BANKART PROCEDURE - LONG-TERM END-RESULT STUDY

  • 1 January 1978
    • journal article
    • research article
    • Vol. 60  (1) , 1-16
Abstract
Of 161 patients with 162 shoulders operated on during a 30-yr period (1946-1976), 124 were re-examined and 21 answered a questionnaire. The lesions found at surgery were separation of the capsule from the anterior glenoid rim in 85%, a Hill-Sachs lesion of the humeral head in 77% and damage to the anterior glenoid rim (including fracture) in 73%. There were 5 recurrences (3.5%) after repair by the method described in the 145 shoulders that were followed. Only 1 of the 46 patients with dislocation on the dominant side and 1 of the 31 with dislocation on the non-dominant side failed to return to the competitive athletic activities in which they had participated prior to injury. The results at follow-up were rated excellent in 74%, good in 23% and poor in 3%. Ninety-eight per cent of the patients rated their result as excellent or good. Sixty-nine per cent of the shoulders had a full range of motion and only 2% of these shoulders redislocated. A fracture of the rim of the glenoid did not increase the risk of recurrence, while a moderate to severe Hill-Sachs lesion increased the risk only slightly. With the meticulous technique of the Bankart repair as described, postoperative immobilization is not necessary, early return of motion and function can be expected and resumption of athletic activities with no limitation of shoulder motion is possible for most patients.

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