Repair of the bankart lesion was considered the gold standard in the treatment of recurrent anterior shoulder dislocation. With the advent of arthroscopic procedures, arthroscopic repair became most popular especially with the wide use of suture anchors with different types. The aim: the aim of the study is to discuss the effect of the using two or three suture anchors on shoulder instability and the results five years after the operation. Patient and methods: Between March 2004 and June 2010, 51 patients were diagnosed as recurrent anterior shoulder dislocation.The current study included two groups of patients. The first group (the two anchor group) included 29 patients (25 males and 4 females) with mean age at time of operation 26.7 years (range 17 to 42 years). The second group ( the three anchor group) of patients included 22 patients ( 21 males and 1 female) with mean age at the time of the operation 27.3 years (range 18 to 38 years). The follow up period for the first group was (mean 7.3 years, range 5- 9 years) and for the second group (mean 6.2 years, range 5-7.5 years). Results: The post operative Rowe score for both groups was improved significantly at the end of follow up period. For the first group (2 anchor group) the mean Rowe score was changed from 32.7 points (range 20 to 45 points) to 88.5 points (range 45 to 100 points). There were 25 patients with excellent and good score and the other 4 patients showed fair and poor scores. Also, the second group, the mean score was changed from 36.7 points (range 20 to 50 points) to 92.2 points (range 40 to 100 points). There were 19 patients with excellent and good scores and 2 patients with fair and poor scores. Conclusion: The number of anchors not affects the results of bankart repair. |
