Arthroscopic Bankart Repair Using 1 Anterior Portal Has a Shorter Surgical Time and Comparable Clinical Results With the Standard 2-Portal Technique
2024

Shorter Surgical Time for One-Port Shoulder Repair

Sample size: 42 publication Evidence: moderate

Author Information

Author(s): Gazeloglu Ali Okan M.D., Yilmaz Abdurrahman M.D., Turhan Egemen M.D., Familiari Filippo M.D., Huri Gazi M.D.

Primary Institution: Hacettepe University, Ankara, Turkey

Hypothesis

The modified 1-portal Bankart repair technique is comparably effective to the standard 2-portal technique in terms of postoperative functional scores and recurrent instability and has a shorter surgical time.

Conclusion

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

Supporting Evidence

  • The average surgical duration in the modified 1-portal group was significantly shorter than in the 2-portal group.
  • There were no statistically significant differences in clinical scores between the two groups after 2 years.
  • Both groups showed significant improvement in clinical scores postoperatively.

Takeaway

Doctors can fix shoulder problems faster with a new one-portal method, and it works just as well as the old two-portal way.

Methodology

Patients who underwent Bankart repair from 2014 to 2021 were separated into 2 groups: a modified 1 anterior portal group and a 2 anterior portal group, and evaluated for clinical results and surgical duration.

Potential Biases

Potential for bias due to the retrospective design.

Limitations

The retrospective nature of the study, small sample size, and lack of cost analysis.

Participant Demographics

Average age was 25.9 years, with 3 females and 39 males.

Statistical Information

P-Value

P = .03 for surgical duration; P = .5, P = .22, P = .32 for clinical scores.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.asmr.2024.100984

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