The Independent Double-Row (IDR) Bony Bankart Repair Technique

Abstract

A displaced anterior glenoid rim fracture, the so-called bony Bankart lesion, occurs after a traumatic shoulder dislocation resulting from a high energy trauma and is associated with recurrent shoulder instability. Different surgical techniques have been described in the literature to address this pathology, including open reduction and fixation, as well as arthroscopic transosseous, and single-row or double-row approaches with the use of suture anchors. However, there is currently no gold standard of treatment and the stability of fixation and the healing of the bony fragment are still a concern. The purpose of this report was to introduce an arthroscopic independent double-row (IDR) bony Bankart repair technique for fixation of large glenoid fractures.

Zusammenfassung

Eine dislozierte vordere Glenoidrandfraktur, die sogenannte knöcherne Bankart-Läsion, tritt nach einer traumatischen Schulterluxation als Folge eines energiereichen Traumas auf und ist mit einer rezidivierenden Schulterinstabilität verbunden. In der Literatur werden verschiedene Operationstechniken zur Behandlung dieser Pathologie beschrieben, darunter die offene Reposition und Fixation sowie arthroskopische transossäre, ein- oder zweireihige Rekonstruktionen mit Verwendung von Nahtankern. Allerdings gibt es derzeit keinen Goldstandard für die Behandlung, und die Stabilität der Fixierung und die Heilung des Knochenfragments sind nach wie vor problematisch. Ziel dieses Berichts war es, eine arthroskopische unabhängige zweireihige knöcherne Bankart-Rekonstruktionstechnik zur Fixierung großer Glenoidfrakturen vorzustellen.

Schlüsselwörter

knöcherne Bankart-Läsion - Doppelreihen-Rekonstruktion - Glenoidkonkavität - Arthroskopie - anatomische Rekonstruktion

Keywords

Bony Bankart lesion - double-row - glenoid concavity - arthroscopy - anatomic reconstruction

Publication History

Received: 12 June 2021

Accepted after revision: 26 January 2022

Article published online:
23 February 2022

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