J Korean Shoulder Elbow Soc.  2010 Jun;13(1):40-46.

One Anchor Double Fixation (OADF) Technique for Arthroscopic Bony Bankart Repair

• Choi ES
• Park KJ
• Kim YM
• Kim DS
• Shon HC
• Cho BK
• Bae SH

Abstract

PURPOSE
The aim of this study was to evaluate the usefulness of arthroscopic Bony Bankart repair using a One Anchor Double Fixation Technique.
MATERIALS AND METHODS
Seventeen patients with a Bony Bankart lesion were treated using the One Anchor Double Fixation Technique (OADF Technique). There were 13 males and 4 females. The average age was 24 years (range 17-42). The average follow-up period was 22.3 months. One 3.0 mm suture anchor with doubly loaded sutures was inserted into the glenoid rim. One suture strand was passed the around the small bony fragment and tied first. Another suture strand was passed through the capsule and tied over the bony fragment. The result was measured using Rowe's evaluation index & KSS score. The glenoid defect & bony fragment were measured by 3D-CT scan.
RESULTS
Rowe's evaluation index on the final follow-up showed an overall improvement from an average of 54 (range, 23-71) to 83.4 (range 71-90). Of the 17 cases, 13 were excellent, 3 were good, and 1 was fair. KSS scores showed improvement from an average of 71 (range 49-82) to 92.5 (range 82-94). There were no cases where pain continued to the final follow-up, and no cases being re-dislocated during the follow-up period. For six cases, we confirmed the bony healing of the bony Bankart lesion by CT.
CONCLUSION
Bony Bankart lesion repair using this new method achieves excellent clinical results with low recurrence rates and is considered another choice for bony Bankart lesions.

Keyword

Shoulder; Traumatic anterior shoulder instability; Bony Bankart lesion; Arthroscopic repair; Bio-absorbable anchor with two strandsBio-absorbable anchor with two strands

MeSH Terms

Female
Follow-Up Studies
Humans
Male
Recurrence
Shoulder
Suture Anchors
Sutures