ABSTRACT
The surgical techniques applied to recurrent anterior dislocation of the shoulder, especially in hard working patients, must reconstruct a stable shoulder joint with a good range of motion, which will not re-dislocate, so the patients can return to their hardworking duties. The aim of this study was to evaluate the results of open Bankart repairs with suture anchors, in high-demand sportsmen and hard workers with recurrent anterior shoulder dislocation. Thirty shoulders of 29 patients were included in the study. All patients were active hard workers. A modified deltopectoral incision was used and Mitek GII Suture Anchors were implanted with 7-10 mm intervals into the bone-cartilage zone of the glenoid rim. Average follow-up time was 30 months (range, 22-38). Postoperative results were analysed according to the Rowe Scoring System. We obtained good and excellent results in 93.3% of cases. The open Bankart repair using suture anchors appeared in this study as a reliable technique for hard workers or physically high-demand patients.
Subject(s)
Orthopedic Procedures/methods , Shoulder Dislocation/surgery , Sutures , Adult , Arthrography , Humans , Range of Motion, Articular , Recurrence , Shoulder Dislocation/physiopathology , Shoulder Dislocation/rehabilitation , Shoulder Joint/diagnostic imaging , Shoulder Joint/physiopathologyABSTRACT
INTRODUCTION: There are many different surgical treatment techniques of complete syndactyly. Most of them are techniques involving using skin grafts. We developed a surgical technique that does not require skin grafts, which cause problems in the distal nail border pulp and interdigital web space. MATERIALS AND METHODS: Syndactyly release was performed in 12 web spaces of 11 adult male patients. The average age was 21. In addition to a zig-zag incision, contrary intermittent skin release was performed. Primary coverage of the interdigital web space and nail border pulp was achieved without skin graft. RESULTS: We obtained good results by the contrary intermittent skin release method that we developed, in adult complete syndactyly patients who had no chance for the surgical treatment due to several reasons, previously. CONCLUSION: With such a surgical technique, in our cases we obtained successful results, both cosmetic and functional. The presented technique is an alternative method for syndactyly release without using skin graft in adult patients.
