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. 2024 Jul 26;6(6):100984.
doi: 10.1016/j.asmr.2024.100984. eCollection 2024 Dec.

Arthroscopic Bankart Repair Using 1 Anterior Portal Has a Shorter Surgical Time and Comparable Clinical Results With the Standard 2-Portal Technique

Ali Okan Gazeloglu  1 , Abdurrahman Yilmaz  2 , Egemen Turhan  2 , Filippo Familiari  3 , Gazi Huri  2
Affiliations

Arthroscopic Bankart Repair Using 1 Anterior Portal Has a Shorter Surgical Time and Comparable Clinical Results With the Standard 2-Portal Technique

Ali Okan Gazeloglu et al. Arthrosc Sports Med Rehabil. .

Abstract

Purpose: To assess the modified 1 anterior portal Bankart repair and compare it to the 2-portal Bankart repair in terms of surgical time, functional scores, and recurrent dislocation.

Methods: Patients who underwent Bankart repair from 2014 to 2021 were identified and separated into 2 groups: a modified 1 anterior portal group and a 2 anterior portal group. The inclusion criteria were being >18 years old, having a recurrent anterior shoulder dislocation with a Bankart lesion, and having a minimum 2-year follow-up. Patients were evaluated for their clinical results using the American Shoulder and Elbow Surgeons score, the Western Ontario Shoulder Instability index, and the Oxford Shoulder Instability Score pre- and postoperatively. The duration of surgery and recurrent instability were recorded. To prevent suture tangling in the modified 1-portal group, 2 techniques were performed: "cannula in cannula" and "cannula in and out."

Results: A total of 42 patients were included in this study, with 20 in the modified 1-portal group and 22 in the 2-portal group. There were no statistically significant differences between the 2 groups in clinical scores obtained after 2 years of surgery (American Shoulder and Elbow Surgeons score, P = .5; Western Ontario Shoulder Instability index, P = .22; and Oxford Shoulder Instability Score, P = .32). The average surgical duration in the modified 1-portal group (65.7 ± 15.8) was significantly shorter than the average surgery duration in the 2-portal group (81.1 ± 27.2) (P = .03). There was no statistically significant difference between the 2 groups for recurrent instability (P ≥ .999).

Conclusions: Bankart repair performed through a modified 1 anterior portal technique has a shorter surgical time and similar clinical outcomes as the 2-portal technique.

Level of evidence: Level III, retrospective cohort study.

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Conflict of interest statement

All authors (A.O.G., A.Y., E.T., F.F., G.H.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig 1
Fig 1
“Cannula in cannula” technique with knot pusher as a second cannula. (A) Before taking a sliding knot in the “cannula in cannula” technique. (B) After taking a sliding knot in the “cannula in cannula” technique.
Fig 2
Fig 2
“Cannula in and out” technique. Two of the sutures pass externally from the cannula.
Fig 3
Fig 3
The flowchart for patient selection.
See this image and copyright information in PMC

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