighteen per cent of the patients had experienced signs of instability during the follow-up period in terms of dislocations or subluxations.
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Acknowledgments
The study was financed with grants from the Northern Älvsborg County Council and the Swedish National Centre for Research in Sports. Grants were also received from the Smith and Nephew Company to the institution. Suretac® is a trademark of the Smith and Nephew Company.
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Elmlund, A., Kartus, C., Sernert, N. et al. A long-term clinical follow-up study after arthroscopic intra-articular Bankart repair using absorbable tacks. Knee Surg Sports Traumatol Arthr 16, 707–712 (2008). https://doi.org/10.1007/s00167-008-0534-x
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DOI: https://doi.org/10.1007/s00167-008-0534-x