POSTER ABSTRACTS - ISAKOS

ulnar - for 2) .Compression of humerus artery - for
5 patients.
Adequate the treatment for the young sportsmen
with supracondylar fractures of the humerus with
fragment dislocation is a constant skeletal
traction. Kirshner wire is conducted through
proximal metaepiphysis of the ulnare and the
vertical skeletal traction on Balkan frame (freight
of 2-3 kgs) .At unbended types on a forearm is
adjusted superimposed a Zinc - gelatinous
extension. A forearm stacked on cotton-gauze
''gamachok''. In the maiden day - constant control
behind oscillation peripheral artery, follow-up
injured nerves. For 2 day a radiography of an
injured ulnare on an extension. At available
displacement peripheral fragments executed a
manual reposition on an extension. At bended
types - the injured finiteness in a rule of
unbending in ulnar, is padding to Balkan frame
fixed a bracket. Terms of a skeletal traction - 14-16
days. Then for 2-3 days superimposed gypsum
longine and started complex physio-functional
therapy.
The long terms results of treatment for 100
patients in terms from 2 till 8 years after a trauma
are studied. Functional parameters - excellent for
all inspected. X-ray-anatomic parameters:
excellent - for 70; good - for 20, satisfactory - for
10. They have replaced a sporting profile. Prolong
occupations in former sporting sections remaining
90.
E-poster #854
Arthroscopic Instability Repair in the Elderly
W. Jaap Willems, NETHERLANDS, Presenter
OLVG Hospital, Amsterdam, NETHERLANDS
Introduction:
Primary shoulder dislocations in patients over 40
years is not very frequent and rather benign; it is
often accompanied by a cuff rupture. Chronic
instability in older patients after a primary
dislocation at a younger age is not so infrequent
and leads often to symptoms, neccessating a
repair.
Patients and methods
From 1989 till 2002 we performed 370 arthroscopic
stabilisations for a recurrent shoulder instability.
28 patients were older than 45 years, of these 17
were older than 50 years. All of them except one
had the primary dislocation at a age below 40 yrs.
In only 2 cases a concomitant cuff rupture was
seen, both supraspinatus, they were not repaired.
In 8 cases a transglenoidal suture technique was
used, in 1 case the torn labrum was fixed with
tacks, in the other 19 cases suture anchors were
used.
Results
There were 3 failures: 2 recurrences, 1 had a
positive apprehension.Rehabilitation takes longer
before good function is achieved, in most cases
the ROM did not reach the level of the other side.
Conclusion
Also in older people with recurrent anterior
instability arthroscopic repair can be considered.
E-poster #855
Surgical Outcome of Arthroscopic Bankart
Repair Using the Knotless Suture Anchor
Hideki Sato, Hirosaki, JAPAN, Presenter
Yasuyuki Ishibashi, Hirosaki, Aomori JAPAN
Eiichi Tsuda, Hirosaki, Aomori JAPAN
Satoshi Toh, Hirosaki, Aomori JAPAN
Hirosaki University School of Medicine, Hirosaki,
Aomori, JAPAN
Purpose: We have used the Knotless Suture
Anchor for arthroscopic Bankart repair from
January 2000. The purpose of this report is to
present 28 cases followed for 2 years or more after
surgery.
Methods: Twenty-eight patients (24 males and 4
females) who had traumatic recurrent shoulder
dislocation or subluxation were treated by this
procedure. Twenty-one patients were actively
involved in sports activity (13 in overhead sports,
8 in contact sports). The average age was 23.6
years old, ranged from 13 to 47 years old. All cases
were diagnosed with positive anterior
apprehension test, positive relocation test, and
Bankart lesion on arthro-MRI. All cases were
evaluated using Rowe?s score, recurrence, return
to activity level, and range of motion.
Results: The average postoperative Rowe?s
score for all patients was 93. There were two
postoperative redislocations and one subluxation.
All patients except 2 with dislocations returned to
the previous activity level. Compared with the
opposite shoulder, the average loss of flexion was
4 degrees, and that of external rotation with the
arm in the abduction position was 4 degrees.
Conclusion: The advantages of this device are
the simple technique that does not require
knotting, the tight fixation, and the easy capsular
advancement. The clinical results suggested the
Knotless Suture Anchor is a useful device for
arthroscopic Bankart repair.