Comparative Analysis of Outcome following Arthroscopic Bankart’s Repair using Single Vs Double Portal: A Prospective study

Thiyagarajan, G (2019) Comparative Analysis of Outcome following Arthroscopic Bankart’s Repair using Single Vs Double Portal: A Prospective study. Masters thesis, Madurai Medical College, Madurai.


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BACKGROUND: Shoulder joint has high range of motion at the risk of dislocation and instability due to its biomechanics and bone geometry. Shoulder joint most commonly dislocates anteriorly (85-95%) and its the most common joint going for recurrent dislocations also. Nearly all the traumatic shoulder dislocations have Bankart lesion and hill sachs lesion. Its proven that all patients with Bankart lesion need some surgical management. AIM OF THE STUDY: To compare the outcome following arthroscopic Bankart’s repair using single and double portal in recurrent shoulder dislocation. MATERIALS AND METHODS: 20 patients with recurrent shoulder dislocation admitted in the arthroscopic sports injury clinic, orthopedic department, govt Rajaji hospital, Madurai Medical College, Madurai. RESULTS: Mode of injury dealt in this study were RTA, accidental fall and sports injury in both groups. Accidental fall was the most common occurrence, seen in 8 patients with the percentage of 40% followed by RTA in 7 patients with the percentage of 35%. • Relatively younger individuals were offered double portal arthroscopic repair with the mean value of 25.1 (25 years of age) and standard deviation of 4.09. • There was not much significance in the type of surgery adopted in the patients who were undergone closed reduction in hospitals and in native treatment by traditional bone setters. • Most number of patients (6 patients) had five times of dislocations prior to surgery with the percentage of 30% and confidence limits of 54.28%. • In the both groups, period of immobilisation following the first dislocation was mean value of 3.2 weeks. • Arthroscopic repair by single portal was more time consuming than the double portal surgery with the unpaired t test value of 6.49 and p value of < 0.001 since it was technically high demanding and required high surgeon s skill. CONCLUSION: Arthroscopic bankarts repair using double anterior working portal is gold standard, when comparing to single anterior working portal. Time consumption, intra and post operative complication are less in double anterior working portal.

Item Type: Thesis (Masters)
Uncontrolled Keywords: single portal, double portal, bankarts lesion, rowe score, scorpion, arthro-pierce.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 01 Sep 2019 11:03
Last Modified: 01 Sep 2019 11:03

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