Introduction; Arthroscopic Bankart repair is a common procedure for treatment of recurrent traumatic anterior shoulder dislocation all over the world. Different studies compared the outcome of transglenoid sutures after different modifications with the outcome of suture anchors and they found no significant difference between the two procedures.
Objectives: The aim of this study is to compare the long term results of the modified transglenoid sutures through two holes and the use of suture anchors .
Patients and methods:
Seventy patients were included in this study (42 for the transglenoid group and 28 for the second group). The mean follow up period for the first (transglenoid) group was 7.19 years (range 5 -11) and for the second (anchor)group 6.93 years( range 5- 12 ).
Results; There is significant difference in both groups between the preoperative and postoperative Rowe scores (p value .000) while there is insignificance when comparing the two groups. Six patients (14.3%) in the transglenoid group suffered from recurrence of instability ( 2 dislocations and 4 subluxations). Two of them needed second operation (open Laterjet procedure). In the anchor group, 4 (14.2%) patients suffered recurrence of symptoms of instability (2 dislocations and 2 subluxations). Two of them required second operation. One patient of the first group suffered infection related to the sutures and the knot which required removal of the suture material.
Conclusion:
Modified transglenoid suture technique is quietly equal to the repair with suture anchors for treatment of recurrent traumatic anterior shoulder instability .
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