Document Detail


Long-term results with Bankart procedure: a 26-year follow-up study of 50 cases.
MedLine Citation:
PMID:  19766020     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to evaluate the long-term outcome (>20 years) of patients who underwent an open Bankart procedure, many of them contact athletes, in terms of shoulder stability, return to sport, and the development of osteoarthritis. METHODS: We retrospectively reviewed 49 patients (50 shoulders) who underwent an open Bankart procedure for recurrent shoulder instability. There were 36 contact athletes (73%) in this cohort. Mean follow-up was 28 years (25-32). Clinical examination was performed by an independent reviewer, with standard shoulder radiographs obtained. RESULTS: Eight patients had recurrence of dislocation after a new traumatic episode, in six cases while playing rugby, with two of them requiring re-operation. Forty (82%) patients returned to their previous level of sports activities, including all 31 rugby players. No statistically significant loss of motion occurred in this group, although there was slight loss of flexion (6 degrees ) and external rotation (9 degrees ). The mean Rowe score at final follow-up was 82 (25-97), and all but two patients considered themselves satisfied with the results of the surgery. Thirty-four (69%) patients showed signs of osteoarthritis at follow-up, as follows: Stage 1 -18, Stage 2 - 5, Stage 3 - 5, and Stage 4 - 1. CONCLUSION: At long-term follow-up, patients undergoing an open Bankart procedure for recurrent shoulder instability obtained a high percentage of shoulder stability, and reliably returned to high-level sports activities. However, 69% did show radiographic signs of osteoarthritis.
Authors:
Thierry Fabre; Marie Laure Abi-Chahla; Anselme Billaud; Marc Geneste; Alain Durandeau
Publication Detail:
Type:  Journal Article     Date:  2009-09-18
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  19     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-23     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Orthopaedic Surgery, H?pital Pellegrin Place Am?lie Raga-Leon, Bordeaux Cedex, France. thierry.fabre0035@orange.fr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Athletic Injuries / complications
Cohort Studies
Female
Follow-Up Studies
Humans
Injury Severity Score
Internal Fixators*
Joint Capsule / surgery
Male
Middle Aged
Orthopedic Procedures / instrumentation,  methods*
Pain Measurement
Postoperative Complications / epidemiology,  physiopathology
Recovery of Function
Retrospective Studies
Risk Assessment
Shoulder Dislocation / diagnosis,  etiology,  surgery*
Suture Techniques
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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