title: Results of Arthroscopic Bankart Lesion Repair in Patients with Post-Traumatic Anterior Instability of the Shoulder and a Non-Engaging Hill-Sachs Lesion with a Suture Anchor after a Minimum of 6-Year Follow-Up.
abstract: BACKGROUND
  Shoulder instability is an important clinical problem. Arthroscopic surgery is an established treatment modality in shoulder instability, but it continues to be associated with a high rate of recurrences and complications. The purpose of the study was to analyze late outcomes of arthroscopic repair of Bankart lesions in patients with post-traumatic anterior shoulder instability and non-engaging Hill-Sachs lesion, with special focus on the incidence and causes of recurrences and complications.
  
  
  METHODS
  We investigated 92 patients (92 shoulders) who underwent surgery on account of post-traumatic anterior shoulder instability. The duration of follow-up ranged from 6 to 12.5 years (mean: 8.2 years). All patients were operated on in the lateral decubitus position using FASTak 2.8-mm suture anchors (FASTak, Arthrex, Naples, Florida). Treatment outcomes were evaluated using the Rowe and University of California at Los Angeles rating system (UCLA).
  
  
  RESULTS
  According to Rowe scores, there were 71 (81.5%) excellent, 12 (12.6%) good, 5 (5.3%) satisfactory, and 2 (2.1%) poor results. Rowe scores improved in a statistically significant manner (p=0.00) post-surgery, to a mean of 90 (range: 25-100). Treatment outcomes measured as UCLA scores improved in a statistically significant manner (p=0.00), reaching post-operative levels of 12-35 (mean: 33.5). There were 9 recurrences, 1 case of axillary nerve praxia, and 1 case of anchor loosening.
  
  
  CONCLUSIONS
  With rigorous criteria for qualifying patients for surgery, arthroscopic treatment of post-traumatic anterior shoulder instability produces good outcomes and low recurrence and complication rates irrespective of the number of previous dislocations, age, or sex.
authors.affiliation: Department of Hand Surgery, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie, Poland.
authors.forename: Karol
authors.initials: K
authors.lastname: Szyluk
authors.affiliation: Department of Hand Surgery, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Jasiński
authors.affiliation: Department of the Knee Surgery, Arthroscopy and Sports Traumatology, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Widuchowski
authors.affiliation: Department of the Knee Surgery, Arthroscopy and Sports Traumatology, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Mielnik
authors.affiliation: Department of Trauma and Orthopaedics, District Hospital of Orthopedics and Trauma Surgery, Piekary Śląskie, Poland.
authors.forename: Bogdan
authors.initials: B
authors.lastname: Koczy
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D012782:Shoulder / Q000601:surgery*; D053441:Suture Anchors; D016896:Treatment Outcome; D055815:Young Adult