Modified Bankart Procedure for Recurrent Anterior Shoulder Dislocation

Background and Purpose: Recurrent anterior shoulder dislocation is a serious condition, for which the Bankart procedure is a standard treatment . Having made three modified Bankart procedure in the treatment of patients with recurrent anterior shoulder dislocation. Patients and Methods: The medical records of 21 patients who received a modified Bankart procedure for recurrent anterior shoulder dislocation during the period from 1989 through 1998 were retrospectively analyzed. The average age at initial dislocation was 22+5 years. The average postoperative follow -up period was 41+16 months. Three of the patients complained of mild shoulder pain before their operation. Results：The postoperative loss of external rotation and abduction compared with the nonoperated side was 9 + 4°and 5+4°, respectively. There were no limitations in daily activities during follow-up. No patient had shoulder pain after surgery. Redislocation occurred in one patient during the follow-up period. Patient satisfaction was rated as excellent by 20(96%) patients and poor by one. Conclusion: This modified Bankart procedure is a technically easy operation with a low complication rate, a high rate of patient satisfaction, and a low redislocation rate. It is a procedure of choice for the management of traumatic recurrent anterior shoulder dislocation