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Clin Shoulder Elbow > Volume 14(1); 2011 > Article
Clinics in Shoulder and Elbow 2011;14(1):117-124.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.117    Published online June 30, 2011.
Arthroscopic Reconstruction of Bony Defect in Shoulder Instability
Yang Soo Kim, Ji Hoon Ok
Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. kysoos@catholic.ac.kr
골 결손을 동반한 견관절 불안정성의 관절경적 재건술
김양수·옥지훈
가톨릭대학교 의과대학 정형외과학교실
Abstract
PURPOSE
We reviewed arthroscopic reconstruction among the several treatment options for anterior shoulder instability with a bony Bankart lesion. MATERIALS AND METHODS: Although open Bankart repair has long been considered the optimal surgical management of anterior shoulder instability, advancements in arthroscopic techniques have led to a recent shift to arthroscopic Bankart repair. However, for cases of a glenoid bony defect, several authors have reported various methods to accurately measure the amount of bony defect.
RESULTS
The arthroscopic technique of bony Bankart reconstruction continues to evolve and various methods have followed. To overcome the limitations of single fixation of a Bankart lesion, arthroscopic dual fixation (2 point fixation) has recently been tried to anatomically repair and restore the rigid fixation of a bony fragment. The concept of performing the Bristow-Latarjet transfer procedure under arthroscopy has also recently emerged. However, a large series of cases and long term follow up are required to prove the better results.
CONCLUSION
To obtain a successful outcome for patients with anterior instability with a glenoid bony defect, it is imperative that the surgeon be aware of the accurate status of the bony defect and the intraoperative, postoperative factors associated with the proper treatment of this unstable pathology.
Key Words: Anterior instability; Arthroscopic reconstruction; Bony defect; Dual fixation


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