Arthroscopic Bankart Procedure: Clinical Outcomes with a Minimum Follow-Up of 10 Years

Godinho, Pedro Couto; Godinho, André Couto; Rondon, João Victor de Campos Gomes; Oliveira Neto, Francisco Cabral de; Alves, Thiago de Abreu; Godinho, Glaydson Gomes

doi:10.1055/s-0041-1731418

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Sumário

Original Article • Rev. bras. ortop. 57 (3) • 2022 • https://doi.org/10.1055/s-0041-1731418 copy

Arthroscopic Bankart Procedure: Clinical Outcomes with a Minimum Follow-Up of 10 Years

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To evaluate the functional outcome of patients submitted to arthroscopic Bankart repair in the long-term.

Methods

Retrospective evaluation of 41 patients (45 shoulders) operated between 1996 and 2009 followed-up for a mean period of 14.89 years. Functional scores were analyzed by the University of California, Los Angeles (UCLA) and Carter-Rowe scores, physical examination, and analysis of medical records.

Results

The Carter-Rowe score showed an average improvement of 46.11 points, with a final average of 85.89 points, and the UCLA score showed an average improvement of 31.33 points. Ten patients (22.22%) relapsed, with the number of preoperative dislocations being the most correlated factor.

Conclusion

It was demonstrated that the number of preoperative dislocations negatively influenced the failure rate.

Keywords
shoulder; joint instability; arthroscopy; recurrence

Variable		n	%
Gender	Male Female	34 7	82.92 17.07
Laterality	Right	23	51.11
	Left	22	48.89
Dominance	Right-handed Left-handed	35 6	85.36 14.63
Hyperlaxity	Yes No	2 39	4.87 95.12
Sports practice	Yes	33	80.48
	No	8	19.51
Type of sport	Contact Non-Contact	17 16	51.51 48.48
Level of sports	Amateur	23	69.69
practice	Professional	10	30.30
Trauma mechanism	Trauma	42	93.33
in the first episode	Seizure Other	1 2	2.22 4.44

Variable	n	Average	Standard deviation	Minimum	Maximum
Age at the first episode of dislocation (years)	45	28.60	11.35	12.00	62.00
Time between first episode and surgery (years)	45	3.37	5.32	0.04	25.00
Number of relapses before surgery	45	8.60	8.48	1.00	30.00
Age at surgery (years old)	45	31.76	11.10	18.00	63.00
Time between surgery and relapse (years)	10	5.40	3.47	1.00	10.00
Age at relapse (years)	10	34.20	9.13	24.00	49.00
Number anchors	45	3.13	0.73	2.00	5.00
Lateral rotation limitation (degrees)	45	7.38	8.59	0.00	30.00

	Carter-Rowe
	Preoperative	Postoperative
Excellent	1	34
Good	1	2
Reasonable	5	0
Bad	38	9
Total operated shoulders	45	45

Variable		n	%
UCLA categorized	Bad	2	4.44
	Regular	7	15.56
	Good	17	37.78
	Excellent	19	42.22

Variable		n	%
Preoperative Samilson	Absence of arthrosis	41	91.11
Preoperative Samilson	Mild arthrosis	4	8.89
Samilson at the end of the follow-up	Absence of arthrosis	26	57.78
	Mild arthrosis	16	35.56
	Moderate arthrosis	3	6.67

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] Address for correspondence Pedro Couto Godinho, MD, Rua Santa Rita Durão, 61, Apt. 901, Belo Horizonte, MG, Brazil , 0140-110 (e-mail: pedrocgod@yahoo.com.br).