Abstract
Since 1994, 20 patients have undergone arthroscopic Bankart repair (Caspari 8 cases, suture anchor 12 cases). There were 17 men and 3 women ; the average age was 25 years (range, 14 to 62 years). No patient had an inflammatory disease or condition that would have affected our results. There were 10 right and 10 left shoulders. Eighteen patients had more than three dislocations, two patients were treated for initial dislocation. The average follow up period was 4 years. We used Rowe score to evaluate our clinical and functional results. Improvements were significant. The early results of our series reveal a 10% rate of redislocation (2 cases). Results of 18 patients were excellent and did not have dislocations. One patient, a baseball pitcher, redislocated the shoulder after Bankart repair with suture anchor technique of the bicepslabrum complex (BLC). Reoperation was performed with transglenoid suture technique. One month after operation, the other patient had a mental disorder. One month after operation, he had a gran ma epileptic siezure and redislocated the shoulder. He changed to conservative treatment. There were not any other complications. There was not a correlation between the cases with BLC suture anchoring and conplications. We performed the transglenoid suture technique for cases of Yoneda’s classification type 2, and the BLC suture anchor technique for type 1 cases. We think the transglenoid suture technique is stronger than the BLC suture anchor technique, but in general the rate of complications is also higher. It seems to be a good method for treatment, but might not be the most appropriate choice in all cases of labroligamentous detachment.
