Biomechanical properties of transosseous bony Bankart repair in a cadaver model

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Arthroscopic Bony Bankart Repair

Arthroscopic stabilization has proven an effective technique in the treatment of anterior shoulder instability due to soft tissue labrum/ligamentous (i.e. Bankart) injury. However, this procedure has not proven as reliable in patients with glenoid rim fractures that have either been neglected or unrecognized, and gone on to resorb. Consequently, there has been a growing emphasis on the importan...

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Biomechanical Comparison of Arthroscopic Single- and Double-Point Repair Techniques for Acute Bony Bankart Lesions

BACKGROUND Single- and double-row arthroscopic reconstruction techniques for acute bony Bankart lesions have been described in the literature. HYPOTHESIS The double-row fixation technique would provide superior reduction and stability of a simulated bony Bankart lesion at time zero in a cadaveric model compared with the single-row technique. STUDY DESIGN Controlled laboratory study. METHO...

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Arthroscopic Repair of a Posterior Bony Bankart Lesion.

Posterior bony defects of the glenoid rim, particularly those associated with instability, are often a frustrating challenge for arthroscopists because of the defects' inaccessibility from standard portals. This challenge is enhanced when the lesion is chronic and fibrous malunion of the fragment makes mobilization difficult. We present our technique for arthroscopic repair of the relatively un...

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A biomechanical analysis of anterior Bankart repair using suture anchors.

BACKGROUND Arthroscopic repair of anterior Bankart lesions is typically done with single-loaded suture anchors tied with simple stitch configuration. HYPOTHESIS The knotless suture anchor will have similar biomechanical properties compared with two types of conventional suture anchors. STUDY DESIGN Controlled laboratory study. METHODS Fresh-frozen shoulders were dissected and an anteroinf...

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BACKGROUND Traditional Bankart repair using bone tunnels has a reported failure rate between 0% and 5% in long-term studies. Arthroscopic Bankart repair using suture anchors has become more popular; however, reported failure rates have been cited between 4% and 18%. There have been no satisfactory explanations for the differences in these outcomes. HYPOTHESIS Bone tunnels will provide increas...

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ژورنال

عنوان ژورنال: Orthopaedics & Traumatology: Surgery & Research

سال: 2019

ISSN: 1877-0568

DOI: 10.1016/j.otsr.2018.10.022