The Bankart Procedure: A Long-Term End-Result Study
Published 7 December 2013
Charalambos Panayiotou Charalambous, Sarah Eastwood
Citations1,176
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Abstract
Rowe CR, Patel D and Southmayd MD
Keywords
Medicine
BMJRECURRENT OR HABITUAL DISLOCATION OF THE SHOULDER-JOINT
683 Citations1923A. S. B. Bankart
The fossil remains of two new species of Mastodon and of other Vertebrated Animals found on the left bank of the Trawadi rrans are described.
Journal of Bone and Joint SurgeryRecurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment.
560 Citations1984Carter R. Rowe, Bertram Zarins +1 more
Analysis of cases of thirty-nine patients treated for recurrent anterior dislocation of the shoulder after unsuccessful surgical repair for the same condition found factors responsible for failure of the earlier operations were identified and the success rate of reoperation after previous failure was very encouraging.
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In the patients with recurrent postoperative instability, the episodes were less frequent than they had been preoperatively and shoulder function was related to activity level, and arthroscopic repair with use of suture anchors can provide satisfactory outcomes in terms of recurrence rate, activity, and range of motion.
Journal of Bone and Joint SurgeryBankart Repair for Anterior Instability of the Shoulder. Long-Term Outcome*†
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A new system for rating the shoulder that emphasizes function and is based specifically on the goals stated by the patients to be most important with regard to the shoulder is presented and it is found that the Bankart procedure offers an excellent objective long-term outcome with a high degree of patient satisfaction.
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The study suggests that nerve-root injections are effective in reducing pain in patients with osteoporotic vertebral fractures and that these patients should be considered for this treatment before percutaneous vertebroplasty or operative intervention is attempted.
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The pursuit of ‘best practice’, health economic planning, the increasing awareness and expectations of patients, pressure from politicians and the media, and the emergence of league tables for surgeons are some of the reasons why orthopaedic surgeons are encouraged to adopt evidence-based practice.
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There is insufficient evidence from randomised trials comparing arthroscopic with open surgery for treating anterior shoulder instability, and further research is needed on this subject and for other surgical interventions.
