ABSTRACT
Objetivo: Evaluar la efectividad y seguridad de la técnica artroscópica de Bankart utilizando un solo portal anterior en pacientes con inestabilidad anterior de hombro. Pacientes y métodos: Estudio prospectivo de 82 pacientes operados con técnica de Bankart artroscópica de hombro utilizando un solo portal anterior. Comparación con una serie histórica de 69 pacientes tratados con 2 portales anteriores. Fueron evaluados mediante la escala de Rowe, los cuestionarios DASH (Disability of the Arm, Shoulder and Hand) y OIS (Oxford Instability Shoulder), arcos de movilidad y escalas analógicas visuales para dolor y satisfacción. Resultados: Tras un seguimiento medio de 36 meses, no había diferencias significativas entre grupos respecto a las valoraciones funcionales, calidad de vida o satisfacción del paciente. El tiempo quirúrgico fue significativamente menor en el grupo 1-portal. En el grupo 1-portal hubo 2 pacientes con neuroapraxia y 2 reluxaciones, mientras que en el grupo 2-portales fueron uno y 2, respectivamente. Los peores resultados funcionales se asociaban a la presencia de lesión SLAP tipo III. Conclusiones: Ambas técnicas fueron satisfactorias respecto a los resultados funcionales y complicaciones, excepto en la presencia de lesiones SLAP tipo III. Con la técnica de un portal anterior el tiempo quirúrgico fue más corto, y los costes, menores al prescindir de una segunda cánula y de un pasador de hilos
Objective: To evaluate the effectiveness and safety of the arthroscopic Bankart repair technique using a single anterior portal in patients with anterior shoulder instability. Patients and methods: Prospective study of 82 patients who underwent arthroscopic Bankart repair using a single anterior portal. Comparison with a historical series of 69 patients treated with two anterior portals. The patients were evaluated by the Rowe scale, and DASH (Disability of the Arm, Shoulder and Hand) and OIS (Oxford Instability Shoulder) questionnaires, range of motion and visual analogue scales for pain and patient satisfaction. Results: After a mean follow-up of 36 months, there were no significant differences between groups regarding clinical or functional scores, quality of life or patient satisfaction. Surgical time was significantly shorter in the 1-portal group. In group 1-portal there were 2 patients with neurapraxias and 2 re-dislocations, while in group 2-portals were 1 and 2, respectively. The worst functional results were associated with the presence of a type III SLAP lesion. Conclusions: Both techniques were satisfactory regarding functional outcomes and complications, except for type III SLAP lesions. Using only one anterior portal, the surgical time was shorter, and the costs were lower when dispensing with a second cannula and a suture passing instrument
Subject(s)
Humans , Male , Female , Adolescent , Young Adult , Adult , Middle Aged , Arthroscopy/methods , Shoulder Joint/surgery , Joint Instability/surgery , Arthroscopy/adverse effects , Prospective Studies , Treatment OutcomeABSTRACT
OBJECTIVE: To evaluate the effectiveness and safety of the arthroscopic Bankart repair technique using a single anterior portal in patients with anterior shoulder instability. PATIENTS AND METHODS: Prospective study of 82 patients who underwent arthroscopic Bankart repair using a single anterior portal. Comparison with a historical series of 69 patients treated with two anterior portals. The patients were evaluated by the Rowe scale, and DASH (Disability of the Arm, Shoulder and Hand) and OIS (Oxford Instability Shoulder) questionnaires, range of motion and visual analogue scales for pain and patient satisfaction. RESULTS: After a mean follow-up of 36 months, there were no significant differences between groups regarding clinical or functional scores, quality of life or patient satisfaction. Surgical time was significantly shorter in the 1-portal group. In group 1-portal there were 2 patients with neurapraxias and 2 re-dislocations, while in group 2-portals were 1 and 2, respectively. The worst functional results were associated with the presence of a type III SLAP lesion. CONCLUSIONS: Both techniques were satisfactory regarding functional outcomes and complications, except for type III SLAP lesions. Using only one anterior portal, the surgical time was shorter, and the costs were lower when dispensing with a second cannula and a suture passing instrument.
