The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability
Küçük Resim Yok
Tarih
2024
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
This study aimed to investigate the effect of arthroscopic Bankart repair (ABR) alone and ABR with an additional remplissage procedure on joint range of motion and functional results in patients with anterior shoulder instability. Methods: This retrospective study included patients treated 1 year ago with either ABR alone or the ABR additional remplissage pro- cedure. The Bankart lesion was determined by magnetic resonance imaging, and the amount of glenoid bone loss was determined by computed tomography. Patients with glenoid bone loss <25% and on-track Hill–Sachs lesions (HSLs) were treated with ABR alone (22 females, 8 males; mean age = 27.4 ± 6.4 years). Those with off-track HSL were treated with both ABR and remplissage (20 females, 10 males; mean age = 27.5 ± 5.3 years). One year after surgical treatment, the joint range of motion of the patients was determined by a universal goniometer, and functional status was evaluated using the Rowe score. Results: Sixty shoulders of 60 patients were evaluated over an average period of 1 year. There was no difference between groups regarding age (P = .767) and gender (P = .779). There were 42 female and 18 male patients, with a mean age = 27.5 ± 5.8 years. There was a significant difference between the groups in patients’ external rotation with arm adduction (ER1) (P = .001), external rotation with arm abduction (ER2) (P = .001), forward flexion (P = .001), and abduction (P = .001) measurements between the groups (P < .05). No significant difference was found in internal rotation and Rowe scores between the groups (P= .057, P = .069). A greater improvement was seen in the Rowe score of the ABR + remplissage group (85.2 ± 8.8). No recurrence or complications were observed in any of the patients. Conclusion: The combined procedure of ABR with remplissage may limit joint mobility in patients with anterior shoulder instability. However, it provides satisfactory functional results, with patients in the ABR + remplissage group showing better overall outcomes. Level of Evidence: Level III, Therapeutic study.
Açıklama
Yıl : 2024Cilt : 58Sayı : 6Sayfa : 326-330 Metin Dili : İngilizce
Anahtar Kelimeler
Shoulder, Injuries, Anterior shoulder instability, Arthroscopic surgery, Bankart, Remplissage
Kaynak
Acta Orthopaedica et Traumatologica Turcica
WoS Q Değeri
Scopus Q Değeri
Cilt
58
Sayı
6
Künye
ÖKTEM, U., OZALTIN, G. E., YILMAZ, S., BOZKURT, I., ÖÇGÜDER, D. A. (2024). The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability. Acta Orthopaedica et Traumatologica Turcica, 58(6),326-330. doi.org/10.5152/j.aott.2024.23203
