Usefulness of the STATAK in a Bankart Repair and Modified Bristow Procedure for Recurrent Anterior Dislocation of the Glenohumeral Joint. by KIMURA Ak

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1 Usefulness of the STATAK in a Bankart Repair and Modified Bristow Procedure for Recurrent Anterior Dislocation of the Glenohumeral Joint. by KIMURA Akihiko, OKAMURA Kenji, FUKUSHIMA Sunao, NAGAMORI Masasi, AOKI Mitsuhiro, USUI Masamichi, and ISHII Seiichi Department of Orthopaedic Surgery Sapporo Medical University HOTTA Tomonobu Department of Orthopaedic Surgery, Otaru Hokusei Hospital To investigate whether STATAK is useful in Bankart repair&modified Bristow procedure Forty patients with recurrent anterior dislocation with severe bone defects of the anterinferior glenoid border underwent surgery by B&B with STATAK (group S). The 43 patients who underwent surgery with a conventional bone tunnel suture were the control group (group B). We investigated the clinical results by using the Rowe's scoring system and operation time of both groups and the failure of STATAK insertion. The average of Rowe's score was 92.8 in group S, and 92.5 in group B, and there was no significant difference in either group. The average of operation time including arthroscopic examination was shorter by about five minutes in group S than in group B. The failure ratio of STATAK insertion was 6.3% of all 128 anchors. The modes of failure were four anchor pullouts, one anchor cut out, and three suture cutouts. Under accurate management a STATAK insertion will be useful in B&B for recurrent anterior dislocation of the glenohumeral joint with severe bone defect of the anteroinferior glenoid bo rder.

2 The Shoulder Joint, Vol.23, WA, , 1999.

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4 The Shoulder Joint, Vol.23, Na2, , tt--ctotuip, arlo4fatiii114-1-c.kz. LA, L, ) Bacilla P, et al. : Arthroscopic Bankart repair in a high demand patient population. Arthroscopy, 1997 : 13 ( 1 ) : ) Barber FA, et al. : The ultimate strength of suture anchors. Arthroscopy, 11 ( 1 ) : : ) Burkhart SS. The deadm an theory of suture 336

5 anchors : observations along a south Texas fence line. Arthroscopy. 11 (1) : , ) Craft DV, et al. : Fixation strength of rotator cuff repairs with suture anchors and the transosseous suture technique. J. Shoulder Elbow Surg. 5 ( 1 ) : : ) Karlsson J, et al. : Repair of Bankart lesions with a suture anchor in recurrent dislocation of the shoulder. Scand. J. Med. Sci. Sports, 5 ( 3 ) : , ) Levine, et al. : Use of the suture anchor in open Bankart reconstruction. A follow-up report. Am. J. Sports Med, 229 ( 5 ) : , ) Norlin R. Use of Mitek anchoring for Bankart repair : A coparative, randomized, prosp ective study with traditional bone sutures. J Shoulder Elbow Surg, 11 : 21-28, ) Richmond et al. : Modification of the Bankart reconstruction with a suture anchor. Report of a new technique. Am J Sports Med, 19 (4) : , ) Rowe CR, et al. : The Bankart Procedure A long-term end-result study. J Bone Joint Surg (Am), 60 : 1-16, ) Snyder SJ. The technique of arthroscopic rotator cuff repair using implantable 4-mm Revo suture anchors, suture Shuttle Relays, and No. 2 nonabsorbable mattress suture. Orthop. Clin. North (Am), 28 (2) : , ) Tamai K et al. Efficacy and pitfalls of the Statak soft-tissue attachment device for the Bankart repair. J Shoulder Elbow Surg, 2: , ) Turkel SJ, et al. : Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint. J Bone Joint Surg (Am), 63 : , ) Yoneda M et al. Bankart procedure aug mented by coracoid transfer for contact ath letes with traumatic anterior shoulder instability. Am J Sports Med, 27 ( 1 ) : 21-26,

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