Background: The purpose of this study was to prospectively evaluate the surgical outcome of arthroscopic Bankart repair using suture anchors in patients with recurrent traumatic anterior shoulder instability with a minimum follow-up of two years. Materials: We studied 53 patients with a mean age of 25.3 years (16–41). The study group consisted of 45 men and 8 women.. The mean follow-up was 2.2 (2–4.3) years. Patients were evaluated prospectively according to the Rowe-score. Results: After 2.2 years 3 patients suffered from a single redislocation, 2 patients had recurrent dislocations which means an overall redislocation rate of 9.4%. Three of the five redislocators had a traumatic redislocation. The average Rowe-score increased to 92.4 points from 32.1 points preoperatively. At final follow-up, 85.9% of the patients had returned to their preoperative sports level. Conclusions: Our results in this series demonstrate the efficacy of arthroscopic bankart for the treatment of recurrent traumatic anterior shoulder instability repair using suture anchors. It allows the surgeon to reliably correct the labral detachment and the capsular redundancy while preserving motion and minimizing morbidity. Although it is a highly demanding technique, it can yield comparable results to open procedures when a correct indication is carried out.
© 2004 Published by Elsevier Inc.