Arthroscopic repair of glenolabral injuries with an absorbable fixation device

J Shoulder Elbow Surg. 1997 Jul-Aug;6(4):383-92. doi: 10.1016/s1058-2746(97)90007-0.

Abstract

In view of potential problems with metallic implants around the shoulder a bioabsorbable tact has been used in arthroscopic repair of labral lesions in the shoulder joint. We report on a consecutive series of 70 patients (71 shoulders) who had arthroscopic stabilization of Bankart lesions, SLAP lesions, and other labral detachments with the Suretac device. Minimum follow-up time was 12 months (range 12 to 27 months). Clinical outcome was assessed with the Constant score. The recurrence of dislocation or subluxation in the 42 unstable shoulders was 12% (5 of 42), and in 78% (33 of 42) the Constant score was rated good or excellent. The recurrence of dislocation in true anteroinferior dislocators was 3.2% (1 of 31). A total of 82.3% (14 of 17) of patients with SLAP repairs were rated good or excellent, and 53% (9 of 17) returned to their preinjury level of sporting activities. Eight (67%) of 12 patients with labral detachments other than Bankart and SLAP lesions were rated good or excellent, and 64% (7 of 11) returned fully to sports.

MeSH terms

  • Absorption
  • Adolescent
  • Adult
  • Arthroscopy / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Internal Fixators / standards*
  • Laparoscopy / methods*
  • Male
  • Middle Aged
  • Recurrence
  • Retrospective Studies
  • Shoulder Dislocation / classification
  • Shoulder Dislocation / surgery*
  • Surgical Stapling / instrumentation*
  • Treatment Outcome