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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 8, 1064-1068.
doi: 10.1302/0301-620X.89B8.19280  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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The open modified Bankart procedure

OUTCOME AT FOLLOW-UP OF 10 TO 15 YEARS

T. D. Berendes, MD, Orthopaedic Resident1; R. Wolterbeek, MSC, Medical Statisticus2; P. Pilot, PhD, Health Scientist1; H. Verburg, MD, Orthopaedic Surgeon1; and R. L. te Slaa, MD, PhD, Orthopaedic Surgeon1

1 Department of Orthopaedic Surgery and Traumatology Reinier de Graaf Groep, P. O. Box 5011, 2600 GA Delft, The Netherlands.
2 Department of Medical Statistics, Leiden University Medical Centre, P. O. Box 9600, 2300 RC Leiden, The Netherlands.

Correspondence should be sent to Dr R. L. te Slaa; e-mail: teslaa{at}rdgg.nl

We report the outcome of a modified Bankart procedure using suture anchors in 31 patients (31 shoulders) with a mean follow-up of 11 years (10 to 15). The mean age of the patients was 28 years (16 to 39). At follow-up, the mean Rowe score was 90 points (66 to 98) and the Constant score was 96 points (85 to 100). A total of 26 shoulders (84%) had a good or excellent result. The rate of recurrence varied between 6.7% and 9.7% and depended on how recurrence was defined. Two patients had a significant new injury at one and nine years, respectively after operation. The overall rate of instability (including subluxations) varied between 12.9% and 22.6%. All patients returned to work, with 29 (94%) resuming their pre-operative occupation and level of activity. Mild radiological osteoarthritis was seen in nine shoulders (29%) and severe osteoarthritis in one.

We conclude that the open modified Bankart procedure is a reliable surgical technique with good long-term results.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General