• Clinics in Shoulder and Elbow
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• 제2권1호
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• pp.60-73
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• 1999

Purpose : The purpose of this study was to compare patients with anterior shoulder instability who were treated with an open Bankart procedure with those treated with an arthroscopic procedure, and to evaluate factors influencing the final outcomes and recurrence. Materials & Methods : One hundred seven shoulders underwent open Bankart repair, and fifty-one shoulders were treated arthroscopically. Average followup for open group was 34 months, and for arthroscopy group was 25 months. The Bankart Rating System by Rowe was used to evaluate the clinical outcome of the procedure. And, the patients were asked about any changes concerning their sports and professional activities. Results: According to Bankart Rating system by Rowe, open group had 97% fair to excellent results with 2 recurrent dislocation(1.8%) and 4 recurrent subluxation(3.6%), and arthroscopy group had 94% fair to excellent results with 3 recurrent dislocation(5.8%) and 4 recurrent subluxation(8%). In open group, 9 shoulders(8.4%) had the mild limitation of range of motion at the time of followup, and 2 shoulders(3.9%) in arthroscopy group. Age and gender do not seem to be a significant factor contributing to an increased re-recurrence rate. The incidence of re-recurrence seems to be affected by dominance, frequency, and patient's activity. The size of Bank art lesion might be also considered as a contributing factor. Conclusion: Either open or arthroscopic Bankart procedures are safe and effective methods with acceptable results if an adequate patient's selection, precise surgical technique and proper postoperative care are done. And arthroscopic surgery could be considered if the anterior instability is non-dominant, non-athlete, traumatic unidirectional and Bankart lesion has minimal erosion of the glenoid and it has thick and mobile labrum.

• Clinics in Shoulder and Elbow
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• 제5권1호
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• pp.47-54
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• 2002

Purpose : We evaluated clinical result of arthroscopic and open Bankart repair in anterior shoulder instability to identify factors iuluencing operative result and prognosis. Materials & Methods . We reviewed 24 patients of anterior shoulder instability treated with arthroscopic Bankart repair in 16 cases and open Bankart repair in 8 cases. Average age was 26 years old and involved in dominant arm in 15 cases. Patients were suffered instability for 3.1 years before operation and mean follow-up was 2 year 9 months ( 1 you 9 months -4year 10 months). Results : Post operative pain was subsided in 2 weeks in arthroscopic surgery and 3 weeks in open surgery. The final range of motion after arthroscopic repair were flekion in 168" , external rotation in 54" , and internal rotation in 79, and after open repair 168" ,49" , and 78 respectively. In arthroscopic surgery,2 cases (13%) were redislocated, and 4 cases(25%) showed mild instability. In open case,1 case (11%) showed mild instability. According to function- al result by Rowe grading scale, satisfactory results were 12case (76%) in arthroscopic repair and 7 cases (88%) in open cases. Conclusions Both arthroscopic or open Bankart could get good results in the treatment of anterior instability of shoulder. In arthroscopic repair, perioperative morbidity was lower than open repair, but it needs careful rehabilitation program to prevent redislocation and to return to sports activity.

• Clinics in Shoulder and Elbow
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• 제2권1호
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• pp.47-52
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• 1999

The results of open capsular shift(Group 1) and arthroscopic trans glenoid Bankart repair(Group 2) for the recurrent anterior dislocation of the shoulder were compared. During a 4-year period, 25 patients were surgically treated. Fourteen shoulders had open Bankart procedure and capsular shift, and II shoulders were treated arthroscopically. A Bankart lesion was found in 12 out of 14 patients in Group I and all 11 patients in Group 2. Average follow-up period was 46 months for Group 1 and 23.4 months for Group 2. Group 1 showed 71.4% good to excellent results with 1 recurrent dislocation. Group 2 showed 90.9% good to excellent results with no recurrent dislocation. The cause of less favorable results of Group I compared with Group 2 was loss of external rotation postoperatively. The study showed that the results of arthroscopic Bankart repair was comparable to the open capsular shift in terms of stability, and the postoperative function was better than open capsular shift.

• Clinics in Shoulder and Elbow
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• 제5권2호
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• pp.110-117
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• 2002

Purpose: We compared the results of open and arthroscopic Bankart repair in traumatic recurrent anterior dislocation ,3f the shoulder. Materials and methods: We analysed 7 cases underwent open Bankart repair (group I) and 13 cases underwent arthroscopic Bankart repair (group Ⅱ). The average follow-up period was 68.1 months (51-113 months) in group I and 41.1 months (16~57 months) in group Ⅱ. All patients in group I and Ⅱ were non-athletes. We analyzed statistically objective evaluation, such as the stability of shoulder joint, the range of motion, pain, impaired throwing, Bankart rating system by Rowe and subjective evaluation, visual analog scale (VAS) between two groups. Results: In terms of dominant and non-dominant shoulders, the age at initial episode of dislocation, the elapsed time from injury to surgery, the number of preoperative dislocations associated with susceptibility to apprehension. respectively, there was no statistically significant differences between two groups. In group I the average Rowe's scortls was 84.3 and 3 cases (43%) had excellent results,4 cases (S7cfo), good ones. In group H the average Rowe's scores was 87.3 and 7 cases (54%) had excellent results,6 cases, good ones. There was tendency to show more excellent results in group ll, but there was no statistically significant differences. The average VAS were 90.3 points in group I and 88 points in group Ⅱ, which showed also no statistically significant differences. Conclusion: Open and arthroscopic Bankart repairs had no significant difference and showed also good results in travinatic recurrent anterior dislocation of shoulder.

• 대한관절경학회:학술대회논문집
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• 대한관절경학회 2007년도 제17차 추계학술대회 심포지움
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• pp.41-42
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• 2007

• 대한관절경학회지
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• 제15권1호
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• pp.50-54
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• 2011

국민 소득의 증가와 함께 점차적으로 스포츠 활동에 참여하는 인구가 증가하면서, 외상성 견관절 탈구 및 만성적인 불안정성을 호소하는 환자들이 증가하고 있다. 이 환자군에서 발견되는 골성 Bankart 병변은 과거에는 그 진단이 어려웠으나, 최근엔 컴퓨터 단층촬영 관절조영술의 발달로 인해 진단 및 술전 치료 계획 수립이 쉬워졌다. 적절한 치료원칙에 따라 각 환자의 조건에 맞는 술전 관절와 골 결손의 크기 및 환자의 직업, 운동 강도 등을 고려하여 적절한 치료 계획을 수립해야 한다. 수술 기법의 발전으로 인해, 관절경하 골성 Bankart 수술법의 결과는 관혈적 수술법과 큰 차이를 보이지 않게 되었으나, 25% 이상의 관절와 골 결손을 가진 환자나 격렬한 운동을 해야 하는 환자군에서는 관혈적 수술법을 고려해야 한다.

• Clinics in Shoulder and Elbow
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• 제2권2호
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• pp.157-169
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• 1999

외상성 전방 견관절 불안정성을 가진 88명의 환자의 견관절 89례에 대해 봉합나사를 이용한 관절경적 또는 개방적 Bankart 봉합술을 시행하고 평균 39개월 후에 Rowe와 UCLA 점수, 재발율, 일상생활로의 복귀, 그리고 운동 범위 등을 평가하였다. 관절경적 수기는 최소한 3개의 봉합나사를 이용하였고, 관절낭의 중첩과 상방 이동술을 동시에 실시하였다. 개방적 Bankart 봉합술을 시행 받은 견관절30례 중 26례(86.6%)에서, 관절경적 Banltart 봉합술을 시행한 견관절 49례 중 44례(91.5%)에서 매우 우수(excellent) 또는 우수(good)을 나타내었다. 관절경적 시술을 받은 그룹에서 Rowe (P=0.041)와 VCLA 점수(P=0.026)는 더 좋은 결과를 보였다. 각각의 그룹에서 재탈구는 2례가 발생했다. 두 그룹사이에 외회전 소실이나 이전 생활로의 복귀에서는 의미 있는 차이를 보이지 않았다(P〉0.05). 수술 후 불안정은 봉합나사의 수가 적었던 환자들의 그룹에서 훨씬 더 많이 나타났다. 봉합나사를 이용한 관절경적 관절낭 봉합술은 개방적 Bankart봉합술에 비해 같거나 또는 더 좋은 결과를 보였다.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 1999년도 학술대회
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• pp.61-61
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• 1999

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2003년도 학술대회
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• pp.85-86
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• 2003

• Clinics in Shoulder and Elbow
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• 제5권2호
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• pp.118-123
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• 2002

Purpose: The purpose was to identify the effectiveness of beach-chair position in the arthroscopic Bankart repair over conventional lateral decubitus position with distal traction. Materials & Methods: 36 arthroscopic Bankart repair through July 2000 to July 2001 was done under beach chair position. All cases were shoulder instability. Male patients were 6 and female were 4 with average age of 25 years. Arthroscopic suture anchor was used in 24 cases and average number was 3. Results: Interscalene block was tried in 29 patients and 1 case was changed to general anesthesia. Arthroscopic examination to identify Bankart lesion and associated pathology was done without difficulty Bankart lesions were easily reduced to anatomic position and placed suture anchor and hooking approprately. After the arthroscopic examination,3 cases were converted to open procedure without any positional change. Conclusion: Under interscalene block, the preparation was more simple and the patient could watch arthroscopic procedure with confidence. There was no hindrance in arthroscopic examination and arthroscopic repair could be dont: in more anatomic position. It can be easily changed to open repair if it needed