Arthroscopic Bankart repair by using the antero-superior portal for visualization
Kuwait Medical Journal, cilt.53, sa.4, ss.429-435, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 53 Sayı: 4
- Basım Tarihi: 2021
- Dergi Adı: Kuwait Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
- Sayfa Sayıları: ss.429-435
- Anahtar Kelimeler: antero-superior portal, arthroscopic bankart repair, instability, shoulder dislocation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The posterior portal was commonly utilized as the primary visualization portal in Arthroscopic Bankart repair surgery, however the pathology was mainly based on the anterior part of the glenoid. We aimed to evaluate the early results of Bankart lesions repaired by using an anterosuperior portal for visualization. Design: Retrospective study Setting: Clinic of Orthopaedics and Traumatology, Istanbul Education and Research Hospital, Istanbul Subjects: A total of 37 (30 male and seven females with a mean age of 28.4 years (range: 17-45)) consecutive patients with anterior shoulder instability Intervention: Arthroscopic bankart repair for anterior shoulder instability by using the antero-superior portal for visualization Main outcome measures: The clinical assessment was based on the evaluation of the shoulder range of motion, shoulder laxity test (Apprehension, Jobe relocation) and clinical outcomes were assessed by using the American Shoulder and Elbow Surgeons (ASES), as well as the Rowe shoulder scoring system. Results: The mean follow-up period was 32.5 months (range: 24-48). The mean ASES score and Rowe score increased from 71.3±7.0 (range: 59-93) and 43.5±6.5 (range: 30-50) preoperatively, to 92.8±3.1 (range: 85-98) and 92.2±6.2 (range: 75-100) postoperatively respectively (P<.05). Redislocation was observed in two patients. Conclusions: It was observed that the anterior-superior portal was sufficient and reliable for visualization during the entire procedure as a safe and effective alternative to the generally accepted classic posterior portal visualization.