Arthroscopic Bankart Repair: Our Early Experience at Bangladesh Medical University.

Abstract

The arthroscopic Bankart repair method is the latest technique for traumatic anterior shoulder instability. In this series includes a minimum of one year of clinical outcomes of bioabsorbable suture anchors used in post-traumatic anterior dislocation of the shoulder. Clinical and radiological information from 15 patients were collected and analyzed for a minimum of 2 years (January 2019 to December 2020). Each patient underwent arthroscopic Bankart repair using bio-absorbable suture anchors for their shoulder instability. Over the time period, all operations were performed by a single surgeon. All study population were assessed using two different outcome measurement tools: one is the University of California at Los Angeles (UCLA) shoulder rating scale and another is the Simple Shoulder Test (SST) score. The scores were calculated before surgery and at the 1 year follow-up. Range of motion (ROM), as well as postoperative function and return to sporting activities, were evaluated. Results of the 12 domains showed a significant improvement from a pre-operative mean of 6.0±2.8 to post operative 10.5±0.8 after the 1 year follow-up (p<0.0001). Data from the UCLA scale showed a Pre and Post Operative Mean of 20.5±5.0 and 33.4±3.8, respectively (p<0.0001). Twelve had excellent postoperative scores, one had good score, one had fair score, and one had poor score. Eighty percent (80.0%) of the patients returned to sports, but none of them developed a recurrence of shoulder dislocation or subluxation. Arthroscopic Bankart repair using suture anchors is a reliable treatment method, with good clinical outcomes, excellent postoperative shoulder motion, and low recurrence rate.