Beyond the Basic Bankart.. Arthroscopic Treatment of ... - IASM

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Summary: Glenoid Defect • Acute • Fix significant ( type2-3) bony Bankarts primarily when possible • Chronic 25% • Bankart alone doesn’t t work • Consider : • Arthroscopic capsulolabral advancement • Treat Hill Sachs • Bone Block predictable stability but concern about Deg OA, ER other… • Our approach: Limit Laterjet to revision cases • Future….. Arthroscopic Laterjet/ / BG ?
Hill Sachs • Incidence: • First time dislocators • 47% (15/32) Dx Scope • Only 2/32 were large • 48% (12/25) MRI study ( Suder (Uribe 1989 Arthroscopy) Suder JSh Elbow 1995) • Recurring dislocators – before repair • 73% by x-ray x ray (Edwards Arthroscopy 2003) • Recurring dislocators - failed repair • 76% Hill Sachs (Rowe JBJS 1984)
Page 1 and 2: BEYOND THE BASIC BANKART.. Arthrosc
Page 3 and 4: Glenoid Bony Defects: • Acute fra
Page 5 and 6: Glenoid Defect Diagnosis Pre op:
Page 7 and 8: Arthroscopic Measurement of Glenoid
Page 9 and 10: Bony Bankart: : Treatment • Type
Page 11 and 12: Bony Bankart: : Treatment • Type
Page 13 and 14: Arthroscopic Bony Bankart: Results
Page 15 and 16: Glenoid Defects: Soft Tissue… Ban
Page 17 and 18: On the Other Hand… Success with S
Page 19 and 20: Laterjet One hundred eighteen Brist
Page 21 and 22: So.. Beware the Consequences of You
Page 23: Chronic Glenoid Defects: Our Approa
Page 27 and 28: Hill Sachs: Evaluation • Pre Op
Page 29 and 30: • Success: Limit ER: Capsulo-labr
Page 31 and 32: Infraspinatous Transfer : Open •
Page 33 and 34: Remplissage: : Results • Wolf: AA
Page 35 and 36: Remplissage: : F/U Video
Page 37 and 38: Hill Sachs: Other Options… • Op
Page 39 and 40: OBI Plugs JD Kelly IV AANA 4/07 •
Page 41 and 42: Humeral Head Plasty Richmond techni
Page 43 and 44: CASE EXAMPLE 2 Pre OP 1 Year Post O
Page 45 and 46: HAGL LESIONS • Define: Humeral Av
Page 47 and 48: POSTERIOR HAGL REPAIR: VIDEO
Page 49 and 50: “Beware the ‘Simple’ Bankart.

Beyond the Basic Bankart.. Arthroscopic Treatment of ... - IASM

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