Arthroscopic Bankart Lesion Repair with Special Handmade Pull out Suture

Introduction: Anterior shoulder dislocation is a common injury causing detachment of the anterior glenoid labrum from its attachment (Bankart lesion). We introduce t h e ne w method of fixation of Bankart lesion by preparing the sutur e anchor using specific suture material (orthocord) to be used in reattachment of the glenoid larum.

Method: The technique applied on 40 patients (32 males, 8 females) with the traumatic anter iorshoulder instabil ity ( 17 right side and 23 left side),3 3 dominant sidew ith th e 24 months follow-up using constant score and quick dash score. 7 patients with 1^st time dislocation, 29 patients with recurrent shoulder dislocations between 3 and 10 time and 4 patients more than 10 times of dislocations.

Results: Good postoperative results and good function and stabilization of the shoulder achieved from patie nts. Mean follow-up 20 months, recurrence rate 2.5% by re-injury . 17.5% of patients in the study has a regular sport activ ity and all return to sports within 6-10 months. 87.5% has ordinary work and return to work within 5-10 weeks. 12.5 % has a heavy work activity and return within 8-10 weeks.

Conclusion: our technique is effective for achieving stability as current used anchors technique and less cost, simple and easier than other transosseous techniques.

Author(s): Emad Gaber Elbanna*, Ahmed Nabeel Mohamed Mahmoud, Atef Mohamed Morsy and Mohamed Ahmed Abdelkader

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