Modified transglenoid sutures for bankart repair for the treatment of recurrent anterior shoulder instability | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 48, Issue 4, October 2013, Pages 349-353 PDF (662.9 K) | ||
| DOI: 10.4103/1110-1148.130488 | ||
| Author | ||
| Hossam El Bigawi | ||
| Abstract | ||
| Background Recurrent shoulder dislocation is a challenging orthopedic problem. Bankart lesion is the main pathological abnormality in cases of traumatic anterior shoulder dislocation. Many procedures have been performed for treatment, both open and arthroscopic. Transglenoid sutures were used in the past before the use of the anchors. Objectives The aim of this study was to evaluate the results of the modified transglenoid sutures for recurrent anterior shoulder instability. Patients and methods Nineteen patients, with a mean age of 25.4 years (range 20–44 years), had been treated by a modified technique using 2–3 labral sutures using #5 PDS sutures and passing the ends of the sutures through two holes in the glenoid, the first at 4 o’clock on the right side (8 o’clock on the left) and the second at 1 o’clock on the right side (11 o’clock on the left), and tied over the soft tissue and the bone bridge through a small posterior skin incision. They were followed up for a mean of 39.2 months (range 24–54 months). Results The mean Rowe score was changed from 27.9 preoperatively to 96.8 postoperatively. All patients were satisfied by the final results of the operation. This procedure reduced the cost of the operation. Conclusion The transglenoid suture technique with the modification is suitable for the treatment of recurrent traumatic shoulder instability, especially in developing societies. However, this is still a preliminary study and it should be conducted on more patients. | ||
| Keywords | ||
| Modified; recurrent shoulder dislocation; transglenoid | ||
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