A Meta-Analysis of Arthroscopic versus Open Repair for Treatment of Bankart Lesions in the Shoulder
نویسندگان
چکیده
BACKGROUND The optimal treatment for Bankart lesion remains controversial. Therefore, we performed this meta-analysis to compare the clinical outcomes of patients managed with open Bankart repair versus arthroscopic Bankart repair. MATERIAL AND METHODS After systematic review of online databases, a total of 11 trials with 1022 subjects were included. The methodological quality of randomized controlled trials (RCTs) was assessed using the PEDro critical appraisal tool, and non-RCTs were evaluated by Newcastle-Ottawa (NO) quality assessment tool. Outcomes of shoulder stability, range of motion (ROM), functional scales, and surgical times were analyzed. RESULTS Data synthesis showed significant differences between the two strategies, with regards to stability of the shoulder (P=0.008, RR=0.94, 95% CI: 0.89 to 0.98), and ROM (P<0.001, SMD=-0.47, 95% CI: -0.72 to -0.22). CONCLUSIONS Open Bankart repair produced a more stable shoulder but had a relatively poor shoulder motion, compared with arthroscopic Bankart repair, for the treatment of Bankart lesion.
منابع مشابه
Combined HAGL and Bankart Lesions in an Adolescent Athlete with Ligamentous Laxity and Recurrent Shoulder Dislocation
This is a report of a 17-year-old wrestler who had suffered from a sport injury during an international competition that led to recurrent shoulder dislocation. Physical examination showed that he had a severe ligamentous laxity. In the magnetic resonance images there were combined humeral avulsion of the glenohumeral ligament (HAGL) and Bankart lesions. Combination of Bankart and HAGL lesions, ...
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BACKGROUND Anterior shoulder instability can be a disabling condition for the young athlete; however, the best surgical treatment remains controversial. Traditionally, anterior shoulder instability was treated with open stabilization. More recently, arthroscopic repair of the Bankart injury with suture anchor fixation has become an accepted technique. HYPOTHESIS No systematic reviews have com...
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Since Bankart described the injury of the antero-inferior lip of the glenoid rim as the cause of instability and presented his results with patients treated surgically through open repair, it became the “gold standard” treatment for this lesion [1,2]. Over the last few decades, the arthroscopic technique for repairing Bankart lesion has evolved considerably, in an attempt to reduce the common c...
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