Paper Information

Journal:   RAZI JOURNAL OF MEDICAL SCIENCES (JOURNAL OF IRAN UNIVERSITY OF MEDICAL SCIENCES)   2003 , Volume 9 , Number 32 (SPECIAL ISSUE); Page(s) 709 To 722.
 
Paper: 

MODIFIED BANKART PROCEDURE, USING MODIFIED ANCHOR SCREW: SHORT TERM STUDY

 
 
Author(s):  EYVAZ ZIAEI MAJID*, YAZDI H.R.
 
* ORTHOPEDIC SURGERY, SHAFA YAHYAEIAN HOSPITAL, MOJAHEDIN-ESLAM ST., IRAN UNIVERSITY OF MEDICAL SCIENCES AND HEALTH SERVICES, TEHRAN, IRAN
 
Abstract: 

45 patients (40 male & 5 female) with recurrent anterior shoulder instability were operated from 1993 to 2001. The mean age was 27 years (18-46) and 95% were right handed and 5% left handed. Instability was on right side in 54.4% left side in 38.6% and bilateral in 6.9%. 15 pt’s were operated with classic Rowe procedure and 30 pt’s with using modified anchor screw, and follow up period was 37.6 mounths (12-110), Bankart lesion was found in 100% of cases. Subscapularis muscle lesion, Interval lesion and capsular laxity in 9.3%, 14.5% and 47.6% respectively. Glenoid fracture and loose body in 2.9 and 29% respectively. In 75% of pt’s Hill-Sachs lesion was found that was moderate to sever type in 88%. At follow up study, First group (with no modified screw), there was no apprehension sign in 53.3% and redislocation in one patient and full range of motion in all cases. In secound group (with screw), no apprehension in 79% and no redislocation was found and range of motion was full in 93%. The first group has little or no limitation at their function in 90% and secound group in 96%. According to rowe scores, results were 53.3% excellent, 26.6% good 13.3% fair and poor in one case for first group and 69% excellent, 15.5% good and 15.5% fair without poor result in sceound group. In conclusion, using modified anchor screw for bankart procedure is easy to do, needs less instruments, with low surgical trauma, shortoperation time, and low complication rate and over all good results.

 
Keyword(s): SHOULDER INSTABILITY, BANKART PROCEDURE, ANCHOR SCREW
 
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