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Arthroscopic Salvage of Failed Arthroscopic Bankart Repair: A Prospective Study with a Minimum Follow-up of 4 Years

Franceschi, Francesco ; Longo, Umile Giuseppe ; Ruzzini, Laura ; Rizzello, Giacomo ; Maffulli, Nicola ; Denaro, Vincenzo

The American journal of sports medicine, 2008-07, Vol.36 (7), p.1330-1336 [Periódico revisado por pares]

Los Angeles, CA: SAGE Publications

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Título:
Arthroscopic Salvage of Failed Arthroscopic Bankart Repair: A Prospective Study with a Minimum Follow-up of 4 Years
Autor: Franceschi, Francesco ; Longo, Umile Giuseppe ; Ruzzini, Laura ; Rizzello, Giacomo ; Maffulli, Nicola ; Denaro, Vincenzo
Assuntos: Adolescent ; Adult ; Arthroscopy ; Arthroscopy - methods ; Athletic Injuries - physiopathology ; Athletic Injuries - surgery ; Biological and medical sciences ; Care and treatment ; Clinical outcomes ; Diagnosis ; Diseases of the osteoarticular system ; Endoscopic surgery ; Endoscopy ; Female ; Health aspects ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Joint Instability - physiopathology ; Joint Instability - surgery ; Joints ; Knee ; Male ; Medical sciences ; Orthopedic Procedures - methods ; Orthopedics ; Patient outcomes ; Prospective Studies ; Range of Motion, Articular ; Recurrence ; Reoperation ; Risk factors ; Shoulder ; Shoulder injuries ; Shoulder Joint - injuries ; Shoulder Joint - physiopathology ; Shoulder Joint - surgery ; Sports injuries ; Sports medicine
É parte de: The American journal of sports medicine, 2008-07, Vol.36 (7), p.1330-1336
Notas: ObjectType-Article-2
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Descrição: Background Data on arthroscopic salvage of failed arthroscopic Bankart repair are lacking. Purpose To prospectively evaluate the surgical outcome of arthroscopic salvage of failed arthroscopic Bankart repair. Study Design Case series; Level of evidence, 4. Methods Operations were performed on 10 patients (8 male and 2 female; mean age at revision, 25.6 years; range, 18-41 years). The mean interval from the time of the revision surgery to the final follow-up was 68 months (range, 46-83 months). Objective testing included preoperative and postoperative range of motion. Outcome measures included the rating system of the University of California at Los Angeles. The surgical procedure was performed in a consistent manner: capsular plications, suture anchor repair of the displaced labrum, and, when indicated, rotator interval closure. Results The University of California at Los Angeles rating system showed a statistically significant improvement from a preoperative mean rating of 11.7 (range, 6-14) to a mean of 31.7 (range, 29-35) postoperatively (P < .05). All patients had a full and equal postoperative range of motion compared with the preoperative range of motion. One patient experienced recurrent dislocations after the salvage procedure. None of the other 9 patients experienced a recurrent dislocation, with all returning to their previous sports levels. Conclusion Arthroscopic Bankart revision surgery is a reliable procedure with respect to recurrence rate, range of motion, and shoulder function in carefully selected patients.
Editor: Los Angeles, CA: SAGE Publications
Idioma: Inglês

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Arthroscopic Salvage of Failed Arthroscopic Bankart Repair: A Prospective Study with a Minimum Follow-up of 4 Years

Franceschi, Francesco ; Longo, Umile Giuseppe ; Ruzzini, Laura ; Rizzello, Giacomo ; Maffulli, Nicola ; Denaro, Vincenzo

Los Angeles, CA: SAGE Publications

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