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J Surg Orthop Adv ; 23(3): 155-61, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25153814

RESUMO

To examine whether anchors used in arthroscopic Bankart repair increased the risk of subsequent fracture, six intact polyurethane scapulae and six with three 3.0-mm suture anchors placed along the anteroinferior glenoid were compared. An axial load of 1 mm/s was applied to the anteroinferior glenohumeral joint with a prosthetic humeral head. Outcome measures were force needed for initial fracture and catastrophic failure, percent of anterior glenoid bone loss, and fracture length. With the numbers available, no significant differences could be detected between groups in yield load or maximum load. The anchor group had a significantly larger percentage of bone loss (p < .01) and fracture length (p < .01) compared to the intact group. In this study, anchors did not decrease force needed to fracture but did lead to significantly larger fractures of the anterior glenoid during a simulated dislocation event. Further study using various anchors and techniques is warranted.


Assuntos
Artroscopia/efeitos adversos , Fraturas Ósseas/etiologia , Cavidade Glenoide/lesões , Luxação do Ombro/cirurgia , Âncoras de Sutura/efeitos adversos , Adolescente , Adulto , Reabsorção Óssea , Fraturas Ósseas/patologia , Fraturas Ósseas/cirurgia , Cavidade Glenoide/patologia , Cavidade Glenoide/cirurgia , Humanos , Instabilidade Articular/etiologia , Instabilidade Articular/cirurgia , Masculino , Modelos Biológicos , Recidiva , Reoperação , Estudos Retrospectivos , Articulação do Ombro/cirurgia , Suporte de Carga , Adulto Jovem
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