Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder

Aydın, Ali; UYMU, Erdem Yunus; KARSAN, ORHAN; Tuncer, Kutsi; TOPAL, Murat; USTA, Mustafa

Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder

Ali AYDIN, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Mustafa USTA, (Sabuncuoğlu Şerefeddin Devlet Hastanesi, Ortopedi ve Travmatoloji, Bölümü, Amasya, Türkiye)

Murat TOPAL, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Erdem Yunus UYMU, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Kutsi TUNCER, (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Orhan KARSAN (Atatürk Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Erzurum, Türkiye)

Eurasian Journal of Medicine

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Yıl: 2012 Cilt: 44 Sayı: 3 Sayfa Aralığı: 157 - 162 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder

Öz:

Amaç: En son omuz çıkığı düşük kuvvetli bir travmayla oluşmuş,tekrarlayan travmatik anterior omuz çıkıklı hastalarda açık Bankart ve modifiye Bristow ameliyatlarının sonuçlarını çok yönlü değerlendirmesini amaçladık. Gereç ve Yöntem: Tekrarlayan travmatik anterior omuz çıkıklı ve kapsüler laksisitesi olan, açık Bankart veya modifiye Bristow ameliyatları ile tedavi edilen 38 (dağılım, 34 (%89.5) erkek, 4 (%10.5) kadın) hasta çalışmaya alındı. Ortalama yaşları 29.6 yıl (dağılım, 17-60 yıl). Ortalama takip süresi 5.5 yıldı (dağılım, 35 ay-9 yıl). Hastaların 25’ine (%65.8) açık Bankart tamiri, 13’üne (%34.2) modifiye Bristow ameliya- tı yapıldı. Tedavi sonuçları Rowe’un skorlama sistemine göre yapıldı. Bulgular: Toplam 38 omuzun 24’ü (%63.1) sağ, 14’ü (%36.9) sol) omuzdu. Omuzlardan 26’sı (%68.4) dominant, 12’si (%31.6) nondominant omuzdu. İlk çıkıktan sonra geçen süre ortalama 3.8 yıldı (dağılım, 10 ay-11 yıl). İlk çıkığın oluştuğu yaş 7 olguda (%18.4) 20 yaş ve altında, 22 olguda (%57.9) 21-30 yaşları arasında, 6 olguda (%15.8) 31-40 yaşları arasında ve 3 olguda (%7.9) 41 yaş ve üzerindeydi. Tekrarlayan çıkık sayısı, 15 omuzda (%39.5) 4-10 arasında, 10 omuzda (%26.3) 10-20 arasında, 13 omuzda (%34.2) 20 ve üzerindeydi. Açık Bankart tamiri yapılan hastalarda Rowe puanı 85.6, modifiye Bristow ameliyatında 81.9 bulundu. Rowe değerlendirme kriterlerine göre açık Bankart ve modifiye Bristow ameliyatlarının çok iyi ve iyi toplamları arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05). Sonuç: Açık Bankart tamiri ve modifiye Bristow ameliyatları için uygun hasta seçilmesi çok önemlidir. Uygun hasta seçimi yapıldığı takdirde bu iki ameliyat tekniği kapsüler laksisiteli hastaların tedavisinde başarılı bir tedavi yöntemidir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Tekrarlayan travmatik anterior omuz çıkıklı ve kapsüler laksisiteli omuzlarda açık Bankart tamiri ve modifiye Bristow ameliyatlarının karşılaştırılması

Öz:

Objective: The purpose of this study was to compare the results ofopen Bankart repair versus those of modified Bristow operation inpatients with recurrent anterior dislocations of the shoulder, the lastof which was caused by a minor trauma.Materials and Methods: This study included 38 patients (34 (89.5%)male and 4 (10.5%) female) who presented recurrent dislocationof the shoulders with capsular laxity and who underwent an openBankart repair or a modified Bristow operation. The mean age of thepatients was 29.6 years (range, 17-60 years). The mean follow-up period was 5.5 years (range, 35 months to 9 years). A total of 25 patients(65.8%) underwent an open Bankart repair, whereas 13 (34.2%) underwent a modified Bristow operation. The treatment results wereassessed using the Rowe score for instability.Results: Of the 38 shoulders assessed, 24 (63.1%) were right shouldersand 14 (36.9%) were left shoulders. Furthermore, 26 (68.4%) were thedominant shoulders of the patients, and 12 (31.6%) were the nondominant shoulders. The mean time from the first dislocation was 3.8years (range, 10 months to 11 years). The age at which the first shoulder dislocation occurred was 20 years or younger in 7 cases (18.4%),21-30 years in 22 cases (57.9%), 31-40 years in 6 cases (15.8%) and 41or older in 3 cases (7.9%). The patients had experienced 4-10 recurrent dislocations in 15 cases (39.5%), 10-20 recurrent dislocations in 10cases (26.3%) and 20 or more recurrent dislocations in 13 cases (34.2%).The mean Rowe score was 85.6 following open Bankart repair and 81.9following modified Bristow. No significant difference was observedbetween these good and excellent Rowe scores following the openBankart repair and the modified Bristow operation (p>0.05).Conclusion: Proper patient selection for the open Bankart repair andthe modified Bristow operation is crucial. When the proper patientshave been selected for these procedures, both produce satisfactoryresults for the treatment of patients with capsular laxities.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Bölükbaşi S, Kanatli U, Ekin A, Ozkan M, Simşek A. Open surgical treatment of recurrent anterior instability of the shoulder. Acta Orthop Traumatol Turc 2005; 39: 48-56.
2. Phillips BB. Recurrent dislocations. In: Campbell’s operative orthopaedics. Canale ST, editor. 10 th ed. St. Louis: Mosby; 2003.p.2377-448.
3. Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 1956; 38: 957-77.
4. Mc-Laughlin HL, Cavallaro WU. Primary anterior dislocation of the shoulder. Am J Surg 1950; 80: 615-21. [CrossRef]
5. Hovelius L. Anterior dislocation of the shoulder in teen-agers and young adults. Five-year prognosis. J Bone Joint Surg Am 1987; 69: 393-9.
6. Alberta FG, Elattrache NS, Mihata T, McGarry MH, Tibone JE, Lee TQ. Arthroscopic anteroinferior suture plication resulting in decreased glenohumeral translation and external rotation. Study of a cadaver model. J Bone Joint Surg Am 2006; 88: 179-87. [CrossRef]
7. Schroder DT, Provencher MT, Mologne TS, Muldoon MP, Cox JS. The modified Bristow procedure for anterior shoulder instabil- ity: 26-year outcomes in Naval Academy midshipmen. Am J Sports Med 2006; 34: 778-86. [CrossRef]
8. Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thor-ling J. Primary anterior dislocation of the shoulder in young pa- tients. A ten-year prospective study. J Bone Joint Surg Am 1996; 78: 1677-84.
9. Yamashita T, Okamura K, Hotta T, Wada T, Aoki M, Ishii S. Good clinical outcome of combined Bankart-Bristow procedure for recurrent shoulder instability: 126 patients followed for 2-6 years. Acta Orthop Scand 2002; 73: 553-7. [CrossRef]
10. Hovelius LK, Sandström BC, Rösmark DL, Saebö M, Sundgren KH, Malmqvist BG. Long-term results with the Bankart and Bristow- Latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elbow Surg 2001; 10: 445-52. [CrossRef]
11. Hovelius L, Sandström B, Saebö M. One hundred eighteen Bristow-Latarjet repairs for recurrent anterior dislocation ofthe shoulderprospectively followed for fifteen years: study II-the evolution of dislocation arthropathy. J Shoulder Elbow Surg 2006; 15: 279-89. [CrossRef]
12. Omidi-Kashani F, Sadri-Mahvelati E, Mazlumi SM, Makhmalbaf H. Is Bristow-Latarjet operation effective for every recurrent anterior shoulder dislocation? Arch Iran Med 2008; 11: 270-3.
13. Moseley HF, MacArthur HT. Recurrent dislocation of the shoulder. Montreal Mc-Gill University Press; 1961.
14. Rowe CR, Sakellarides HT. Factors related to recurrences of anterior dislocation of the shoulder. Clin Orthop 1961; 20: 40-8.
15. Torg JS, Balduini FC, Bonci C, et al. A modified Bristow-Helfet- May procedure for recurrent dislocation and subluxation of the shoulder. Report of two hundred and twelve cases. J Bone Joint Surg Am 1987: 69: 904-13.
16. Weber BG, Simpson LA, Hardegger F. Rotational humeral osteotomy for recurrent anterior dislocation of the shoulder associated with a large Hill-Sachs lesion. J Bone Joint Surg Am 1984: 66: 1443-50.
17. Lembeck B, Wulker N. Open procedures for shoulder instability. Curr Orthop 2004; 18: 169-80. [CrossRef]
18. Bankart AS, Cantab MC. Recurrent or habitual dislocation of the shoulder-joint. 1923. Clin Orthop Relat Res 1993; 291: 3-6.
19. Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am 1978; 60: 1-16.
20. Bankart AS. The pathology and treatment of recurrent dislocation of the shoulder joint. Brit J Surg 1938; 26: 23-9. [CrossRef]
21. Black KP, Schneider DJ, Yu JR, Jacobs CR. Biomechanics of the Bankart repair: the relationship between glenohumeral translation and labral fixation site. Am J Sports Med 1999; 27: 339-44.
22. Cole BJ, L’Insalata J, Irrgang J, Warner JJ. Comparison of arthroscopic and open anterior shoulder stabilization. A two to six-year follow-up study. J Bone Joint Surg Am 2000; 82: 1108-14.
23. Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of anterior-inferior glenohumeral instability. J Bone Joint Surg Am 2000; 82: 991-1003.
24. Nelson BJ, Arciero RA. Arthroscopic management of glenohumeral instability. Am J Sports Med 2000; 28: 602-14.
25. Arpacıoğlu MÖ, Sarıoğlu A, Akmaz İ, Rodop O. Tekrarlayan öne omuz çıkığı ve modifiye Bristow operasyonu ile aldığımız sonuçlar. Acta Orthop Traumatol Turc 1997; 31: 233-6.
26. Banas MP, Dalldorf PG, Dehaven KE. The allman modification of the Bristow procedure for recurrent anterior glenohumeral instability. Sports Med Arthrosc 1993; 1: 242-8. [CrossRef]
27. Jorgensen U, Svend-Hansen H, Bak K, Pedersen I. Recurrent post-trau- matic anterior shoulder dislocation-open versus arthroscopic repair. Knee Surg Sports Traumatol Arthrosc 1999; 7: 118-24. [CrossRef]

APA	Aydın A, USTA M, TOPAL M, UYMU E, Tuncer K, KARSAN O (2012). Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. , 157 - 162.
Chicago	Aydın Ali,USTA Mustafa,TOPAL Murat,UYMU Erdem Yunus,Tuncer Kutsi,KARSAN ORHAN Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. (2012): 157 - 162.
MLA	Aydın Ali,USTA Mustafa,TOPAL Murat,UYMU Erdem Yunus,Tuncer Kutsi,KARSAN ORHAN Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. , 2012, ss.157 - 162.
AMA	Aydın A,USTA M,TOPAL M,UYMU E,Tuncer K,KARSAN O Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. . 2012; 157 - 162.
Vancouver	Aydın A,USTA M,TOPAL M,UYMU E,Tuncer K,KARSAN O Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. . 2012; 157 - 162.
IEEE	Aydın A,USTA M,TOPAL M,UYMU E,Tuncer K,KARSAN O "Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder." , ss.157 - 162, 2012.
ISNAD	Aydın, Ali vd. "Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder". (2012), 157-162.

APA	Aydın A, USTA M, TOPAL M, UYMU E, Tuncer K, KARSAN O (2012). Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. Eurasian Journal of Medicine, 44(3), 157 - 162.
Chicago	Aydın Ali,USTA Mustafa,TOPAL Murat,UYMU Erdem Yunus,Tuncer Kutsi,KARSAN ORHAN Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. Eurasian Journal of Medicine 44, no.3 (2012): 157 - 162.
MLA	Aydın Ali,USTA Mustafa,TOPAL Murat,UYMU Erdem Yunus,Tuncer Kutsi,KARSAN ORHAN Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. Eurasian Journal of Medicine, vol.44, no.3, 2012, ss.157 - 162.
AMA	Aydın A,USTA M,TOPAL M,UYMU E,Tuncer K,KARSAN O Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. Eurasian Journal of Medicine. 2012; 44(3): 157 - 162.
Vancouver	Aydın A,USTA M,TOPAL M,UYMU E,Tuncer K,KARSAN O Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder. Eurasian Journal of Medicine. 2012; 44(3): 157 - 162.
IEEE	Aydın A,USTA M,TOPAL M,UYMU E,Tuncer K,KARSAN O "Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder." Eurasian Journal of Medicine, 44, ss.157 - 162, 2012.
ISNAD	Aydın, Ali vd. "Comparison of open bankart repair versus modified bristow operation for the treatment of traumatic recurrent anterior dislocation and capsular laxity of the shoulder". Eurasian Journal of Medicine 44/3 (2012), 157-162.