Arthroscopic Bankart repair augmented with glenoid bone dry allograft
Background: The recurrence rate of shoulder instability after arthroscopic isolated Bankart repair is up to 25% at long term, especially in case of bipolar bone loss. Bony augmentation with free bone dry allograft would be an option to reconstruct a glenoid subcritical bone defect and to minimize th...
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Elsevier
2025-01-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638324004055 |
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| author | Thomas Boissinot, MD Antoine Baltassat, MD Hugo Barret, MD Mathieu Girard, MD Pierre Mansat, MD, PhD Nicolas Bonnevialle, MD, PhD |
| author_facet | Thomas Boissinot, MD Antoine Baltassat, MD Hugo Barret, MD Mathieu Girard, MD Pierre Mansat, MD, PhD Nicolas Bonnevialle, MD, PhD |
| author_sort | Thomas Boissinot, MD |
| collection | DOAJ |
| description | Background: The recurrence rate of shoulder instability after arthroscopic isolated Bankart repair is up to 25% at long term, especially in case of bipolar bone loss. Bony augmentation with free bone dry allograft would be an option to reconstruct a glenoid subcritical bone defect and to minimize the failure rate. Methods: This case series included patients with anterior shoulder instability treated by arthroscopic free bone dry allograft (Supercrit, BIOBank, Lieusaint, Ile-de-France, France), fixed with a cortical button as an augmentation of Bankart repair and reviewed with a minimum follow-up of 2 years. Clinical assessment was based on active range of motion, shoulder apprehension test, as well as Walch-Duplay Score, Rowe Score, and Subjective Shoulder Value. Radiological evaluation was based on postoperative and last follow-up computed tomography scan to assess bone block positioning, glenoid enlargement, allograft healing, and/or resorption. Results: Five patients were included with a mean follow-up of 50 months (range 44-56). None of the patients reported a recurrence, but apprehension test was positive in one. Mean Walch-Duplay Score, Rowe Score, and Subjective Shoulder Value were 88 points (70-11), 93 points (75-100), and 89% (80-95), respectively. No surgical complications were recorded. The mean preoperative anterior glenoid bone loss was 13.8% (7-19). At last follow-up, graft resorption was observed in all patients, reaching 100% of the initial volume in 4 cases. Conclusion: This study showed satisfactory clinical results of Bankart repair augmented with dry bone allograft in the treatment of anterior shoulder instability with glenoid subcritical bone loss. However, anatomical results were disappointing, with graft resorption that raises the question of going ahead with such a procedure. |
| format | Article |
| id | doaj-art-2421ebc051aa4255a13c7fec06727a4e |
| institution | Kabale University |
| issn | 2666-6383 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj-art-2421ebc051aa4255a13c7fec06727a4e2025-01-12T05:26:03ZengElsevierJSES International2666-63832025-01-01914045Arthroscopic Bankart repair augmented with glenoid bone dry allograftThomas Boissinot, MD0Antoine Baltassat, MD1Hugo Barret, MD2Mathieu Girard, MD3Pierre Mansat, MD, PhD4Nicolas Bonnevialle, MD, PhD5CHU de Toulouse, Place du Dr Baylac, Toulouse, France; Clinique Universitaire du Sport, Hôpital Pierre Paul Riquet, Toulouse, FranceCHU de Toulouse, Place du Dr Baylac, Toulouse, France; Clinique Universitaire du Sport, Hôpital Pierre Paul Riquet, Toulouse, FranceCHU de Toulouse, Place du Dr Baylac, Toulouse, France; Clinique Universitaire du Sport, Hôpital Pierre Paul Riquet, Toulouse, FranceCHU de Toulouse, Place du Dr Baylac, Toulouse, France; Clinique Universitaire du Sport, Hôpital Pierre Paul Riquet, Toulouse, FranceCHU de Toulouse, Place du Dr Baylac, Toulouse, France; Clinique Universitaire du Sport, Hôpital Pierre Paul Riquet, Toulouse, FranceCHU de Toulouse, Place du Dr Baylac, Toulouse, France; Clinique Universitaire du Sport, Hôpital Pierre Paul Riquet, Toulouse, France; Corresponding author: Nicolas Bonnevialle, MD, PhD, CHU Toulouse, Hôpital Pierre Paul Riquet, Service de Chirurgie Orthopédique et du Sport, Place Baylac, 31059 Toulouse, France.Background: The recurrence rate of shoulder instability after arthroscopic isolated Bankart repair is up to 25% at long term, especially in case of bipolar bone loss. Bony augmentation with free bone dry allograft would be an option to reconstruct a glenoid subcritical bone defect and to minimize the failure rate. Methods: This case series included patients with anterior shoulder instability treated by arthroscopic free bone dry allograft (Supercrit, BIOBank, Lieusaint, Ile-de-France, France), fixed with a cortical button as an augmentation of Bankart repair and reviewed with a minimum follow-up of 2 years. Clinical assessment was based on active range of motion, shoulder apprehension test, as well as Walch-Duplay Score, Rowe Score, and Subjective Shoulder Value. Radiological evaluation was based on postoperative and last follow-up computed tomography scan to assess bone block positioning, glenoid enlargement, allograft healing, and/or resorption. Results: Five patients were included with a mean follow-up of 50 months (range 44-56). None of the patients reported a recurrence, but apprehension test was positive in one. Mean Walch-Duplay Score, Rowe Score, and Subjective Shoulder Value were 88 points (70-11), 93 points (75-100), and 89% (80-95), respectively. No surgical complications were recorded. The mean preoperative anterior glenoid bone loss was 13.8% (7-19). At last follow-up, graft resorption was observed in all patients, reaching 100% of the initial volume in 4 cases. Conclusion: This study showed satisfactory clinical results of Bankart repair augmented with dry bone allograft in the treatment of anterior shoulder instability with glenoid subcritical bone loss. However, anatomical results were disappointing, with graft resorption that raises the question of going ahead with such a procedure.http://www.sciencedirect.com/science/article/pii/S2666638324004055Bankart repairAllograftGlenoid bone lossShoulder instabilityBone blockCortical button |
| spellingShingle | Thomas Boissinot, MD Antoine Baltassat, MD Hugo Barret, MD Mathieu Girard, MD Pierre Mansat, MD, PhD Nicolas Bonnevialle, MD, PhD Arthroscopic Bankart repair augmented with glenoid bone dry allograft JSES International Bankart repair Allograft Glenoid bone loss Shoulder instability Bone block Cortical button |
| title | Arthroscopic Bankart repair augmented with glenoid bone dry allograft |
| title_full | Arthroscopic Bankart repair augmented with glenoid bone dry allograft |
| title_fullStr | Arthroscopic Bankart repair augmented with glenoid bone dry allograft |
| title_full_unstemmed | Arthroscopic Bankart repair augmented with glenoid bone dry allograft |
| title_short | Arthroscopic Bankart repair augmented with glenoid bone dry allograft |
| title_sort | arthroscopic bankart repair augmented with glenoid bone dry allograft |
| topic | Bankart repair Allograft Glenoid bone loss Shoulder instability Bone block Cortical button |
| url | http://www.sciencedirect.com/science/article/pii/S2666638324004055 |
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