The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability
Objective: This study aimed to investigate the e!ect of arthroscopic Bankart repair (ABR) alone and ABR with an additional remplissage procedure on joint range of motion and functional results in patients with anterior shoulder instability. Methods: This retrospective study included patients trea...
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2024-11-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | https://www.aott.org.tr/en/the-effect-of-arthroscopic-bankart-repair-and-remplissage-procedure-on-joint-range-of-motion-and-functional-outcomes-in-anterior-shoulder-instability-137433 |
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| author | Umut Öktem Gülfem Ezgi Özaltın Sinan Yılmaz İbrahim Bozkurt Durmuş Ali Öçgüder |
| author_facet | Umut Öktem Gülfem Ezgi Özaltın Sinan Yılmaz İbrahim Bozkurt Durmuş Ali Öçgüder |
| author_sort | Umut Öktem |
| collection | DOAJ |
| description | Objective: This study aimed to investigate the e!ect of arthroscopic Bankart repair (ABR) alone and ABR with an additional remplissage procedure on joint range of motion and functional results in patients with anterior shoulder instability.
Methods: This retrospective study included patients treated 1 year ago with either ABR alone or the ABR additional remplissage procedure. The Bankart lesion was determined by magnetic resonance imaging, and the amount of glenoid bone loss was determined by computed tomography. Patients with glenoid bone loss <25% and on-track Hill–Sachs lesions (HSLs) were treated with ABR alone (22 females, 8 males; mean age=27.4 ± 6.4 years). Those with o!-track HSL were treated with both ABR and remplissage (20 females, 10 males; mean age=27.5 ± 5.3 years). One year after surgical treatment, the joint range of motion of the patients was determined by a universal goniometer, and functional status was evaluated using the Rowe score.
Results: Sixty shoulders of 60 patients were evaluated over an average period of 1 year. There was no di!erence between groups regarding age (P=.767) and gender (P=.779). There were 42 female and 18 male patients, with a mean age=27.5 ± 5.8 years. There was a significant di!erence between the groups in patients’ external rotation with arm adduction (ER1) (P=.001), external rotation with arm abduction (ER2) (P=.001), forward flexion (P=.001), and abduction (P=.001) measurements between the groups (P < .05). No significant di!erence was found in internal rotation and Rowe scores between the groups (P=.057, P=.069). A greater improvement was seen in the Rowe score of the ABR+remplissage group (85.2 ± 8.8). No recurrence or complications were observed in any of the patients.
Conclusion: The combined procedure of ABR with remplissage may limit joint mobility in patients with anterior shoulder instability. However, it provides satisfactory functional results, with patients in the ABR+remplissage group showing better overall outcomes.
Level of Evidence: Level III, Therapeutic study. |
| format | Article |
| id | doaj-art-b996d68cbb504d2a8a760a94b5a6f1b0 |
| institution | Kabale University |
| issn | 1017-995X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj-art-b996d68cbb504d2a8a760a94b5a6f1b02025-02-03T08:38:54ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2024-11-0158632633010.5152/j.aott.2024.23203The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instabilityUmut Öktem0Gülfem Ezgi Özaltın1https://orcid.org/0000-0003-1591-4844Sinan Yılmaz2https://orcid.org/0000-0002-6683-8178İbrahim Bozkurt3https://orcid.org/0000-0003-2232-3129Durmuş Ali Öçgüder4https://orcid.org/0000-0003-3610-0938Department of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, TürkiyeDepartment of Physiotherapy and Rehabilitation, Inönü University, Malatya, TürkiyeDepartment of Orthopedics and Traumatology, Memorial Hospital, Ankara, TürkiyeDepartment of Orthopedics and Traumatology, Bilkent City Hospital, Ankara, TürkiyeDepartment of Orthopedics and Traumatology, Yıldırım Beyazıt University, Bilkent City Hospital, Ankara, TürkiyeObjective: This study aimed to investigate the e!ect of arthroscopic Bankart repair (ABR) alone and ABR with an additional remplissage procedure on joint range of motion and functional results in patients with anterior shoulder instability. Methods: This retrospective study included patients treated 1 year ago with either ABR alone or the ABR additional remplissage procedure. The Bankart lesion was determined by magnetic resonance imaging, and the amount of glenoid bone loss was determined by computed tomography. Patients with glenoid bone loss <25% and on-track Hill–Sachs lesions (HSLs) were treated with ABR alone (22 females, 8 males; mean age=27.4 ± 6.4 years). Those with o!-track HSL were treated with both ABR and remplissage (20 females, 10 males; mean age=27.5 ± 5.3 years). One year after surgical treatment, the joint range of motion of the patients was determined by a universal goniometer, and functional status was evaluated using the Rowe score. Results: Sixty shoulders of 60 patients were evaluated over an average period of 1 year. There was no di!erence between groups regarding age (P=.767) and gender (P=.779). There were 42 female and 18 male patients, with a mean age=27.5 ± 5.8 years. There was a significant di!erence between the groups in patients’ external rotation with arm adduction (ER1) (P=.001), external rotation with arm abduction (ER2) (P=.001), forward flexion (P=.001), and abduction (P=.001) measurements between the groups (P < .05). No significant di!erence was found in internal rotation and Rowe scores between the groups (P=.057, P=.069). A greater improvement was seen in the Rowe score of the ABR+remplissage group (85.2 ± 8.8). No recurrence or complications were observed in any of the patients. Conclusion: The combined procedure of ABR with remplissage may limit joint mobility in patients with anterior shoulder instability. However, it provides satisfactory functional results, with patients in the ABR+remplissage group showing better overall outcomes. Level of Evidence: Level III, Therapeutic study.https://www.aott.org.tr/en/the-effect-of-arthroscopic-bankart-repair-and-remplissage-procedure-on-joint-range-of-motion-and-functional-outcomes-in-anterior-shoulder-instability-137433 |
| spellingShingle | Umut Öktem Gülfem Ezgi Özaltın Sinan Yılmaz İbrahim Bozkurt Durmuş Ali Öçgüder The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability Acta Orthopaedica et Traumatologica Turcica |
| title | The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability |
| title_full | The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability |
| title_fullStr | The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability |
| title_full_unstemmed | The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability |
| title_short | The effect of arthroscopic Bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability |
| title_sort | effect of arthroscopic bankart repair and remplissage procedure on joint range of motion and functional outcomes in anterior shoulder instability |
| url | https://www.aott.org.tr/en/the-effect-of-arthroscopic-bankart-repair-and-remplissage-procedure-on-joint-range-of-motion-and-functional-outcomes-in-anterior-shoulder-instability-137433 |
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