Hole Enlargement of Absorbable Suture Anchors after Arthroscopic Bankart Repair

  • TAKUBO Yoshinori
    Department of Orthopaedic Surgery, Otsu Municipal Hospital
  • MORIHARA Toru
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • KUROKAWA Masao
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine
  • KUBO Toshikazu
    Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine

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Other Title
  • 鏡視下Bankart修復術後における吸収性アンカー孔の拡大

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Abstract

Recently, arthroscopic Bankart repair has frequently been used as a treatment for anterior instability of the shoulder joints. We have also performed arthroscopic Bankart repair using absorbable suture anchors. We encountered three patients in whom the anchor hole remained and had enlarged on MR images taken three months after surgery. We have used PANALOKTM anchors for arthroscopic Bankart repair since 2000. In an anchor type in which tension is imposed on the suture to lock the anchor hole as the PANALOKTM anchor does, when slight absorption occurs, it is likely to loosen, causing a slight shift of the anchor. Moreover, the mechanical effect may enlarge the anchor hole. In our investigation of MR images, enlargement of the anchor hole was found in three of 28 shoulders (11%). Three months after surgery, a subjective feeling of instability was found in two of three shoulders (67%). Therefore, we concluded that it was necessary to follow -up such cases carefully.

Journal

  • Katakansetsu

    Katakansetsu 30 (2), 239-242, 2006

    Japan Shoulder Society

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