This paper is only available as a PDF. To read, Please Download here.
Abstract
This study was performed to investigate the initial failure strength of arthroscopic
suture and staple techniques use to treat recurrent anterior shoulder instability.
Eight canine shoulder complexes were fashioned so that four 1-cm wide strips of capsule
remained attached to the glenoid in each specimen (total of 32 test specimens) these
specimens were tested to tensile failure on an Instron model 1331 testing machine
either intact (n = 5), or after the capsule was sharply dissected off the bone and
repaired with an arthroscopic staple (n = 11) or arthroscopic suture technique (n
= 12). The control group failed at 17.75 ± 7.14 kg, the suture repair at 11.0 ± 2.56
kg, and the staple repair at 4.77 ± 2.32 kg. These failure strengths were all statistically
different from each other (p < 0.0001). All failures occurred at the capsular bone
interface. The authors do not advance one technique over the other but do advise surgeons
to be mindful of the results when instituting early shoulder motion after arthroscopic
Bankart procedures
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Arthroscopic Bankart suture repair: technique and early results.Arthroscopy. 1987; 3: 111-122
- Arthroscopic staple capsulorraphy for recurrent anterior shoulder instability.Arthroscopy. 1988; 4: 106-111
- Arthroscopic surgery.in: C. V. Mosby, St. Louis1986: 1301
- Arthroscopy for shoulder instability and a technique for arthroscopic repair.Arthroscopy. 1988; 4: 25-30
- Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint.J Bone Joint Surg [Am]. 1981; 63: 1208
- The anterior capsular mechanism in recurrent anterior dislocation of the shoulder. Morphologic and clinical studies with special reference to the glenoid labrum and the glenoid ligements.J Bone Joint Surg [Br]. 1962; 44: 913-927
- The containment mechanism: the primary stabilizer of the glenohumeral joint.Ortho Trans. 1987; 11: 458
- Recurrent or habitual dislocation of the shoulder joint.Br Med J. 1923; 2: 1132-1133
- The Bankart procedure. A long term end result study.J Bone Joint Surg [Am]. 1978; 60: 1-16
- Recurrent dislocation of the shoulder, modified Bankart capsulorraphy.Am J Surg. 1949; 77: 220-222
- Recurrent dislocation of the shoulder: a 24 year study of the Johannesberg Stapling Operation.J Bone Joint Surg [Am]. 1956; 38: 1-12
- Recurrent dislocation of the shoulder: the staple capsulorraphy.J Bone Joint Surg [Am]. 1965; 47: 1514
- Complications in arthroscopy: the knee and other joints.Arthroscopy. 1986; 2: 253-258
- Complications in arthroscopic surgery performed by experienced arthroscopists.Arthroscopy. 1988; 4: 215-221
- Complications about the glenohumeral joint related to the use of screws and staples.J Bone Joint Surg [Am]. 1984; 66: 175-180
- Recurrent transient subluxation of the shoulder.J Bone Joint Surg [Am]. 1981; 63: 863-871
- Recurrent anterior dislocations of the shoulder after surgical repair.J Bone Joint Surg [Am]. 1984; 66: 159-168
- The Bankart procedure modified by the use of prolene pull out sutures. Brief note.J Bone Joint Surg [Am]. 1982; 64: 628
Article info
Footnotes
Presented at the Annual meeting of the Arthoroscopy Association of North America, Orlando, FL, April 1990.
Identification
Copyright
© 1992 Arthroscopy Association of North America. Published by Elsevier Inc.
