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Factors affecting recurrence following arthroscopic Bankart repair in recreational athletes

Original Article

Factors affecting recurrence following arthroscopic Bankart repair in recreational athletes

Erdal Uzun, Abdulhamit Misir, Gokhan Sayer, Ahmet Guney

Abstract

Detailed evaluation for recurrence following arthroscopic Bankart repair (ABR)s is important to develop strategies to decrease recurrence rates. The aim of this study was to evaluate the outcomes following ABR and to investigate clinical, functional and demographic data by recurrence status in recreational athletes. A total of 67 consecutive ABRs (63 males, 4 females) with a minimum 5-year follow-up were included in the study. Pre- and post-operative clinical and functional outcomes were evaluated using VAS, shoulder ROM, ASES, UCLA, Constant-Murley, Oxford Instability and Rowe scores. Patient characteristics were evaluated to investigate the correlation with the outcomes. Factors associated with recurrence were also evaluated. The mean age was 30.8 ± 7.7 years and the mean follow-up was 87.7 ± 19.1 months. Good to excellent postoperative functional and clinical outcomes were obtained in the last follow-up compared with the baseline (p

Key words: Shoulder, instability, Bankart, recurrence, return to sports, Hill-sachs lesion, athlete

Med-Science. 2021; 10(4): 1243-8
 
Medicine Science Vol:10 Issue:4 Year:2021 PP:1087-1567

The effect of the tear pattern and the number of preoperative locking episodes on the functional outcome following arthroscopic bucket-handle meniscal tear repair

Original Article

The effect of the tear pattern and the number of preoperative locking episodes on the functional outcome following arthroscopic bucket-handle meniscal tear repair

Erdal Uzun, Abdulhamit Misir, Gokhan Sayer, Ahmet Guney

Abstract

Relatively larger size, displacement, the complexity of the bucket-handle meniscal tear (BHMT)s, and the fact that they can cause locking can be challenging for treatment. This study aimed to evaluate the effect of tear pattern and the number of preoperative locking episodes on the functional outcome and failure rate following arthroscopic BHMT repairs. 84 patients who underwent arthroscopic repair for BHMTs between 2013 and 2018 were included in the study. VAS, Lysholm, IKDC, Tegner, and overall satisfaction scale were used to assess functional and clinical outcomes. MRI was used for radiologic assessment method, and Barrett criteria were used for assessment clinical failure. The effects of BHMT pattern and the number of preoperative locking episodes were evaluated, and the effect of surgical and demographic features on failure was investigated following arthroscopic BHMT repair. The mean follow-up was 66.1 ± 16.2 months (range, 24-84 months). Improvement in VAS, Lyholm, IKDC scores, and patient satisfaction was significantly higher in patients with single locking history, and failure rate in this group was lower as well (p=0.036, p=0.000, p=0.001, p=0.000, p=0.015, respectively). Red–white (RW) zone tears, late repairs (>2 months), and smoking habits were found to be significantly higher in failed repairs (p=0.036, p=0.015, p=0.028, respectively). However, BHMT pattern did not affect clinical outcomes and failure rate (p<0.05). Recurrent preoperative locking episodes have a negative impact on clinical outcomes and meniscal healing. Especially, first time locking and peripheral BHMTs should be repaired in the early period regardless of tear pattern.

Key words: Meniscal repair, bucket handle, failure, clinical, locking

Med-Science. 2021; 10(4): 1275-84