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Comparison of arthroscopic primary and revision Bankart repair for capsulolabral restoration: a matched-pair analysis

Authors
 Hyung-Min Lee  ;  Joon-Ryul Lim  ;  Won-Woo Lee  ;  Sung-Jae Kim  ;  Tae-Hwan Yoon  ;  Yong-Min Chun 
Citation
 ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, Vol.143(6) : 3183-3190, 2023-06 
Journal Title
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
ISSN
 0936-8051 
Issue Date
2023-06
MeSH
Arthrography ; Arthroscopy / methods ; Humans ; Joint Instability* / surgery ; Magnetic Resonance Imaging ; Matched-Pair Analysis ; Recurrence ; Shoulder Dislocation* / surgery ; Shoulder Joint* / diagnostic imaging ; Shoulder Joint* / surgery
Keywords
Anterior shoulder instability ; Arthroscopic Bankart repair ; Bankart lesion ; Labral height ; Labral slope ; Revision Bankart repair
Abstract
Introduction There have been no previous studies comparing serial radiologic results between primary and revision Bankart repair despite the significance of capsulolabral height and slope restoration. The purpose of this study was (1) to compare serially the height and slope of the repaired labrum in the early postoperative period among primary and revision Bankart repair groups, and (2) to compare clinical outcomes between the two groups. Materials and methods This study included each 24 patients who underwent arthroscopic primary Bankart repair (Group A) and revision Bankart repair (Group B) matched by age, sex, and glenoid defect ratio. Postoperative serial radiologic assessment of the repaired labral height and slope was proceeded using magnetic resonance imaging (MRI) or computed tomographic arthrography (CTA) at 3 weeks and 6 months. Results There were no significant differences in labral height and slope at 3 weeks and 6 months postoperatively in Group A. However, significant reductions in labral height and slope were evident between 3 weeks and 6 months postoperatively in Group B (P < 0.05). Group A yielded superior results to Group B with respect to labral height and slope at each time point (P < 0.05) in between-group analyses. The clinical outcomes were not significantly different between the two groups except for the patients' return to their premorbid sports activity level (P = 0.024). Conclusions The height and slope of the repaired capsulolabral structures in the early postoperative period after arthroscopic revision Bankart repair group were significantly lower than those of the primary Bankart repair group. Also the reduction of labral height and slope was significant in the revision Bankart repair group over time. Nonetheless, clinical outcomes did not differ significantly except return to premorbid sports activity level at final follow-up.
Full Text
https://link.springer.com/article/10.1007/s00402-022-04651-7
DOI
10.1007/s00402-022-04651-7
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Jae(김성재)
Yoon, Tae Hwan(윤태환) ORCID logo https://orcid.org/0000-0002-2859-5240
Lee, Wonwoo(이원우) ORCID logo https://orcid.org/0000-0002-0907-4212
Lim, Joon Ryul(임준열) ORCID logo https://orcid.org/0000-0002-0123-7136
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/199545
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