Surgical Experience of Arthroscopic Bankart Repair Using Suture Anchors

Abstract：Objective To investigate the effects of arthroscopic Bankart repair using suture anchors and surgical experi-ence. Methods From March 2010 to March 2014,a total of 38 patients of Bankart lession were treated with arthroscopicrepair using suture anchors. 31 of them were male,7 were female,the average age were 29. 5 years old(range 20 ~ 39 years). Among them,12 cases were primary dislocation,26 cases were recurrent dislocation,the average postoperative follow - up period were 23 months(range 13 ~ 40 months). All patients had a history of shoulder joint dislocation. Before surgery,the average ASES scores were(83. 7 ± 12. 8),average Rowe score(36. 2 ± 7. 8),average Constant-Murley score(85. 4 ± 8. 8). All patients were treated with arthroscopic Bankart repair using 3 or 4 metal suture anchors. Results Postoperative shoulder function of 38 cases,incluing flexion lift,body side external rotation and internal rotation were not obviously changed,while abduction and ex-ternal rotation were significantly improved. Postoperative ASES score(96. 8 ± 4. 6),Rowe scoring(90. 2 ± 11. 7)and constant Murley score(97. 9 ± 7. 7)were significantly improved(P ﹤ 0. 01). A total of 2 patients had a recurrent shoulder dislocation, failure rates were 5. 3%(2 / 38). Conclusion Arthroscopic repair using suture anchors were effective methods for the treat-ment of Bankart lessions. Appropriate operation time,full release,pulling suture of articular capsule and ligament complex,rea-sonable distribution of anchors were the key factors for the success of operations.