Search In this Thesis
   Search In this Thesis  
العنوان
Arthroscopic Bankart Repair Combined with Remplissage Technique for Anterior Shoulder Instability with Off-track Hill-Sachs lesions /
المؤلف
Haikal, Mohammad Mahmoud.
هيئة الاعداد
باحث / محمد محمود هيكل
مشرف / محمود عبد المنعم الرصاصي
مشرف / طارق احمد الشيخ
مشرف / احمد السيد الطنطاوي
مشرف / مارتن سنو
الموضوع
Orthopedic.
تاريخ النشر
2022.
عدد الصفحات
183 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
15/2/2023
مكان الإجازة
جامعة طنطا - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

from 227

from 227

Abstract

Bankart repair and Remplissage has been advocated for anterior shoulder instability with off-track HSL and subcritical glenoid bone loss (<25%). The purpose of this study was to evaluate the functional results after BRR, with particular focus on ER and identify potential factors, which correlate with a post-operative limitation of ER. 41 anterior shoulder instability patients with off-track HSL and glenoid bone loss <25% were treated with BRR and followed for a median of 23 months. Functional outcome was assessed using the ASES and WOSI scores. Shoulder ROM was assessed and included FF, ERs, ERa and IRa. Patient demographics, sports participation, number of dislocations, duration of instability, length of follow up, glenoid track, HSI, HSL depth and the number of anchors used for the remplissage were recorded for correlation with the results. All patients showed marked improvement in the postoperative WOSI and ASES scores compared to preoperative status by a mean difference of 46.1% ± 19.5 and 29.2 ± 13.3 respectively. The mean reduction in ERs, ERa, FF and IRa were (22.5% ± 16.18), (13.09% ± 8.2), (2.46% ± 1.92) and (10.12% ± 6.) respectively. ERs limitation was significantly associated with time of final follow up (P=<0.001, r= - 0.711), HSI (P= <0.001, r= 0.752), number of dislocations (p= 0.013, r= -0.385), sport participation (p= 0.010) and number of remplissage anchors (p=0.004). ERa limitation was significantly associated with time of final follow up (P=<0.001, r= - 0.569), HSI (p= <0.001, r= 0.605) and number of remplissage anchors (p= 0.003). The recurrence rate was 2.5% over the course of the study.