Omer Farooq1, Sohail Hafeez. 1. Department of Orthopaedics, Combined Military Hospital, Rawalpindi. omerfarooq1125@yahoo.com
Abstract
OBJECTIVE: To evaluate the efficacy of cancellous screws as suture anchors, in open Bankart repair. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Department of Orthopaedics, Combined Military Hospital, Rawalpindi, from March 2009 to October 2010. METHODOLOGY: Fourteen patients with recurrent anterior dislocation were included in the study. Through anterior approach three 4 mm partially threaded cancellous screws were placed at the anterior Glenoid rim. Prolene-1 suture was tied around these screws which acted as anterior anchors and was used to re-attach the capsule and labrum back to bone. The mean duration of follow-up was 8 months. The patients were evaluated at 3 monthly intervals with a physical examination, radiographs, the modified shoulder rating scale of Rowe and Zarins and American Shoulder and Elbow Surgeons score. RESULTS: The mean operating time was 58 minutes. There was no immediate/early postoperative complication. At the last follow-up none of the patients had recurrence or radiological evidence of hardware failure/complication. Eleven patients (79%) had a score of 90 points on the scale of Rowe and Zarins and 12 patients (85.7%) had a score of at least 90 points on the scale of the American Shoulder and Elbow Surgeons scale. Ten patients (71%) had full range of motion in all planes. CONCLUSION: Use of cancellous screws as a suture anchor is a safe and cost-effective substitute of commercially available suture anchors in open Bankart repair.
OBJECTIVE: To evaluate the efficacy of cancellous screws as suture anchors, in open Bankart repair. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Department of Orthopaedics, Combined Military Hospital, Rawalpindi, from March 2009 to October 2010. METHODOLOGY: Fourteen patients with recurrent anterior dislocation were included in the study. Through anterior approach three 4 mm partially threaded cancellous screws were placed at the anterior Glenoid rim. Prolene-1 suture was tied around these screws which acted as anterior anchors and was used to re-attach the capsule and labrum back to bone. The mean duration of follow-up was 8 months. The patients were evaluated at 3 monthly intervals with a physical examination, radiographs, the modified shoulder rating scale of Rowe and Zarins and American Shoulder and Elbow Surgeons score. RESULTS: The mean operating time was 58 minutes. There was no immediate/early postoperative complication. At the last follow-up none of the patients had recurrence or radiological evidence of hardware failure/complication. Eleven patients (79%) had a score of 90 points on the scale of Rowe and Zarins and 12 patients (85.7%) had a score of at least 90 points on the scale of the American Shoulder and Elbow Surgeons scale. Ten patients (71%) had full range of motion in all planes. CONCLUSION: Use of cancellous screws as a suture anchor is a safe and cost-effective substitute of commercially available suture anchors in open Bankart repair.