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Modern techniques may improve outcomes after arthroscopic Bankart repair
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ORLANDO — At the Arthroscopy Association of North America Annual Meeting, Richard K. N. Ryu, MD, discussed the use of modern techniques that could improve outcomes of arthroscopic Bankart repair.
According to Ryu, use of the lateral decubitus position has been shown to lead to a higher success rate in arthroscopic Bankart repair. He added surgeons should routinely use the 6 o’clock anchor, which addresses both inferior and anterior instability. Ryu also noted bony Bankart lesions are an invitation to intervene early with an arthroscopic bony Bankart repair.
“All significant Hill-Sachs lesions ought to be treated with a remplissage,” Ryu said in his presentation. “Do not go to the articular margin. You will not only limit external rotation, you will limit internal rotation. So, stay in the middle of the defect.”
Ryu said arthroscopic autogenous bone grafting will replace the Latarjet technique in the future. Finally, he said rehabilitation after arthroscopic Bankart repair should be slower and longer, especially in young, male athletes.
“As long as they are not throwers, it is not going to be a problem,” Ryu said. “I try to get 90% range of motion at 3 months, so I go slowly and I think my results have been better because of it.” – by Casey Tingle
Reference:
Ryu RKN. Getting the Bankart right. Presented at: Arthroscopy Association of North America Annual Meeting; May 2-4, 2019; Orlando.
Disclosure: Ryu reports he is a consultant for MedBridge, Mitek and Smith & Nephew; is on the editorial board for Orthopedics Today; is a committee member for the Arthroscopy Association of North America, the American Academy of Orthopaedic Surgeons and the American Shoulder and Elbow Surgeons; and receives royalties from SLACK Inc.